The application comparison of defunctioning ileostomy and loop colostomy in the prevention of anastomotic leakage and the development of the technique of preventing anastomotic leakage

doi:10.3877/cma.j.issn.2095-3224.2019.01.013

Abstract

Abstract:

One of the most severe and common complications after colorectal surgery is anastomotic leakage. Defunctioning loop ileostomy and loop colostomy are used widely to protect/treat anastomotic leakage after colorectal surgery. Each type of defunctioning stoma has its advantages and disadvantages. This review evaluated two types of defunctioning stoma to determine whether one is superior to the other. Meawhile, this review focused on the current methods for preventing anastomotic leakage, strategies were categorised as indwelling rectal tube, transcecal catheter ileostomy, vahrac-secured intracolonic bypass technique, free take-back ileostomy, enclose anastomosis with pedicled omentum. In clinical practice we should comprehensive analyse all kinds of circumstances and choose the best method to prevent anastomotic leakage.

Key words: Anastomotic leakage, Ileostomy, Colostomy, Preventive, Methods

Ke An, Chaofeng Li, Yongxin Han, Xiaoyu Fan, Guochao Zhang, Wenyue Wang. The application comparison of defunctioning ileostomy and loop colostomy in the prevention of anastomotic leakage and the development of the technique of preventing anastomotic leakage[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(01): 67-70.

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