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World Journal of Surgery

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01-06-2018 | Innovative Surgical Techniques Around the World

Routine Virtual Ileostomy Following Restorative Proctocolectomy for Familial Adenomatous Polyposis

Authors: Peter C. Ambe, Hubert Zirngibl, Gabriela Möslein

Published in: World Journal of Surgery | Issue 6/2018

Abstract

Background

Anastomotic leakage (AL) is the most feared complication in colorectal surgery. A diverting ileostomy is routinely used to prevent or reduce morbidity and mortality following AL. However, a diverting ileostomy cannot prevent AL. Besides, diverting ileostomy might be associated with relevant complications. Herein, we introduce the virtual ileostomy as an alternative to diverting ileostomy in patients undergoing restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) for familial adenomatous polyposis (FAP).

Materials and methods

The results of eight patients, five females and three males with a median age of 19.5 ± 6.0 years (range 16.0–31.0 years), undergoing restorative proctocolectomy with IPAA and virtual ileostomy for FAP are presented.

Results

All cases were laparoscopically managed. The virtual ileostomy was released between postoperative day 7 and 9. No AL was registered. Postoperative recovery was uneventful in all cases.

Conclusion

A diverting ileostomy was prevented via the use of virtual ileostomy in all cases. Thus, virtual ileostomy is a good alternative to diverting ileostomy in patients undergoing restorative proctocolectomy with IPAA for FAP.

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Title: Routine Virtual Ileostomy Following Restorative Proctocolectomy for Familial Adenomatous Polyposis
Authors: Peter C. Ambe
Hubert Zirngibl
Gabriela Möslein
Publication date: 01-06-2018
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 6/2018
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-017-4365-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Routine Virtual Ileostomy Following Restorative Proctocolectomy for Familial Adenomatous Polyposis

Abstract

Background

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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