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International Journal of Colorectal Disease

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01-03-2005 | Case Report

The double-barreled wet ileostomy: an alternative method for simultaneous urinary and intestinal diversion without intestinal anastomosis after total colectomy and pelvic exenteration

Authors: Gustavo Cardoso Guimarães, Fabio Terabe, Benedito Mauro Rossi, Samuel Aguiar Júnior, Fabio de Oliveira Ferreira, Wilson Toshihiko Nakagawa, Ademar Lopes

Published in: International Journal of Colorectal Disease | Issue 2/2005

Abstract

Background

Although the number of cases of locally advanced colorectal cancer related to familial adenomatous polyposis (FAP) has decreased as a result of a better understanding of the disease, the condition still can offer therapeutic challenges.

Case presentation

We report a case of a rectal tumor with prostate invasion associated with FAP, treated with neoadjuvant radiotherapy and total extended proctocolectomy with cystoprostatectomy. The reconstruction was undertaken with a double-barreled ileostomy with ureteral reimplantation on the distal segment of the ileostomy. Data including surgical aspects, post-operative complications, and outcome were evaluated.

Conclusion

The double-barreled wet ileostomy is a technically straightforward and safe procedure that is easily executed and may be an alternative to simultaneous diversion in extreme situations. To the best of our knowledge, this is the first description of this procedure in the literature.

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Title: The double-barreled wet ileostomy: an alternative method for simultaneous urinary and intestinal diversion without intestinal anastomosis after total colectomy and pelvic exenteration
Authors: Gustavo Cardoso Guimarães
Fabio Terabe
Benedito Mauro Rossi
Samuel Aguiar Júnior
Fabio de Oliveira Ferreira
Wilson Toshihiko Nakagawa
Ademar Lopes
Publication date: 01-03-2005
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 2/2005
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-004-0654-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The double-barreled wet ileostomy: an alternative method for simultaneous urinary and intestinal diversion without intestinal anastomosis after total colectomy and pelvic exenteration

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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