To the Editor

Excerpt

We read with great interest the article about the use of the Santulli enterostomy, by A. Z. Anadol and K. Topgϋl [1]. The Santulli enterostomy was initially used and described for the treatment of necrotizing enterocolitis in pediatric patients, and essentially it functions as an end stoma in the early postoperative period. Even if it provides early restoration of intestinal continuity without formal laparotomy, it carries the risks of an intra-abdominal anastomosis. Especially in cases of marginal blood supply to the anastomosis, the proximal or distal venting could be insufficient to prevent anastomotic disruption. In addition, the Santulli enterostomy is a time-consuming technique, with technical difficulties involved in avoiding a long vent or kinking of the proximal or distal bowel segments. …