Author(s) Lightner AL, Pemberton JH, et al.

Journal Clinics in colon and rectal surgery. Date of publication 2017 Jul 1;volume 30(3):178-183.

Abstract 1. Clin Colon Rectal Surg. 2017 Jul;30(3):178-183. doi: 10.1055/s-0037-1598158. Epub 2017 May 22. The Role of Temporary Fecal Diversion. Lightner AL(1), Pemberton JH(1). Author information: (1)Division of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota. The use of temporary fecal diversion is of great importance to tenuous anastomosis, immunosuppressed patient, or actively infected patient. Its use protects newly constructed intestinal anastomoses from being the culprit of pelvic sepsis or systemic illness. Thus, potential morbidity and mortality can be averted. However, its appropriate or optimal use is often debated. We herein discuss the evidence for when to best use a diverting stoma for colorectal, coloanal, and ileoanal anastomoses. We also discuss the importance of considering a temporary diverting stoma in the setting of high-dose immunosuppression (e.g., transplant patients or inflammatory bowel disease), active infection, or upon creation of ileal pouch-anal anastomosis. Lastly, we discuss the advantages and disadvantages of a loop ileostomy versus colostomy for temporary diversion of fecal contents. DOI: 10.1055/s-0037-1598158 PMCID: PMC5498160 PMID: 28684935

Source ID (e.g. PMID): 28684935