Santulli Enterostomy Revisited: Indications in Adults

• Published in: World journal of surgery Vol. 30; no. 10; pp. 1935 - 1938
• Main Authors: Anadol, A. Ziya, Topgül, Koray
• Format: Journal Article
• Language: English
• Published: New York Springer‐Verlag 01.10.2006; Springer; Springer Nature B.V
• Subjects: Aged; Biological and medical sciences; Distal Bowel; Enterostomy - methods; Female; Follow-Up Studies; General aspects; Humans; Intestinal Atresia; Intestinal Continuity; Intestinal Diseases - surgery; Intestinal Length; Male; Medical sciences; Middle Aged; Retrospective Studies; Short Bowel Syndrome; Suture Techniques; Treatment Outcome; Human; Medicine; Adult; Treatment; Indication; Surgery
• ISSN: 0364-2313; 1432-2323
• DOI: 10.1007/s00268-005-0690-9

Background Surgical patients frequently need some type of intestinal stomas for a wide spectrum of disorders. Maintaining effective and enough decompression of gastrointestinal tract, securing distal bowel segments and anastomosis are the primary goals of ostomy formation as well as providing a minimum complication rate of closure or “take‐down”. Method In this report, we present five adult patients who were operated for some kind of intestinal disease and required enterostomy. We preferred Santulli type of enterostomy which was formerly used by pediatric surgeons. In this technique, the proximal afferent bowel is fashioned into a stoma and anastomosed side‐to‐end with double layer sutures into the distal efferent bowel. Result One of the five patients died of systemic problems, other four did well in terms of surgical outcome of the stoma. Conclusion We concluded that; although indications are limited, Santulli enterostomy can be performed in adult patients as effective as pediatric age group, particularly for its advantages in early restoration of intestinal continuity and diminished risk for post‐closure complications.