A loop ileostomy Design to Maintain Height and Verticality

• Published in: Nippon Daicho Komonbyo Gakkai Zasshi Vol. 65; no. 1; pp. 5 - 9
• Main Authors: Watanabe, Michiaki, Kosuge, Makoto, Ogawa, Masaichi, Otsuka, Masahiko, Kashiwagi, Hideyuki, Yanaga, Katsuhiko, Anazawa, Sadao
• Format: Journal Article
• Language: Japanese
• Published: The Japan Society of Coloproctology 2012
• ISSN: 0047-1801; 1882-9619
• DOI: 10.3862/jcoloproctology.65.5

Purpose: We developed a loop ileostomy design to maintain height and verticality. Idea: To use a round-shaped skin incision at the skin level to: 1) correct the lean and height of the oral-side outlet; and 2) lower the height of the anal-side outlet. Method: The records of twenty-six patients who underwent loop ilestomy between January 2005 and June 2008 using our method were analyzed. Results: Reasons for ileostomy were as follows: covering ileostomy, n=18; small bowel obstruction due to malignant tumor, n=6; and diverting stoma, n=2. Mean height of the oral-side outlet (n=18) was 19.3 mm (range, 5-32 mm), and verticality was generally maintained, but 7 cases showed a slight lean (lateral, n=6; caudal, n=1). Mean height in lateral lean cases was 24.2 mm, which was significantly higher than that in stomas without leans. Complications were observed in 4 cases (para-stomal hernia, n=2; oral-side depression/anal-side incarceration, n=1; and prolapsed stoma, n=1), but none developed serious skin damage around the stoma. Conclusion: This method appears to facilitate creation of a loop ileostomy with adequate height and an acceptable lean.