Temporary transverse colostomy vs loop ileostomy in diversion: A case-matched study

Yosuo Sakai, Heidi Nelson, Dirk Larson, Laurie Maidl, Tonia Young-Fadok, Duane Ilstrup

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48 Scopus citations

Abstract

Hypothesis: For temporary fecal diversion, transverse colostomy (TC) has superior safety, but loop ileostomy (LI) has superior management qualities. Methods: Of patients with TC or LI seen between 1988 and 1997, 63 patients were matched for diagnosis, operative procedure, and date of surgery. The 2 groups were then compared for hospital/postoperative mortality and morbidity and stoma complications. Results: Mortality rates were 6.3% for the TC group and 1.6% for the LI group (P=.25) Morbidity rates for stoma creation and for stoma closure were 47.6% and 10% (P=.19), respectively, for the TC group, and 36.5% and 6.3% (P>.99), respectively, for the LI group. Most morbidity events were minor, and neither procedure-related nor other medical complications showed a significant difference between the groups. However, patients with a TC were significantly more likely to experience skin trouble around the stoma (TC vs LI, 15.9% vs 3.2%) and leakage around the stoma (TC vs LI, 12.7% vs 1.6%). Conclusions: Regarding safety, TC and LI should be considered equivalent options for temporary fecal diversion. We recommend further study comparing the 2 procedures with regard to patient perception and quality of life.

Original languageEnglish (US)
Pages (from-to)338-342
Number of pages5
JournalArchives of Surgery
Volume136
Issue number3
StatePublished - 2001

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ASJC Scopus subject areas

  • Surgery

Cite this

Sakai, Y., Nelson, H., Larson, D., Maidl, L., Young-Fadok, T., & Ilstrup, D. (2001). Temporary transverse colostomy vs loop ileostomy in diversion: A case-matched study. Archives of Surgery, 136(3), 338-342.