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  • Title: Closure of loop ileostomy after restorative proctocolectomy.
    Author: Lewis P, Bartolo DC.
    Journal: Ann R Coll Surg Engl; 1990 Jul; 72(4):263-5. PubMed ID: 2382950.
    Abstract:
    The outcome of loop ileostomy closure was evaluated in 40 patients who had previously undergone restorative proctocolectomy. A standard operative technique was used which incorporated a circumstomal incision, non-resectional reconstruction and primary skin closure. Thirty-six patients (90%) enjoyed an uncomplicated recovery. One patient (3%) developed a superficial wound infection. Enterocutaneous fistula was not encountered. Small bowel obstruction occurred in three patients (8%) two of whom required a further laparotomy, but subsequently made an uncomplicated recovery. No incisional hernias were identified at follow-up. We conclude that loop ileostomy closure can be achieved with a low morbidity which should not preclude the use of this stoma in restorative proctocolectomy.
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