Considerations in Stoma Reversal

Published

Journal Article

Copyright © 2017 by Thieme Medical Publishers, Inc. Temporary stomas are frequently used in the management of diverticulitis, colorectal cancer, and inflammatory bowel disease. These temporary stomas are used to try to mitigate septic complications from anastomotic leaks and to avoid the need for reoperation. Once acute medical conditions have improved and after the anastomosis has been proven to be healed, stomas can be reversed. Contrast enemas, digital rectal examination, and endoscopic evaluation are used to evaluate the anastomosis prior to reversal. Stoma reversal is associated with complications including anastomotic leak, postoperative ileus, bowel obstruction, enterocutaneous fistula, and, most commonly, surgical site infection. Furthermore, many stomas, which were intended to be temporary, may not be reversed due to postoperative complications, adjuvant therapy, or prohibitive comorbidities.

Full Text

Duke Authors

Cited Authors

  • Sherman, KL; Wexner, SD

Published Date

  • July 1, 2017

Published In

Volume / Issue

  • 30 / 3

Start / End Page

  • 172 - 177

Electronic International Standard Serial Number (EISSN)

  • 1530-9681

International Standard Serial Number (ISSN)

  • 1531-0043

Digital Object Identifier (DOI)

  • 10.1055/s-0037-1598157

Citation Source

  • Scopus