Considerations in Stoma Reversal
Journal Article (Journal Article)
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