Is Diverting Ileostomy Necessary in Stapled Ileoanal Pouch?

Mansoura University

Overview

Total proctocolectomy with ileal pouch anal anastomosis is the first choice surgical operation for management of ulcerative colitis and familial adenomatous polyposis. The addition of diverting ileostomy may reduce septic complications. In this randomized study the investigators compare two groups of patients with stapled ileoanal pouch one of them had diverting ileostomy and in the other this step is omitted.

Study Type

INTERVENTIONAL

Conditions

Ulcerative Colitis Familial Adenomatous Polyposis

Interventions

adding diverting ileostomyPROCEDURE

omitting diverting ileostomyPROCEDURE

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * patients having total proctocolectomy with ileal pouch anal anastomosis. Exclusion Criteria: * hypoalbuminemia * prolonged steroid use * anemia * anastomosis under tension * leak with air test * bleeding * poor vascular supply of anastomosis

Data from ClinicalTrials.gov

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