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. 1980 Feb;191(2):164–168. doi: 10.1097/00000658-198002000-00006

Loop illeostomy in the management of Crohn's colitis in the debilitated patient.

P Zelas, D G Jagelman
PMCID: PMC1345603  PMID: 7362285

Abstract

Loop ileostomy to establish fecal diversion has been used in 79 patients as the initial surgical procedure in severe, debilitating Crohn's colitis or ileocolitis. Clinical improvement, as measured by subjective and objective criteria and length of hospitalization, occurred in 72 of 79 patients (91%). Definitive surgery was then undertaken at a later stage under more ideal circumstances without mortality. The high relapse rate of 33% in this series would lead us to recommend definitive surgery electively at an early stage after initial clinical improvement. Four of the 79 patients in this series died; three deaths were related to Crohn's disease, for a total mortality of 5.1%. It is believed that loop ileostomy to establish fecal diversion has a definite role in the initial surgical management of the severely ill patient with Crohn's colitis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burman J. H., Thompson H., Cooke W. T., Williams J. A. The effects of diversion of intestinal contents on the progress of Crohn's disease of the large bowel. Gut. 1971 Jan;12(1):11–15. doi: 10.1136/gut.12.1.11. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. COLCOCK B. P., VANSANT J. H. Surgical treatment of regional enteritis. N Engl J Med. 1960 Mar 3;262:435–439. doi: 10.1056/NEJM196003032620903. [DOI] [PubMed] [Google Scholar]
  3. De Dombal F. T., Burton I. L., Clamp S. E., Goligher J. C. Short-term course and prognosis of Crohn's disease. Gut. 1974 Jun;15(6):435–443. doi: 10.1136/gut.15.6.435. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Jones J. H., Lennard-Jones J. E., Lockhart-Mummery H. E. Experience in the treatment of Crohn's disease of the large intestine. Gut. 1966 Oct;7(5):448–452. doi: 10.1136/gut.7.5.448. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Lee E. Split ileostomy in the treatment of Crohn's disease of the colon. Ann R Coll Surg Engl. 1975 Feb;56(2):94–102. [PMC free article] [PubMed] [Google Scholar]
  6. McIlrath D. C. Diverting ileostomy or colostomy in the management of Crohn's disease of the colon. Arch Surg. 1971 Aug;103(2):308–310. doi: 10.1001/archsurg.1971.01350080224035. [DOI] [PubMed] [Google Scholar]
  7. Oberhelman H. A., Jr Inflammatory disease of the bowel: indications for surgery. Dis Colon Rectum. 1976 Oct;19(7):582–583. doi: 10.1007/BF02590971. [DOI] [PubMed] [Google Scholar]
  8. Slater G., Kreel I., Aufses A. H., Jr Temporary loop ileostomy in the treatment of Crohn's disease. Ann Surg. 1978 Nov;188(5):706–709. doi: 10.1097/00000658-197811000-00022. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. TRUELOVE S. C., ELLIS H., WEBSTER C. U. PLACE OF A DOUBLE-BARRELLED ILEOSTOMY IN ULCERATIVE COLITIS AND CROHN'S DISEASE OF THE COLON: A PRELIMINARY REPORT. Br Med J. 1965 Jan 16;1(5428):150–153. doi: 10.1136/bmj.1.5428.150. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Young S., Smith I. S., O'Connor J., Bell J. R., Gillespie G. Results of surgery for Crohn's disease in the Glasgow region, 1961-70. Br J Surg. 1975 Jul;62(7):528–534. doi: 10.1002/bjs.1800620707. [DOI] [PubMed] [Google Scholar]

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