Artikel
Water-soluble contrast enema of the distal colon prior to colostomy reversal may not be required in selected patients
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Autoren
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Peter Ambe
- St. Remigius Krankenhaus Opladen, Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Leverkusen
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Patric Kröpil
- Universitätsklinikum Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
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Matthias Schauer
- Universitätsklinikum Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
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W.T. Knoefel
- Universitätsklinikum Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
| Veröffentlicht: | 21. März 2014 |
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Gliederung
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Einleitung: Besides endoscopy, contrast enema of the distal colon is generally accepted as a pre-operative workup prior to colostomy reversal. We hypothesize that asymptomatic patients without history of inflammatory bowel disease may not need a contrast enema prior to colostomy closure.
Material und Methoden: Data of patients undergoing colostomy reversal in the department of abdominal and visceral surgery of the university hospital in Düsseldorf, Germany, were retrospectively analysed.
Ergebnisse: 113 patients (63 with loop colostomies and 50 with end colostomies) undergoing contrast enema of the distal colon before colostomy closure between 2007 and 2012 were included for analysis. A significant (p=0.01) number of patients (110 or 97.3% had normal findings on pre-operative colon contrast enema. Four patients (2.7%) had abnormal findings on contrast enema (two cases of fistula and one stenosis), which subsequently influenced the timing and extent of surgery.
Schlussfolgerung: Colostomy closure can be performed in selected cases (normal findings in abdominal and digital rectal examination without history of inflammatory bowel disease) without pre-operative contrast enema.
