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131. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

25.03. - 28.03.2014, Berlin

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Water-soluble contrast enema of the distal colon prior to colostomy reversal may not be required in selected patients

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  • Peter Ambe - St. Remigius Krankenhaus Opladen, Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Leverkusen
  • Patric Kröpil - Universitätsklinikum Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
  • Matthias Schauer - Universitätsklinikum Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
  • W.T. Knoefel - Universitätsklinikum Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf

Deutsche Gesellschaft für Chirurgie. 131. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 25.-28.03.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14dgch369

doi: 10.3205/14dgch369, urn:nbn:de:0183-14dgch3696

Published: March 21, 2014

© 2014 Ambe et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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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.