Tu1529 Stapled Loop Ileostomy Closure: Does Stapler Length Matter?

Abstract

S A T A b st ra ct s mean age (range) undergoing IAA in group A, B, and C was 25 (17-36), 37 (21-48), and 48 (29-66), respectively. The mean time interval (range) bewteen the closure of temporary covering ileostomy and contruction of permanent ileostomy in group A, B, and C was 9.5 (3-23 years), 5.8 (2 months-9 years), and 2.3 (1 month-5 years) years, respectively. Thus patients who required permanent ileostomy because of fistula tended to undergo IAA at relatively young age and had long time interval, while those who necessitated permanent ileostomy because of fecal incontinence tended to undergo IAA at relatively old age and had short time interval. Conclusions: These results indicate that, in patients necessitating permanent ileostomy after IAA for UC, the surgical indication for permanent ileostomy was associated with age undergoing IAA and time interval between the closure of temporary ileostomy and the contruction of permanent ileostomy. The Long term follow-up is important, because some patients required permanent ileostomy over 20 years after restorative proctocolectomy for UC.