Review Article
Continent Ileostomy as an Alternative to End Ileostomy
Table 2
Indications and contraindications for a continent ileostomy.
| Indications | Unsuitable anatomy for IPAA | Short small bowel or mesentery unable to reach pelvic floor | Sphincter excision or malfunction | Pelvic radiation | Selected Crohn’ s disease | Perianal fistulas | Failed IPAA | Functioning or dysfunctional conventional ileostomy | Contraindications | Most patients with Crohn’s disease | Desmoid disease | Potential risk of short bowel syndrome | Exigent surgery for acute severe colitis | Inability to manage stomal intubation |
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IPAA: ileal pouch-anal anastomosis.
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