Continent Ileostomy as an Alternative to End Ileostomy

<table class="table-group" id="tab2"><tr><td><table class="table"><tr><td class="thead-hr" colspan="1"><hr/></td></tr><tr><td class="align_left">Indications</td></tr><tr><td class="align_left"> Unsuitable anatomy for IPAA</td></tr><tr><td class="align_left">  Short small bowel or mesentery unable to reach pelvic floor</td></tr><tr><td class="align_left">  Sphincter excision or malfunction</td></tr><tr><td class="align_left">  Pelvic radiation</td></tr><tr><td class="align_left"> Selected Crohn’ s disease</td></tr><tr><td class="align_left"> Perianal fistulas</td></tr><tr><td class="align_left"> Failed IPAA</td></tr><tr><td class="align_left"> Functioning or dysfunctional conventional ileostomy</td></tr><tr><td class="align_left">Contraindications</td></tr><tr><td class="align_left"> Most patients with Crohn’s disease</td></tr><tr><td class="align_left"> Desmoid disease</td></tr><tr><td class="align_left"> Potential risk of short bowel syndrome</td></tr><tr><td class="align_left"> Exigent surgery for acute severe colitis</td></tr><tr><td class="align_left"> Inability to manage stomal intubation</td></tr><tr class="table-tr"><td colspan="1"><hr class="tbody-hr"/></td></tr></table></td></tr><tr class="table-fn"><td><div>IPAA: ileal pouch-anal anastomosis.<br/></div></td></tr></table>

<div>Indications and contraindications for a continent ileostomy.</div>

Gastroenterology Research and Practice

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Table 2

Table 2: Continent Ileostomy as an Alternative to End Ileostomy 