Is Diverting Ileostomy Necessary in Stapled Ileoanal Pouch?

Total proctocolectomy with ileal pouch anal anastomosis is the first choice surgical operation for management of ulcerative colitis and familial adenomatous polyposis. The addition of diverting ileostomy may reduce septic complications. In this randomized study the investigators compare two groups of patients with stapled ileoanal pouch one of them had diverting ileostomy and in the other this step is omitted.

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Key information

Conditions

Ulcerative Colitis Adenoma Adenomatous Polyposis Coli Adenomatous Polyps Colitis Colitis, Ulcerative Colonic Diseases Colorectal Neoplasms Congenital, Hereditary, and Neonatal Diseases and Abnormalities Digestive System Diseases Digestive System Neoplasms Familial Adenomatous Polyposis Gastroenteritis Gastrointestinal Diseases Gastrointestinal Neoplasms Genetic Diseases, Inborn Inflammatory Bowel Diseases Intestinal Diseases Intestinal Neoplasms Intestinal Polyposis Neoplasms Neoplasms by Histologic Type Neoplasms by Site Neoplasms, Glandular and Epithelial Neoplastic Syndromes, Hereditary

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

patients having total proctocolectomy with ileal pouch anal anastomosis.

Exclusion criteria

hypoalbuminemia
prolonged steroid use
anemia
anastomosis under tension
leak with air test
bleeding
poor vascular supply of anastomosis

Treatment and study plan

adding diverting ileostomy

Procedure

omitting diverting ileostomy

Procedure

Sponsors and collaborators

Lead sponsor

Mansoura University

Other

Registry information

Important dates

First posted: Aug 2, 2010
Registry last updated: Aug 16, 2010

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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