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KMID : 0356720060220050298
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Journal of the Korean Society of Coloproctology
2006 Volume.22 No. 5 p.298 ~ p.300
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Is Barium Enema Prior to Ileostomy Closure Necessary?
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Lee Min-Ro
Kim Jong-Hun
Hwang Yong
Lee Min-Joo
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Abstract
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Purpose: A barium enema is frequently performed to check for healing prior to ileostomy closure, but there have been reports that ileostomy closure without a contrast study is safe in selected patients. The aim of this study was to assess the necessity of a routine barium enema prior to ileostomy closure.
Methods: Between January 1994 and June 2005, 51 patients with a temporary loop ileostomy who had a barium enema prior to ileostomy closure at Chonbuk National University Hospital were retrospectively reviewed. These patients were divided into 2 groups, the protective ileostomy group and the ileostomy-after-leakage group. To examine the necessity of a routine barium enema prior to ileostomy closure, we assessed whether the barium enema results changed management and whether there were pelvic sepsis and obstructive symptoms following ileostomy closure.
Results: In the protective ileostomy group (n=39), the barium enema was performed after a mean of 59 days (range: 27∼151 days). There were no abnormal findings at the barium enema, no schedule changes, no pelvic sepsis, and no obstructive symptoms following ileostomy closure. In the ileostomy-after-leakage group (n=12), the barium enema was performed after a mean of 54 days (range: 30∼82 days). In 2 patients, with barium enemas at 33 days and 36 days, an anastomotic leakage was found, and ileostomy closure was delayed.
Conclusions: In patients with a protective ileostomy, a barium enema prior to ileostomy closure is unnecessary, but in patients with an ileostomy after leakage, barium enema should be considered. J Korean Soc Coloproctol 2006;22:298-300
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KEYWORD
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Ileostomy closure, Barium enema
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