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Sheldon E. Cohen, MD; Nathaniel M. Matolo, MD; Constantine A. Michas, MD; Earl F. Wolfman, Jr., MD

Arch Surg. 1975;110(7):829-832.

Abstract
Diarrhea, often profuse, accompanied by skin excoriation and nutritional and electrolyte depletion is a major complication of ileostomy. In an attempt to improve the course of these patients, an experimental study using dogs was undertaken to investigate an antiperistaltic ileal segment for the prevention of ileostomy diarrhea. Ileostomies were created in dogs. All the dogs with ileostomies died within nine days of weight loss and massive electrolyte and water depletion. A second group of animals underwent creation of an ileostomy simultaneously, with an antiperistaltic ileal segment placed 30.5 cm proximal to the ileostomy. These dogs maintained their weight and electrolyte and water balance. The stools in the group with the reversed ileal segment became semisolid to solid, compared to the watery diarrhea of dogs with ileostomies only.

Author Affiliations
From the Department of Surgery, University of California School of Medicine, Davis.

Footnotes
Accepted for publication Dec 30, 1974.

Reprint requests to Department of Surgery, University of California School of Medicine, Davis, CA 95616 (Dr. Matolo).

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Reversed Ileal Segment for Treatment of Ileostomy Dysfunction: Clinical Application
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Arch Surg 1976;111:891-892.
ABSTRACT