This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Gastrointestinal/ Upper Foregut  • Alert me on articles by topic

Philip H. Gordon, MD

Arch Surg. 2005;140:960.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Stoma closure is so often considered a "minor" procedure, but as clearly and appropriately pointed out in this article, it is associated with significant morbidity and mortality. This should not be unexpected because these patients are undergoing bowel operations and therefore should be accorded the same considerations and respect as any other patients undergoing bowel operation. A review of this large series afforded the authors the opportunity to adequately assess the morbidity from stoma closure. It was not surprising that the use of soft silicone drains was identified as a risk factor. Although not specifically mentioned by the authors, it would appear to be related to anastomotic leaks. Canalis and Ravitch¹ many years ago clearly demonstrated that wrapping anastomoses with drains promoted anastomotic dehiscence, and hence, those surgeons who drain to "identify" the leak are indeed creating a self-fulfilling prophecy. The authors reported "ileus" in 4% . . . [Full Text of this Article]

AUTHOR INFORMATION

RELATED ARTICLE

Mortality and Complications After Stoma Closure
Herwig Pokorny, Harald Herkner, Raimund Jakesz, and Friedrich Herbst
Arch Surg. 2005;140(10):956-960.
ABSTRACT | FULL TEXT