Routine Use of Gastrograffin Enema prior to the Reversal of a Loop Ileostomy.

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  • Additional Information
    • Author-Supplied Keywords:
      Anastomotic leak
      Anterior resection
      Gastrograffin enema
      Loop ileostomy
    • NAICS/Industry Codes:
      417930 Professional machinery, equipment and supplies merchant wholesalers
      339112 Surgical and Medical Instrument Manufacturing
      339110 Medical equipment and supplies manufacturing
      811219 Other Electronic and Precision Equipment Repair and Maintenance
      423450 Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
    • Abstract:
      Background/Aims: Anastomotic failure occurs in up to 10% of patients following anterior resection. Selective use of a loop ileostomy may reduce the septic consequences of anastomotic leak. The use of gastrograffin enema to confirm the anastomotic integrity prior to ileostomy closure is still controversial. Our aim was to determine the impact of the routine use of gastrograffin enema on patients’ management prior to ileostomy reversal. Methods: A review of 81 patients who underwent low anterior resection with loop ileostomy for rectal cancer over 3 years. Results: Gastrograffin enema was performed in 69 patients (85.2%). The mean time from operation to gastrograffin enema was 22 weeks. Four patients (5.8%) had a positive radiological leak without clinical suspicion of anastomotic problems, 2 patients (2.9%) of these subsequently had the ileostomy closed despite the positive result, 2 patients (2.9%) had a gastrograffin enema repeated which showed no leak and the patients are awaiting reversal. Conclusion: The incidence of positive radiological leak in uncomplicated patients is low; such patients had their loop ileostomies closed with or without serial gastrograffin enema. Routine gastrograffin enema in the absence of a clinical suspicion of anastomotic failure would appear to be of little value. Copyright © 2007 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Academic Surgical Unit, Castle Hill Hospital, Cottingham, Hull, UK
    • ISSN:
      0253-4886
    • Accession Number:
      10.1159/000107713
    • Accession Number:
      26860473
  • Citations
    • ABNT:
      KHAIR, G. et al. Routine Use of Gastrograffin Enema prior to the Reversal of a Loop Ileostomy. Digestive Surgery, [s. l.], v. 24, n. 5, p. 338–341, 2007. DOI 10.1159/000107713. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=26860473&custid=s8280428. Acesso em: 23 jan. 2020.
    • AMA:
      Khair G, Alhamarneh O, Avery J, et al. Routine Use of Gastrograffin Enema prior to the Reversal of a Loop Ileostomy. Digestive Surgery. 2007;24(5):338-341. doi:10.1159/000107713.
    • APA:
      Khair, G., Alhamarneh, O., Avery, J., Cast, J., Gunn, J., Monson, J. R. T., & Hartley, J. (2007). Routine Use of Gastrograffin Enema prior to the Reversal of a Loop Ileostomy. Digestive Surgery, 24(5), 338–341. https://doi.org/10.1159/000107713
    • Chicago/Turabian: Author-Date:
      Khair, G., O. Alhamarneh, J. Avery, J. Cast, J. Gunn, J. R. T. Monson, and J. Hartley. 2007. “Routine Use of Gastrograffin Enema Prior to the Reversal of a Loop Ileostomy.” Digestive Surgery 24 (5): 338–41. doi:10.1159/000107713.
    • Harvard:
      Khair, G. et al. (2007) ‘Routine Use of Gastrograffin Enema prior to the Reversal of a Loop Ileostomy’, Digestive Surgery, 24(5), pp. 338–341. doi: 10.1159/000107713.
    • Harvard: Australian:
      Khair, G, Alhamarneh, O, Avery, J, Cast, J, Gunn, J, Monson, JRT & Hartley, J 2007, ‘Routine Use of Gastrograffin Enema prior to the Reversal of a Loop Ileostomy’, Digestive Surgery, vol. 24, no. 5, pp. 338–341, viewed 23 January 2020, .
    • MLA:
      Khair, G., et al. “Routine Use of Gastrograffin Enema Prior to the Reversal of a Loop Ileostomy.” Digestive Surgery, vol. 24, no. 5, Sept. 2007, pp. 338–341. EBSCOhost, doi:10.1159/000107713.
    • Chicago/Turabian: Humanities:
      Khair, G., O. Alhamarneh, J. Avery, J. Cast, J. Gunn, J. R. T. Monson, and J. Hartley. “Routine Use of Gastrograffin Enema Prior to the Reversal of a Loop Ileostomy.” Digestive Surgery 24, no. 5 (September 2007): 338–41. doi:10.1159/000107713.
    • Vancouver/ICMJE:
      Khair G, Alhamarneh O, Avery J, Cast J, Gunn J, Monson JRT, et al. Routine Use of Gastrograffin Enema prior to the Reversal of a Loop Ileostomy. Digestive Surgery [Internet]. 2007 Sep [cited 2020 Jan 23];24(5):338–41. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=26860473&custid=s8280428