RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187821503
T1 Loop Ileostomy
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187821503
RD 2024/04/19
AB A  distal  loop  ileostomy  is  used  most  commonly  for  temporary  diversion  of  the  gastrointestinal  contents  to  protect  a  colonic  anastomosis.  When  it  is  constructed  with  a  dominant  proximal  limb,  this  ostomy  provides  nearly  complete  diversion  of  succus.  The  loop  ileostomy  has  replaced  the  traditional  right  transverse  colon  loop  colostomy  in  many  circumstances  because  this  loop  is  easier  to  construct  and  close.  Additionally,  the  loop  ileostomy  has  proven  to  be  no  more  difficult  for  patients  to  manage  than  a  proximal  colostomy.  A  loop  ileostomy,  however,  does  not  decompress  the  colon  when  the  ileocecal  valve  is  intact.  In  patients  who  require  acute  colon  decompression,  a  loop  colostomy  will  allow  both  colon  decompression  and  colon  preparation  for  a  staged  procedure.