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H Bedioui,
K Nouira, Y Chaker,
F Chebbi,
R Ksantini,
A Daghfous,
W Rebai,
F Fteriche,
A Ammous,
M Jouini,
M J Kacem,
Z BenSafta
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ABSTRACT: Enterosalpingeal fistula is a rare complication of Crohn's disease which is rarely diagnosed preoperatively. We describe a new case of this complication suspected by CT scan and confirmed by hysterosalpingogram and contrast from the ileum. This case is about a 50-year-old woman suffering from ileal Crohn's disease diagnosed two years previously and actually complicated by stenosis and entero-salpingeal fistula. The treatment consisted on resection of the ileocaecal region with salpingectomy. Postoperative course was uneventful.
Gastroentérologie Clinique et Biologique 03/2008; 32(2):158-61. · 0.80 Impact Factor
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H Bedioui,
A Daghfous,
S Ayadi, Y Chaker,
F Chebbi,
R Ksantini,
W Rebai,
F Ftériche,
A Ammous,
M Jouini,
M J Kacem,
Z Bensafta
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ABSTRACT: Anastomotic leak or disruption is a grave complication of colorectal surgery. Protection of an at-risk anastomosis by an upstream open diverting colostomy (OC) reduces this gravity. An unopened upstream loop colostomy is a surgical alternative which may diminish the unpleasant consequences of an open colostomy while maintaining the option of diversion in case of need. The aim of this study is to report the results of this approach and to define its indications.
[corrected] We report a retrospective series of 34 cases of unopened diverting loop colostomy to protect an at-risk colorectal anastomosis. Indications for this procedure were stool-laden bowel (59%), low serum albumin (11.5%), local inflammation (11.5%), and very low placed anastomosis (17.5%).
The loop colostomy was eventually opened after surgery in six cases because of anastomotic leakage diagnosed clinically and/or detected by water soluble contrast opacification which was performed routinely on the sixth post-operative day. In all six cases, there was no need for an urgent surgical intervention. In 28 cases, the anastomosis healed without complication and the exteriorized loop was returned to the abdominal cavity seven days after the initial surgery. This was a short, simple procedure with an average operating time of ten minutes. Average hospital stay after returning the unopened colostomy to the abdomen was two days.
Unopened loop colostomy offers the advantages of protection of a colorectal anastomosis without proper morbidity or mortality, shorter hospitalization, and improved psychological comfort for the patient. It's principal indication is to minimize the risks related to leakage from an at-risk colorectal anastomosis.
Journal de Chirurgie 144(6):508-10. · 0.50 Impact Factor
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H. Bedioui,
K. Nouira, Y. Chaker,
F. Chebbi,
R. Ksantini,
A. Daghfous,
W. Rebai,
F. Fteriche,
A. Ammous,
M. Jouini,
M.J. Kacem,
Z. BenSafta
[show abstract]
[hide abstract]
ABSTRACT: Enterosalpingeal fistula is a rare complication of Crohn's disease which is rarely diagnosed preoperatively. We describe a new case of this complication suspected by CT scan and confirmed by hysterosalpingogram and contrast from the ileum. This case is about a 50-year-old woman suffering from ileal Crohn's disease diagnosed two years previously and actually complicated by stenosis and entero-salpingeal fistula. The treatment consisted on resection of the ileocaecal region with salpingectomy. Postoperative course was uneventful.
Gastroentérologie Clinique et Biologique. 32(2):158-161.
