Is Diverting Ileostomy Necessary in Stapled Ileoanal Pouch?

Mansoura University

Status: Completed

Conditions: Familial Adenomatous Polyposis; Ulcerative Colitis

Treatments: Procedure: omitting diverting ileostomy; Procedure: adding diverting ileostomy

Study type: Interventional

Funder types: Other

Identifiers

NCT01173250

251068

Details and patient eligibility

About

Total proctocolectomy with ileal pouch anal anastomosis is the first choice surgical operation for management of ulcerative colitis and familial adenomatous polyposis. The addition of diverting ileostomy may reduce septic complications. In this randomized study the investigators compare two groups of patients with stapled ileoanal pouch one of them had diverting ileostomy and in the other this step is omitted.

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients having total proctocolectomy with ileal pouch anal anastomosis.

Exclusion criteria

• hypoalbuminemia
• prolonged steroid use
• anemia
• anastomosis under tension
• leak with air test
• bleeding
• poor vascular supply of anastomosis

Trial design

0 participants in 2 patient groups, including a placebo group

stapled ileoanal pouch without diverting ileostomy

Active Comparator group

Treatment:

Procedure: omitting diverting ileostomy

stapled ileoanal pouch with diverting ileostomy

Placebo Comparator group

Treatment:

Procedure: adding diverting ileostomy