Clinical Value of Contrast Enema Prior to Ileostomy Closure.
| Autor: | Goetz A; University Hospital Regensburg, Department of Radiology, Regensburg, Germany., da Silva NPB; University Hospital Regensburg, Department of Radiology, Regensburg, Germany., Moser C; Clinic Bogenhausen, Munich, Department of General, Visceral, Endocrine and Minimally-Invasice Surgery, Munich, Germany., Agha A; Clinic Bogenhausen, Munich, Department of General, Visceral, Endocrine and Minimally-Invasice Surgery, Munich, Germany., Dendl LM; University Hospital Regensburg, Department of Radiology, Regensburg, Germany., Stroszczynski C; University Hospital Regensburg, Department of Radiology, Regensburg, Germany., Schreyer AG; University Hospital Regensburg, Department of Radiology, Regensburg, Germany. |
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| Jazyk: | angličtina |
| Zdroj: | RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin [Rofo] 2017 Sep; Vol. 189 (9), pp. 855-863. Date of Electronic Publication: 2017 Aug 23. |
| DOI: | 10.1055/s-0043-111598 |
| Abstrakt: | Purpose To determine the value of routine contrast enema of loop ileostomy before elective ileostomy closure regarding the influence on the clinical decision-making. Materials and Methods Retrospective analysis of contrast enemas at a tertiary care center between 2005 und 2011. Patients were divided into two groups: Group I with ileostomy reversal, group II without ileostomy closure. Patient-related parameters (underlying disease, operation method) and parameters based on the findings (stenosis, leakage of anastomosis, incontinence) were evaluated. Results Analyzing a total of 252 patients in 89 % (group I, n = 225) ileostomy closure was performed. In 15 % the radiologic report was the only diagnostic modality needed for therapy decision; in 36 % the contrast enema and one or more other diagnostic methods were decisive. In 36 % the radiological report of the contrast imaging was not relevant for decision at all. In 11 % (group II, n = 27) no ileostomy closure was performed. In this group in 11 % the radiological report of the contrast enema was the only decision factor for not performing the ileostomy reversal. In 26 % one or more examination was necessary. In 26 % the result of the contrast examination was not relevant. Conclusion The radiologic contrast imaging of loop ileostomy solely plays a minor role in complex surgical decision-making before planned reversal, but is important as first imaging method in detecting complications and often leads to additional examinations. Key points · Contrast enema of loop ileostomy before planned ileostomy closure is a frequently performed examination.. · There exist no general guidelines that give further recommendations on decision-making planning ileostomy closure.. · The radiologic contrast imaging of loop ileostomy solely plays a minor role in decision-making before planned reversal, but is important as first imaging method.. Citation Format · Goetz A, da Silva NP, Moser C et al. Clinical Value of Contrast Enema Prior to Ileostomy Closure. Fortschr Röntgenstr 2017; 189: 855 - 863. Competing Interests: Disclosure The authors report no conflicts of interest in this work. (© Georg Thieme Verlag KG Stuttgart · New York.) |
| Databáze: | MEDLINE |
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