BACKGROUND: Although ileoanal anastomosis has become popular for ulcerative colitis, in an emergency situation patients must undergo ileostomy. AIM: A novel ileocecal valve-preserving ileostomy procedure was devised to reduce high output liquid loss. METHOD: After total colectomy, the ascending colon was clamped and the terminal ileum and ileocecal valve were isolated from the cecum by dissection. The ileum was then brought out through a conventional ileostomy opening in the abdominal wall. RESULTS: Two patients with ulcerative colitis underwent ileostomy in this fashion. The stool became solid within 1 week after the start of solid food and their body weight increased by more than 10% 1 year after surgery. CONCLUSION: This novel procedure may result in an improvement in the quality of life of patients who undergo total proctocolectomy. Copyright 2004 S. Karger AG, Basel
BACKGROUND: Although ileoanal anastomosis has become popular for ulcerative colitis, in an emergency situation patients must undergo ileostomy. AIM: A novel ileocecal valve-preserving ileostomy procedure was devised to reduce high output liquid loss. METHOD: After total colectomy, the ascending colon was clamped and the terminal ileum and ileocecal valve were isolated from the cecum by dissection. The ileum was then brought out through a conventional ileostomy opening in the abdominal wall. RESULTS: Two patients with ulcerative colitis underwent ileostomy in this fashion. The stool became solid within 1 week after the start of solid food and their body weight increased by more than 10% 1 year after surgery. CONCLUSION: This novel procedure may result in an improvement in the quality of life of patients who undergo total proctocolectomy. Copyright 2004 S. Karger AG, Basel