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CC BY-NC-ND 4.0 · Journal of Coloproctology 2023; 43(02): 061-067
DOI: 10.1055/s-0043-1769487
Original Article

Ghost Ileostomy Release Down-Our Initial Experience

Autor*innen

  • Mudassir Ahmad Khan 

    1   Govt Medical College Rajouri, Rajouri, Kheora, India

  • Arshad Baba

    2   Health Services, Kashmir, India

  • Rouf Ahmad Wani

    3   Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

  • Asif Mehraj

    4   Government Medical College Srinagar, Srinagar, Jammu and Kashmir, India

  • Fazl Q Parray

    3   Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

  • Nisar Ahmad Chowdri

    3   Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

Funding Information This research project didn't receive any grants from any funding agency in the public, commercial or not-for-profit sectors.
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Abstract

Background Many publications describe the advantages of the creation of ghost ileostomy (GI) to prevent the need for formal covering ileostomy in more than 80% of carcinoma rectum patients. However, none of the papers describes exactly how to ultimately remove the GI in these 80% of patients in whom it doesn't need formal maturation.

Aim To describe and evaluate the ghost ileostomy release down (GIRD) technique in terms of feasibility, complications, hospital stay, procedure time etc. in patients with low anterior resection/ultra-low anterior resection (LAR/uLAR) with GI for carcinoma rectum.

Method The present was a prospective cohort study of patients with restorative colorectal resections with GI for carcinoma rectum, Postoperatively the patients were studied with respect to ease and feasibility of the release down of GI and its complications. The data was collected, analyzed and inference drawn.

Results A total of 26 patients needed the GIRD and were included in the final statistical analysis of the study. The procedure was done between 7th to 16th postoperative days (POD) and was successful in all patients without the need of any additional surgical procedure. None of the patients required any local anesthetic injection or any extra analgesics. The average time taken for procedure was 5-minutes and none of the patients had any significant difficulty in GI release. There were no immediate postprocedure complications.

Conclusion The GIRD technique is a simple, safe, and quick procedure done around the 10th POD that can easily be performed by the bedside of patient without the need of any anesthesia or additional analgesics.

Keywords

ghost Ileostomy - ghost Ileostomy release down - low anterior resection - carcinoma rectum

Author Contribution

All authors have contributed equally to the preparation of this article.




Publikationsverlauf

Eingereicht: 09. Dezember 2022

Angenommen: 07. März 2023

Artikel online veröffentlicht:
23. Juni 2023

© 2023. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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