{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T06:17:45Z","timestamp":1784269065482,"version":"3.55.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T00:00:00Z","timestamp":1583884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,16]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>There is no consensus on the best management of the rectum after subtotal colectomy for refractory colitis complicating inflammatory bowel disease [IBD]. The objective was to evaluate the impact of rectal stump management during laparoscopic subtotal colectomy [LSTC] for IBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who underwent LSTC with double-end ileo-sigmoidostomy [Gr.A] or end ileostomy with closed rectal stump [Gr.B] for IBD were included from a retrospective database of six European referral centres.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 314 patients underwent LSTC and were allocated to Gr.A [n\u2005=\u2005102] and B [n\u2005=\u2005212]. After LSTC, stoma-related complications occurred more frequently in Gr.A [12%] than in Gr.B [4%, p\u2005=\u20050.01]. Completion proctectomy with ileal pouch-anal anastomosis [IPAA] was performed as a three-stage procedure in all patients from Gr.A, and in 88 patients from Gr.B [42%; Gr.B1]. The other 124 patients from Gr.B underwent a modified two-stage procedure [58%; Gr.B2]. The second stage was performed laparoscopically in all patients from Gr.A compared with 73% of Gr.B1 [p\u2005&amp;lt;\u20050.0001] and 65% of Gr.B2 patients [p\u2005&amp;lt;\u20050.0001]. When laparoscopy was intended for 2nd stage IPAA, conversion to laparotomy occurred less frequently in Gr.A when compared with B1 [0 vs 5%, p\u2005=\u20050.06] or B2 [10%, p\u2005=\u20050.001]. When all surgical stages were included [LSCT and IPAA], cumulative stoma-related complications occurred more frequently in Gr.A [n\u2005=\u200519] than in Gr.B1 [n\u2005=\u20056, p\u2005=\u20050.02] and Gr.B2 [n\u2005=\u20056, p\u2005=\u20050.001].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study suggests that both techniques of double-end ileosigmoidostomy and end ileostomy with closed rectal stump are safe and effective for rectal stump management after laparoscopic subtotal colectomy.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ecco-jcc\/jjaa046","type":"journal-article","created":{"date-parts":[[2020,3,6]],"date-time":"2020-03-06T12:25:25Z","timestamp":1583497525000},"page":"1214-1221","source":"Crossref","is-referenced-by-count":8,"title":["Management of Rectal Stump During Laparoscopic Subtotal Colectomy for Inflammatory Bowel Disease: A Comparative Cohort Study from Six Referral Centres"],"prefix":"10.1093","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7556-6362","authenticated-orcid":false,"given":"Diane","family":"Mege","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Paris VII, Clichy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merel E","family":"Stellingwerf","sequence":"additional","affiliation":[{"name":"Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeline","family":"Germain","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery, University Hospitals Leuven, Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Colombo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Luigi Sacco University Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Pellino","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St. Mark\u2019s Hospital, Harrow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Di Candido","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Humanitas Research Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9on","family":"Maggiori","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-H\u00f4pitaux de Paris, Universit\u00e9 Paris VII, Clichy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Foschi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Luigi Sacco University Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christianne J","family":"Buskens","sequence":"additional","affiliation":[{"name":"Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2522-3895","authenticated-orcid":false,"given":"Samuel","family":"Adegbola","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St. Mark\u2019s Hospital, Harrow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"Spinelli","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Humanitas Research Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janindra","family":"Warusavitarne","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, St. Mark\u2019s Hospital, Harrow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem A","family":"Bemelman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7168-441X","authenticated-orcid":false,"given":"Gianluca","family":"Sampietro","sequence":"additional","affiliation":[{"name":"Department of Surgery, Luigi Sacco University Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"D\u2019Hoore","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery, University Hospitals Leuven, Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9553-9727","authenticated-orcid":false,"given":"Yves","family":"Panis","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Beaujon 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