{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T21:55:14Z","timestamp":1776808514545,"version":"3.51.2"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,8,13]],"date-time":"2014-08-13T00:00:00Z","timestamp":1407888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The study was designed to evaluate a new completely diverted tube ileostomy (<jats:styled-content style=\"fixed-case\">CDTI<\/jats:styled-content>) with a reversible single\u2010row stapled occlusion of the distal limb to defunction a low colorectal anastomosis, and to compare it with a loop ileostomy (<jats:styled-content style=\"fixed-case\">LI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>From September 2010 to August 2012, 95 patients with rectal cancer who underwent elective low anterior resections were recruited into the study. They received either a <jats:styled-content style=\"fixed-case\">CDTI<\/jats:styled-content> or a <jats:styled-content style=\"fixed-case\">LI<\/jats:styled-content>. Demographics, clinical features and operative data were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010four patients (56%) had a <jats:styled-content style=\"fixed-case\">CDTI<\/jats:styled-content> and 41 (44%) a <jats:styled-content style=\"fixed-case\">LI<\/jats:styled-content>. There were no significant differences in patient demographics and clinical characteristics. Anastomotic dehiscence occurred in three (5.6%) patients in the <jats:styled-content style=\"fixed-case\">CDTI<\/jats:styled-content> group and two (4.9%) in the <jats:styled-content style=\"fixed-case\">LI<\/jats:styled-content> group (not significant) and no patient developed faecal peritonitis. In the <jats:styled-content style=\"fixed-case\">CDTI<\/jats:styled-content> group, the distal ileum spontaneously recanalized from the stapler occlusion with an average anastomosis exclusion time of 27.9 (14\u201370) days. The <jats:styled-content style=\"fixed-case\">CDTI<\/jats:styled-content> tube was removed on day 33 (20\u201375) and the subsequent stoma closure time was 12.3 (6\u201330) days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">CDTI<\/jats:styled-content> procedure is a safe and effective technique for defunctioning an elective low colorectal anastomosis and avoids a formal stoma.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12604","type":"journal-article","created":{"date-parts":[[2014,3,4]],"date-time":"2014-03-04T12:52:37Z","timestamp":1393937557000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Completely diverted tube ileostomy compared with loop ileostomy for protection of low colorectal anastomosis: a pilot 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