{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T13:29:39Z","timestamp":1770902979775,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2005,3,17]],"date-time":"2005-03-17T00:00:00Z","timestamp":1111017600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:p><jats:bold>Background:\u2003<\/jats:bold> The de\u2010functioning loop ileostomy was introduced as a technique to create a manageable stoma that would divert the faecal stream from a more distal anastomosis in order to reduce the consequences of any anastomotic leakage. The value of de\u2010functioning stomas is currently being challenged. The purpose of the present study was to review the clinical utility of performing a de\u2010functioning loop ileostomy in patients undergoing colorectal surgery.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> A review was undertaken of a prospective colorectal database maintained at Fremantle Hospital. All end\u2010points were defined prior to the collection of data. The study reviewed the indications and type of surgery performed. The main end\u2010points included (i) the prevalence and management of anastomotic leaks at the primary surgery; (ii) unplanned readmissions prior to stoma closure; and (iii) the mortality, reoperation rate, and morbidity associated with closure of the stoma.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> The study involved 233 patients of mean age 58\u2003years (range 15\u221289\u2003years) and a male\u2003:\u2003female ratio of 1.1:1. The majority of patients were undergoing elective surgery (82%) for colorectal neoplasia (71%). The commonest surgical procedure was an ultra\u2010low anterior resection (62%). At the initial surgery, 16 patients (7.0%) developed anastomotic leaks, but only two (0.9%) required reoperation. Eleven patients (4.8%) required 12 unplanned readmissions prior to stoma closure. At closure (<jats:italic>n<\/jats:italic>\u2003=\u2003230), there were no postoperative deaths, one patient developed an ileal anastomotic leak that was managed with antibiotics, and five patients (2.2%) required reoperation within 30\u2003days of surgery.<\/jats:p><jats:p><jats:bold>Conclusion:\u2003<\/jats:bold> De\u2010functioning loop ileostomy was found to be associated with a relatively low morbidity and no mortality.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2005.03317.x","type":"journal-article","created":{"date-parts":[[2005,3,17]],"date-time":"2005-03-17T21:29:33Z","timestamp":1111094973000},"page":"147-151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Clinical utility of a de\u2010functioning loop ileostomy"],"prefix":"10.1111","volume":"75","author":[{"given":"Cameron","family":"Platell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel","family":"Barwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Makin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,3,17]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00012331"},{"key":"e_1_2_6_3_2","first-page":"1266","article-title":"Influence of a defunctioning stoma on leakage rates after low colorectal anastomosis and colonic J pouch anal anastomosis","volume":"88","author":"Dehni N","year":"2001","journal-title":"Br. 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