Utilidad de la ileostomía virtualpropuesta de protocolo de implantación
- Ayllón Gámez S. 1
- Valverde Martínez A. 1
- Sancho Maraver E. M. 1
- Bazán Hinojo M. C. B. H. 1
- Pacheco García J. M. 1
- 1 Hospital Universitario Puerta del Mar. Cádiz.
ISSN: 2695-3811, 1130-3212
Year of publication: 2020
Volume: 31
Issue: 4
Pages: 523-527
Type: Article
More publications in: Cirugía Andaluza
Abstract
Introduction: Virtual ileostomy (VI) is a procedure without protocols or international accepted standards for its application in the surgical departments. The present study shows the use of VI in different surgical fields and the Puerta del Mar University Hospital (Cádiz, Spain) results. We performed a research between January 2015 and December 2018, including patients undergoing colorectal surgery associated with VI. Medical cases: A 12 patients cases are included. 11 from 12 cases underwent elective surgery, 6 of them laparoscopic surgery and 6 open surgery. The most common disease was rectal cancer. 75% of patients did not show any surgical complication. Two patients needed to have the VI converted into loop ileostomy (LI). Any of them underwent a second surgical intervention. The length of hospital stay average was 11.33 days. Discussion: The present article agrees with other published studies related to any complication associated with the use of VI. They also conclude that its application could avoid or reduce, not only unnecessaries stomas; but also second surgery interventions because of an anastomotic leak. We propose a protocol for the VI use based on the published articles and our results considering patient, disease and surgery conditions.
Bibliographic References
- Eduardo García-Granero, Juan García-Armengol, Stephanie García-Botello, Salvador Lledó. “Estomas de protección en cirugía colorrectal. ¿Cuándo y cómo realizarlos?”. Cirugía Española, 2003.
- Marco Sacchi, Pietro de Legge, Pietro Picozzi, Francesco Papa, Capuano Loreto Giovanni, Luigi Greco. “Virtual Ileostomy following TMEand Primary sphincter-saving Reconstruction for Rectal Cancer”. Hepato-Gastroenterology, 2007.
- Marco Sacchi, Pietro Picozzi, Pietro Di Legge, Lreto Capuano, Luigi Graco, Matteo De Stefano, Sara Nicodemi, Maria Carlotta Sacchi. “Vitual Ileostomy following Rectal Cancer Surgery: A good tool to avoid unusefull stomas?”. Hepato-Gatroenterology, 2011.
- A.B. Almeida, G. Faria, H. Moreira, J. Pinto-de-Sousa, P. Correia-da-Silva, J. Costa Maia. “Elevated serum C-reactive protein as a predictive factor for anastomotic leakage in colorectal surgery” International Journal of Surgery, 2012.
- Marrosu, F. Serventi, F. Pulighe, P. Paliogiannis, F. Attene, G. Sotgiu, M. Trignano. “The virtual ileostomy’’ in elective colorectal surgery: is it useful?”. Techniques in Coloproctology, 2014.
- Lucas Mera, Elí Francisco; Flor Lorente, Blas; Frasson, Matteo; Pous Serrano, Salvador; Ponce, Marta; Carvajal Amaya, Nicolás; Domingo, Santiago; García-Granero Ximémez, Eduardo. “Papel de la Ileostomía Virtual y Endoscopia Postoperatoria Precoz en Anastomosis Colorectales de alto riesgo de fuga anastomótica”. Cirugía Española, Especial Congresos, 2016.
- Capitán del Río, Inés; Rubio López, José; Mirón Pozo, Benito; González Puga, Cristina; Cabrerizo Fernández, María José; Garde Lecumberri, Carlos; Segura Jiménez, Inmaculada; Torres Alcalá, Tomás. “Ileostomía virtual en el cáncer de recto”. Cirugía Española. Especial Congresos, 2017.
- Peter C Ambe, Hubert Zirngibl, Gabriela Möslein, “Routine Virtual Ileostomy Following Restorative Proctocolectomy for Familial Adenomatous Polyposis”. World Journal of Surgery, 2018.
- Blas Flor-Lorente, Luis Sánchez-Guillén, Gianluca Pellino, Matteo Frasson, Álvaro García-Granero, Marta Ponce, Santiago Domingo, Vicente Paya, Eduardo García-Granero. "Virtual Ileostomy" Combined With Early Endoscopy to Avoid a Diversion Ileostomy in Low or Ultralow Colorectal Anastomoses. A Preliminary Report”. Langenbeck’s Archives of Surgery, 2019.