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Ann R Coll Surg Engl. 2000 September; 82(5): 344–345.
PMCID: PMC2503614

Testing for anastomotic integrity after reversal of loop ileostomy.


A technique is described to test the integrity of the anastomosis formed during reversal of ileostomy intra-operatively and the early clinical results obtained using the technique.

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Selected References

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  • Vignali A, Fazio VW, Lavery IC, Milsom JW, Church JM, Hull TL, Strong SA, Oakley JR. Factors associated with the occurrence of leaks in stapled rectal anastomoses: a review of 1,014 patients. J Am Coll Surg. 1997 Aug;185(2):105–113. [PubMed]
  • Karanjia ND, Corder AP, Holdsworth PJ, Heald RJ. Risk of peritonitis and fatal septicaemia and the need to defunction the low anastomosis. Br J Surg. 1991 Feb;78(2):196–198. [PubMed]
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  • Carlsen E, Bergan AB. Loop ileostomy: technical aspects and complications. Eur J Surg. 1999 Feb;165(2):140–144. [PubMed]
  • Hull TL, Kobe I, Fazio VW. Comparison of handsewn with stapled loop ileostomy closures. Dis Colon Rectum. 1996 Oct;39(10):1086–1089. [PubMed]
  • Bain IM, Patel R, Keighley MR. Comparison of sutured and stapled closure of loop ileostomy after restorative proctocolectomy. Ann R Coll Surg Engl. 1996 Nov;78(6):555–556. [PMC free article] [PubMed]
  • Yalin R, Aktan AO, Yeğen C, Dölüoğlu H, Okboy N. Importance of testing stapled rectal anastomoses with air. Eur J Surg. 1993 Jan;159(1):49–51. [PubMed]
  • Akyol AM, McGregor JR, Galloway DJ, George WD. Early postoperative contrast radiology in the assessment of colorectal anastomotic integrity. Int J Colorectal Dis. 1992 Sep;7(3):141–143. [PubMed]
  • Berry DP, Scholefield JH. Closure of loop ileostomy. Br J Surg. 1997 Apr;84(4):524–524. [PubMed]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England