É necessário o estudo do cólon no fechamento de colostomias?

Revista Brasileira de Coloproctologia

Formiga, Galdino José Sitonio¹  Sobral, Hernán Augusto Centurión¹  Monteiro, Elisângela Plazas¹  Souza, Henrique Francisco de Souza e¹  Gama, Marília Rezende Von Sonnleithner¹  Taglietti, Enzo Martins¹ 

[1] Hospital Heliópolis, São Paulo, Brasil

关键词: Colostomy closure;    loop colostomy;    barium enema;    colonoscopy;   

DOI  :  10.1590/S0101-98802006000200001

学科分类：心脏病和心血管学

来源: Sociedade Brasileira de Coloproctologia

【 摘 要 】

Colorectal study for loop colostomy closure after traumatic injuries has been considered unnecessary, because of the cost, the patient's discomfort and the exams morbidity.OBJECTIVE: to evaluate the real need of colorectal study preceding colostomy closure in trauma patients.METHODS: fifty-one male patients were submitted to colostomy closure between January to June 2005. None of them were submitted to colorectal study before the surgery, neither barium enema nor colonoscopy.RESULTS: the mean age was 26.5 years and the mean interval between colostomy creation and closure was 42.2 months. The left flank was the most common colostomy location (66.6%). The morbidity rate was 13.7%, with no mortality.CONCLUSION: routine colorectal study preceding colostomy closure is not necessary after colorectal injuries.

【 授权许可】

CC BY-NC