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Alwatari Y, Lee MG, Wieghard NE, et al. Virtual Ileostomy as an Option for Complicated Colorectal Resections. Am Surg. 2021;31348211047483doi: 10.1177/00031348211047483.
Alwatari, Y., Lee, M. G., Wieghard, N. E., & Bohl, J. L. (2021). Virtual Ileostomy as an Option for Complicated Colorectal Resections. The American surgeon, 31348211047483. https://doi.org/10.1177/00031348211047483
Alwatari, Yahya, et al. "Virtual Ileostomy as an Option for Complicated Colorectal Resections." The American surgeon vol. (2021): 31348211047483. doi: https://doi.org/10.1177/00031348211047483
Alwatari Y, Lee MG, Wieghard NE, Bohl JL. Virtual Ileostomy as an Option for Complicated Colorectal Resections. Am Surg. 2021 Sep 25;31348211047483. doi: 10.1177/00031348211047483. Epub 2021 Sep 25. PMID: 34565217.
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Am Surg. 2021 Sep 25;31348211047483. doi: 10.1177/00031348211047483. Epub 2021 Sep 25.

Virtual Ileostomy as an Option for Complicated Colorectal Resections.

The American surgeon

Yahya Alwatari, McKenzie G Lee, Nicole E Wieghard, Jaime L Bohl

Affiliations

  1. Department of General Surgery, Virginia Commonwealth University Medical Center, Richmond, VA, USA.
  2. Department of Surgery, Division of Colon and Rectal Surgery, Virginia Commonwealth University Medical Center, Richmond, VA, USA.

PMID: 34565217 DOI: 10.1177/00031348211047483

Abstract

When surgery requires a colorectal anastomosis, a diverting ostomy may be created to decrease the clinical impact of anastomotic failure. Unfortunately, diverting ileostomies are also associated with significant morbidity. Recent literature suggests that diverting ostomies are not necessary for the majority of patients undergoing colorectal anastomosis and that creation of a virtual ileostomy (VI) may spare patients the complications that accompany diverting ileostomy creation. We present 4 patients with complex medical histories who underwent colorectal resections with primary anastomoses and VI creation. None of these patients suffered anastomotic leak or required conversion of VI to defunctioning ileostomy and there were no major complications associated with VI creation. Our results, although limited by sample size, support the creation of a virtual ileostomy as a safe and effective alternative to diverting ileostomy creation at the time of colorectal anastomosis.

Keywords: colorectal; diverting ileostomy; virtual ileostomy

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