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Association of Coloproctology of Great Britain and Ireland

Association of Coloproctology of Great Britain and Ireland There have been patients who have undergone end colostomy formation during which the distal limb rather than the proximal has been exteriorized. We publish below a statement by Mr Andrew Shorthouse, President of the Association of Coloproctology of Great Britain and Ireland, on this important matter. He gives recommendations to minimize this error of surgical management. The Editor Intestinal obstruction and perforation caused by defunctioning the wrong end of the bowel – an impossible complication? The Association of Coloproctology of Great Britain and Ireland has been approached by the Royal College of Surgeons on behalf of a Coroner to remind colorectal and general surgeons about the risk of large bowel obstruction caused by inadvertent delivery of the wrong end of divided bowel when fashioning an end colostomy. Risks may be increased when the trephine method is employed, especially trephine sigmoid colostomy (1,2,3). The sigmoid colon is normally identified by the presence of appendices epiploicae and absence of omentum, but errors may occur with: Trephine stoma [ 1, 2 ] Trephine sigmoid colostomy, normally identified by appendices epiploicae and absence of omentum, risks: • delivery of transverse colon in error; • difficulty in identifying the ideal segment for the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Colorectal Disease Wiley

Association of Coloproctology of Great Britain and Ireland

Shorthouse, A. J.
Colorectal Disease , Volume 8 (3) – Mar 1, 2006
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References (6)

Publisher
Wiley
Copyright
Copyright © 2006 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1462-8910
eISSN
1463-1318
DOI
10.1111/j.1463-1318.2006.00976.x
pmid
16466567
Publisher site
See Article on Publisher Site

Abstract

There have been patients who have undergone end colostomy formation during which the distal limb rather than the proximal has been exteriorized. We publish below a statement by Mr Andrew Shorthouse, President of the Association of Coloproctology of Great Britain and Ireland, on this important matter. He gives recommendations to minimize this error of surgical management. The Editor Intestinal obstruction and perforation caused by defunctioning the wrong end of the bowel – an impossible complication? The Association of Coloproctology of Great Britain and Ireland has been approached by the Royal College of Surgeons on behalf of a Coroner to remind colorectal and general surgeons about the risk of large bowel obstruction caused by inadvertent delivery of the wrong end of divided bowel when fashioning an end colostomy. Risks may be increased when the trephine method is employed, especially trephine sigmoid colostomy (1,2,3). The sigmoid colon is normally identified by the presence of appendices epiploicae and absence of omentum, but errors may occur with: Trephine stoma [ 1, 2 ] Trephine sigmoid colostomy, normally identified by appendices epiploicae and absence of omentum, risks: • delivery of transverse colon in error; • difficulty in identifying the ideal segment for the

Journal

Colorectal Disease – Wiley

Published: Mar 1, 2006

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