Analysis of endoscopic interventions in patients with bowel stomas

Aim. To evaluate potentials and to determine indications for endoscopic interventions in case of bowel stomas surgery. Methods. Case series of 66 patients with bowel stomas who underwent endoscopic interventions at various stages is presented. The causes of stoma formation were: colon cancer (43 patients), colon diverticular disease (10), inflammatory bowel disease (5), colon trauma (4), benign colon tumors (2), dolichosigmo-id (2). Results. Laparoscopic technique was most widely used in cases of acute intestinal obstruction - 39 patients. Laparoscopic subtotal colectomy with Brooke end ileostomy was performed in 3 patients. Laparoscopically assisted reversal was completed in 11 patients after Hartmann’s procedure. Introduction of endoscopic interventions to bowel stoma surgery techniques allowed to reduce the number of post-operative complications. The terms of rehabilitation after radical interventions with complete colon stoma closure in patients with diseases of the colon requiring surgical treatment were decreased to 7-11 days. Conclusion. The use of laparoscopic techniques in bowel stoma surgery is possible at every stage of surgical rehabilitation of patients who underwent colostomy; it is safe and has a number of advantages compared to standard procedures.

colon cancer, acute colonic obstruction, stoma, laparoscopic colostomy