Sigmoidoscopy-Assisted Colostomy - An Adapted Trephine Stoma Formation

Beilman, Greg J.
Jonson, Gary M.

^aDepartment of Surgery, University of Minnesota, Minn., and
^bDepartment of Surgery, Marshfield Clinic/Saint Joseph's Hospital, Marshfield, Wisc., USA

Greg J. Beilman, MD

University of Minnesota, Department of Surgery

MMC 11, 420 Delaware Street S.E., Minneapolis, MN 55455 (USA)

Tel. +1 612 625 7911, Fax +1 612 626 0439

E-Mail [email protected]

Digestive Surgery 19(4):p 327-330, 2002. | DOI: 10.1159/000064572

Abstract

Background/Aim:

The purpose of this article was to report an adapted colostomy procedure that can be used on patients with multiple morbidities requiring fecal diversion.

Methods:

An adapted colostomy was performed on a patient needing fecal diversion who had multiple surgical and medical complications.

Results:

Thirteen weeks after colostomy placement, the patient's colostomy functioned well and was viable throughout his course without related complications.

Conclusion:

The method of sigmoidoscopy-assisted colostomy described here can be beneficial to the complicated patient needing fecal diversion but unable to tolerate a laparotomy or laparoscopy.