Loop ileostomy: A superior diverting stoma in colorectal surgery

In a consecutive series of 99 patients, we have evaluated the safety of the loop ileostomy employed for diversion and/or decompression. We have recorded the complications after construction and subsequent closure and any associated difficulties with stoma care have been evaluated. The results indicate that a loop ileostomy, when properly constructed and managed by modern appliances, presents no more problems than a conventional end ileostomy. Closure of a loop ileostomy is associated with few complications. A loop ileostomy appears superior to a transverse colostomy as a temporary diversion of the fecal stream and should be used where possible.