Evaluation of Ileoproctostomy to Avoid Ileostomy in Various Colon Lesions

Ileostomy is always recommended to a patient with more reluctance than a colostomy. The tendency for a more or less liquid discharge upon the abdominal wall with the accompanying skin irritation and a more cumbersome apparatus to contain the discharges are much more annoying to the patient. The problem of fluid and electrolyte balances, nutrition, and the interpretation of the ileostomy activity and abdominal discomforts during the early weeks after operation cause more apprehension on the part of the attending physician and surgeon. All of these problems for both the patient and the surgeon are usually finally surmounted except for the fecal discharge and the apparatus upon the abdominal wall, both of which continue to be distasteful to the patient. Nevertheless, most patients finally accept their condition philosophically and are able to carry on most of their usual activities, although with some handicaps. No physician of experience should ever be