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There is debate on whether a diverting loop ileostomy after low anterior resection for rectal cancer is associated with a decreased risk of anastomotic leak. The alternative view holds that a diverting loop ileostomy does not decrease the risk of anastomotic leak but decreases the virulence of the leak when it occurs. This prospective randomized trial indicated that a diverting loop ileostomy is actually associated with decreased anastomotic leak rate.

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The Role of Diverting Loop Ileostomy as an Adjunct to Low Anterior Resection for Rectal Cancer

  • 章节

  • 发表日期：

    2025年

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  • Dorin Colibaseanu,
  • Michelle DeLeon,
  • Amit Merchea,
  • Luca Stocchi

摘要

There is debate on whether a diverting loop ileostomy after low anterior resection for rectal cancer is associated with a decreased risk of anastomotic leak. The alternative view holds that a diverting loop ileostomy does not decrease the risk of anastomotic leak but decreases the virulence of the leak when it occurs. This prospective randomized trial indicated that a diverting loop ileostomy is actually associated with decreased anastomotic leak rate.