Antiperistaltic transverse colostomy for massive bowel necrosis following surgery for an abdominal aortic aneurysm: Report of a case

Takahito Yagi, Koichi Nakagawa, Hiroshi Sadamori, Masaaki Hashimoto, Yasuaki Kamikawa, Noriaki Tanaka

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We herein report the findings of a 72-year-old man with gangrenous multivisceral necrosis following an operation for abdominal aortic aneurysm. The region of necrosis, which accompanied infarction of the left kidney, included the entire ileum and the ascending, descending, and sigmoid colon. An end ileostomy and transverse colostomy were performed subsequent to massive bowel resection in a second operation. After the second operation, he was managed with total parenteral nutrition and recovered uneventfully except for end-jejunostomy syndrome. A third operation was performed to reconstruct the interrupted bowel. To minimize abandoned bowel, antiperistaltic transverse colostomy was used for jejunocolonal reconstruction. The antiperistaltic colostomy improved the symptoms of end-jejunostomy syndrome and normalized the patient's vitamin B12 and bile acid levels. An antiperistaltic colostomy is thus considered to be useful for preventing short bowel syndrome after a massive bowel resection.

Original languageEnglish
Pages (from-to)554-558
Number of pages5
JournalSurgery today
Volume27
Issue number6
DOIs
Publication statusPublished - Jun 26 1997

Keywords

  • Abdominal aortic aneurysm
  • Antiperistaltic colostomy
  • Massive bowel necrosis

ASJC Scopus subject areas

  • Surgery

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