Routine Endoscopy Prior to Surgical Ostomy Closure: An Obsolete Concept.

ABSTRACT:

Background

Closure of temporary diverting ostomies is commonly preceded by an endoscopic study of the colonic mucosa and anastomosis, despite lacking evidence of its relevance and impact on subsequent operative management.

Aim

We sought to determine the incidence of pathological findings and therefore evaluate the clinical benefit of routine pre-operative endoscopy in asymptomatic patients, hypothesizing sole evaluation of the anastomotic integrity to be sufficient in these cases.

Methods

We retrospectively identified all adult patients with ostomy installations who were followed up for potential reversal surgery between 2002 and 2020 at the University Hospital of Zurich, Switzerland. Main outcome measures were the incidence of endoscopically identified pathological f

SUBMITTER: Schreiber ME 

PROVIDER: S-EPMC10570172 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature