Loop versus divided colostomy for the management of anorectal malformations

Survey on the management of anorectal malformations (ARM) in European pediatric surgical centers of excellence

“…Another downside is the possible absorption of urine by the colon if a rectourinary fistula is present. Finally, the prolapse rate of loop ostomies was significantly higher, which was also described by others [27].…”

Loop colostomies are safe in anorectal malformations

“…Stoma prolapse has been one of the significant complications reported for colostomies. A few studies have reported increased rates of prolapse following LC compared to DC [7][8][9]. However, colostomies in those reports were predominantly located at the transverse colon, which we also observed to be associated with the majority of prolapses.…”

“…Colostomy is performed in staged surgery for ARM to relieve the intestinal obstruction and allow bowel decompression prior to definitive reconstruction. However, the ideal type of colostomy has been debated by pediatric surgeons [3][4][5][6][7][8]. A divided colostomy (DC) created at the junction of the descending and sigmoid colon has been recommended [2].…”

Colostomy for Perianal Sepsis With Ecthyma Gangrenosum in Immunocompromised Children

“…In comparison with double-barrel colostomies, loop colostomies present a higher risk for prolapse formation. 10,14 In the present study, 3 different colostomies were performed. Whereas the first patient was treated with a diverting double-barrel colostomy, the second patient was treated with a nondiverting double-barrel colostomy.…”

“…Many (pediatric) surgeons use this technique, especially in emergency settings, as loop colostomies may be placed and reverted quickly. 10 Another type of colostomy that is typically performed in adult patients with perforated diverticulitis is the Hartmann procedure or end colostomy. Hereby, the involved sigmoid colon is resected and the proximal end is pulled out and sutured to the abdominal wall, whereas the distal/rectal stump is closed and left in the abdomen.…”