The double‐spouted loop ileostomy

Abstract

This modification of the loop ileostomy, with both the proximal and distal ends of the bowel spouted has several advantages. The danger of spouting the wrong limb is eliminated, it can be created very easily via a trephine technique and spouting the distal limb reduces the leakage of mucus under the flange of the stoma bag, reducing the problems of poor appliance adhesion.

Ileostomy

“…The interest of a "double-spouted" loop ileostomy has been recently raised in a series of 21 cases where the two limbs of bowel were equally everted. 11 The risk of everting the wrong end is avoided, which is useful in laparoscopic approach. Furthermore, leakage of mucus from the efferent limb underneath the faceplate is reduced, allowing for a better stoma bag adhesion.…”