É necessário o estudo do cólon no fechamento de colostomias?

[摘要] Colorectal study for loop colostomy closure after traumatic injuries has been considered unnecessary, because of the cost, the patient's discomfort and the exams morbidity.OBJECTIVE: to evaluate the real need of colorectal study preceding colostomy closure in trauma patients.METHODS: fifty-one male patients were submitted to colostomy closure between January to June 2005. None of them were submitted to colorectal study before the surgery, neither barium enema nor colonoscopy.RESULTS: the mean age was 26.5 years and the mean interval between colostomy creation and closure was 42.2 months. The left flank was the most common colostomy location (66.6%). The morbidity rate was 13.7%, with no mortality.CONCLUSION: routine colorectal study preceding colostomy closure is not necessary after colorectal injuries.

[学科分类] 心脏病和心血管学

[关键词] Colostomy closure;loop colostomy;barium enema;colonoscopy