Acta Chir Iugosl. 1989;36(2):239-49
The reverse of intestinal segments for the treatment of ileostomy diarrhoea
Ileostomy diarrhea still represents a real problem; for further understanding of it’s management using Anti-Peristaltic Segments we have undertaken an experimental study where 12 mongrel dogs were used. Permanent ileostomy was done after which segments of small intestine of different lengths 5-55 cm long were divided 35 cm proximal to the ileostomy and rotated on their vascular pedicle through 180 degrees, and continuity of the small intestine was restored. Quality, quality of the stool, intestinal transit time, body weight loss, and survival of the experimental animals were studied to observe the effect of Anti-Peristaltic Intestinal Segments, the length of the Anti-Peristaltic segments needed for better control of ileostomy diarrhea, and the Critical length of the Anti-Peristaltic segments. We have observed that dogs cannot tolerate ileostomy. Anti-Peristaltic Intestinal Segments regulate the quality and quantity of stools, delay the intestinal transit, allow for the greater absorption and decrease the weight loss, but only to certain limits. Anti-Peristaltic intestinal segments of 20-30 cm. long give better control of ileostomy diarrhea. The critical Anti-Peristaltic intestinal segment is 50 cm long.