INTRODUCTION:
Santulli enterostomy is frequently prefered by pediatric surgeons but there is not enough information about application for adult patients. We aimed to share our experience with Santulli enterostomy by our serial which is the largest one about adult patients in the
literature.
METHODS:
Patients, who were treated with Santulli enterostomy procedure in our general surgery department between 01 January 2005 and 30 June 2012, included to study and the data of these patients were retrospective analysed.
RESULTS:
In this period 16 patients were performed Santulli enterostomy. The time for decrease of stomal drainage and spontaneus defecation was median 20 (4-32) days. The median time for the stoma reversal was 135 (60-220) days. 7 patients underwent stoma reversal with sedo-analgesia and local anestehesia. Anastomotic leak was detected in three patients: one of them was Santulli anastomotic leak and the others were after reversal detected.
DISCUSSION AND CONCLUSION:
Santulli enterostomy in comparison with end or loop proximal enterostomies, is related with decreased fluid and electrolit loss, early restoration of GIS tractus continuity, and quicker reversal even with local anesthesia.
Keywords: Santulli procedure, Enteroenterostomy, Short bowel syndrome