Tube ileostomy method in colon cancer surgeries

Tube ileostomy method in colon cancer surgeries, The 100-year-old story began on that day, when an American general discovered the stoma during World War I, when the death rate in people with intestinal viruses was very high. 

Thanks to this new application, the intestine was brought closer to the abdominal wall from somewhere, taken out through the hole (diverting stoma) and a new exit area for food wastes was created. Thus, the wastes were taken out of the body before they landed on the injured areas in the lower part of the intestine and the poisoning of the patient was prevented. This method, called “ostomy”, which can be applied temporarily or permanently, is also used in today’s medicine. While ostomy, which is used successfully as a life-saving method especially in colon cancer treatments, has entered the medical scene in a century, the story continues with innovative perspectives today. 

In what situations is it needed?

As it is known, colon cancer (large intestine) is one of the cancer types whose incidence has increased in recent years. According to the figures, it is the 3rd most common cancer in the world and one of the leading causes of cancer-related death among both men and women. However, it is among the most curable cancers when diagnosed and treated in its early stages. In fact, the five-year survival rate of those who are diagnosed and treated at an early stage is at a very high level of 90%. Colon cancer, which manifests itself with symptoms such as disruption of defecation (diarrhea, constipation), bleeding or blood in the stool, pain during defecation, transparent secretion in the stool, abdominal pain and swelling; It is aimed to increase the life expectancy and quality of the patient, especially genetics, age, some. While the tumor parts are removed with surgical treatments in many patients, It becomes risky for the patient to defecate naturally before the surgical site heals. At this point, the ostomy method is associated with many factors such as chronic intestinal diseases, tobacco use and unhealthy diet. 

We can say that it comes into play in the treatment of colon cancer, which is usually diagnosed with colonoscopy. In addition to colon cancer; This method, which is also used in cases of rectal cancer, trauma, bowel disease or some birth defects that prevent defecation, can sometimes be applied in case of intestinal injury in repeated cesarean sections. If the surgeon brings the large intestine to the abdominal surface and creates an opening from here (mouthing – stoma), it is called colostomy, and if the small intestine is brought to the anterior abdominal wall and mouthed, it is called ileostomy. The purpose with the stoma created to connect the intestine to the bag (ostomy bag that can be used to collect stool); to temporarily or permanently expel the contents of the intestine through the opening in the abdominal wall. When the recovery is complete after the surgery, the intestine is taken in with a second surgery and the stoma formed in the abdomen is closed.

Living with a colostomy is primarily a psychological trauma. With a little straining or coughing, the intestine can go out, but sometimes it can go inside. In addition, the hole in the abdominal wall can enlarge over time and turn into a hernia. There is also the risk of infection and burning on the skin due to stoma. In this respect, maintenance and daily cleaning can be tiring and wearisome. When it’s time to close the stoma, a very sensitive surgery is needed again. In this process, it is important that there is no leakage from the intestine into the abdomen in the future. Although it has difficulties, we should underline that the method has a life-saving role in the patient groups we have mentioned, that is, in obligatory situations.

What are the differences of the new method?

As an alternative to a colostomy, ideas such as placing a tube through the opening in the abdomen were worked out 40 years ago. Thanks to this idea, called “tube ileostomy”, it was aimed both not to take the intestine out and to prevent it from being permanent. In fact, practices aimed at preventing leakage by inflating the balloon in the intestine have also been tried. However, although all of these were supported by scientific publications over the years, they could not be used widely due to their ineffectiveness. 

Tube ileostomy method 

In the new method developed, different materials are used (as seen in the drawing above). The new material used does not bend in any way, but it has a flexibility that does not restrict the patient’s movements such as sitting and lying. This is thanks to a special spiral inside the material. The second most important difference is an inflated balloon and a special maneuvering system used to prevent the possible passage of food wastes to the operation area at the bottom. This is done thanks to a special tape passed through the intestine so that food waste does not go down around the tube. After this operation, which takes only 10 minutes, a second operation is not required, the intestine is not left outside. This tube can be used in any surgery where a temporary bag will be used. The tube is removed after 2 weeks without the need for surgery and the hole healed in 2-3 days. The follow-up of the method, which has been used in many patients and can be used at any age, is also successful. Undoubtedly, it is the greatest comfort for the patient to go home without a bag, first of all.

Early diagnosis is important

Colon (large intestine) cancer, which is the 3rd most common cancer in the world, is among the most curable cancers when treatment is started with early diagnosis. In fact, the five-year survival rate of those who are diagnosed and treated at an early stage is at a very high level of 90%.

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