2020
DOI: 10.1136/bmjopen-2020-038930
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Ghost ileostomy versus conventional loop ileostomy in patients undergoing low anterior resection for rectal cancer (DRKS00013997): protocol for a randomised controlled trial

Abstract: IntroductionAnastomotic leakage is the most important complication in colorectal surgery occurring in up to 20% after low anterior rectal resection. Therefore, a diverting ileostomy is usually created during low anterior resection to protect the anastomosis or rather to diminish the consequences in case of anastomotic leakage. The so-called virtual or ghost ileostomy is a pre-stage ostomy that can be easily exteriorised, if anastomotic leakage is suspected, in order to avoid the severe consequences of anastomo… Show more

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Cited by 6 publications
(4 citation statements)
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“…Although our ndings indicate that routine DLI construction is ine cient in diminishing the risk of AL in routine AR use, the role of selective DLI in mitigating AL consequences in low anastomoses should be emphasized. Other preventive measures include ghost ileostomies, an AL-check list, and scheduled postoperative AL surveillance, including sigmoidoscopy, labs, and rectography [29][30][31].…”
Section: Discussionmentioning
confidence: 99%
“…Although our ndings indicate that routine DLI construction is ine cient in diminishing the risk of AL in routine AR use, the role of selective DLI in mitigating AL consequences in low anastomoses should be emphasized. Other preventive measures include ghost ileostomies, an AL-check list, and scheduled postoperative AL surveillance, including sigmoidoscopy, labs, and rectography [29][30][31].…”
Section: Discussionmentioning
confidence: 99%
“…Ob statt der konventionellen doppelläufigen Ileostomaanlage auch eine sog. "Ghost Ileostomy" mit Stomaanlage nach Bedarf erfolgen kann, klärt derzeit die GHOST-Studie (DRKS00013997) [19].…”
Section: Protektives Ileostomaunclassified
“…To finally prove the advantage of GI, a prospective randomized trial is required. A prospective randomized trial for GI after LARS for rectal cancer has been initiated in 2020 (23). After endometriosis resection, however, the ethical feasibility requiring random assignment to GI or LI for patients will be controversial and not feasible in clinical Minor and major complications are differentiated, and the type of complication is specified.…”
Section: Table I Characteristics and Surgical Outcomes Of Participant...mentioning
confidence: 99%