From: Multimodality imaging in assessment of intestinal complications pre-stomal reversal
Patient | Age | Indication of surgery | Type of surgery | Complication | Detection of complication by WSCSE | Detection of complication by CT | Intended surgical management | Change of management based on WSCE | Change of management based on CT |
---|---|---|---|---|---|---|---|---|---|
Group A (WSCE & CT) | |||||||||
1 | 16 | Hirschsprung disease | Ileostomy | Stricture | Yes | Yes | Resection anastomosis | Yes | Yes |
2 | 66 | Iatrogenic colonic injury | Resection & colostomy | Fistula (recto-vesical) | Yes | Yes | Fistulectomy | Yes | Yes |
3 | 57 | Colorectal cancer | Resection & colostomy | Intestinal obstruction | No | Yes | Emergency laparotomy | No | Yes |
4 | 24 | Traumatic colonic injury | Ileostomy | Fistula (entero-cutaneous) | No | Yes | Fistulectomy | No | Yes |
5 | 30 | Pelvic sepsis post rectal surgery | Colostomy | Pericolic collection | No | Yes | Drainage | No | Yes |
6 | 43 | Complicated diverticular disease | Resection & colostomy | Fistula (colo-colic) | Yes | Yes | Fistulectomy | Yes | Yes |
7 | 60 | Colorectal cancer | Resection & colostomy | Stomal prolapse | No | Yes | Stoma reversal | No | No |
8 | 40 | Iatrogenic colonic injury | Ileostomy | Stricture | Yes | Yes | Resection anastomosis | Yes | Yes |
9 | 34 | Colorectal cancer | Resection & ileostomy | Leak | Yes | Yes | Exploration and repair | Yes | Yes |
10 | 39 | Colorectal cancer | Resection & ileostomy | Leak | Yes | Yes | Exploration and repair | Yes | Yes |
11 | 45 | Colorectal cancer | Resection & colostomy | Para-stomal hernia | No | Yes | Stoma reversal + repair hernia on same session | No | Yes |
12 | 43 | Colorectal cancer | Resection & colostomy | Tumor recurrence | No | Yes | Management of recurrence | No | Yes |
13 | 34 | Colorectal cancer | Resection & colostomy | Fistula (entero-cutaneous) | No | Yes | Fistulectomy | No | Yes |
14 | 38 | Colorectal cancer | Resection & ileostomy | Para-stomal hernia | No | Yes | Stoma reversal + repair hernia on same session | No | Yes |
15 | 31 | Hirschsprung disease | Resection & ileostomy | Stricture | Yes | Yes | Resection anastomosis | Yes | Yes |
Group B (combined CT-WSCE only) | |||||||||
16 | 27 | Mesentric vascular occlusion | Resection & ileostomy | Pericolic collection | Drainage | ||||
17 | 35 | Colorectal cancer | Resection & ileostomy | Intestinal obstruction | Emergency laparotomy | ||||
18 | 39 | Iatrogenic colonic injury | Colostomy | Fistula (recto-vaginal) | Fistulectomy | ||||
19 | 30 | Iatrogenic colonic injury | Resection & colostomy | Leak | Exploration and repair | ||||
20 | 14 | Pelvic sepsis post rectal surgery | Resection & ileostomy | Intestinal obstruction | Emergency laparotomy | ||||
21 | 40 | Traumatic colonic injury | Resection & colostomy | Intestinal obstruction | Emergency laparotomy | ||||
22 | 75 | Colorectal cancer | Resection & colostomy | Intestinal obstruction | Emergency laparotomy | ||||
23 | 50 | Colorectal cancer | Resection & colostomy | Intestinal obstruction | Emergency laparotomy | ||||
24 | 52 | Colorectal cancer | Resection & ileostomy | Intestinal obstruction | Emergency laparotomy | ||||
25 | 55 | Complicated diverticular disease | Resection & colostomy | Fistula (colo-colic) | Fistulectomy | ||||
26 | 54 | Mesentric vascular occlusion | Resection & jejunostomy | Pericolic collection | Drainage | ||||
Group C (MRI-enema only) | |||||||||
27 | 61 | Colorectal cancer | Resection & ileostomy | Fistula (recto-vaginal) | Fistulectomy | ||||
28 | 43 | Complicated diverticular disease | Resection & colostomy | Fistula (colo-colic) | Fistulectomy | ||||
29 | 31 | Hirschsprung disease | Resection & ileostomy | Stricure | Resection anastomosis | ||||
30 | 50 | Colorectal cancer | Resection & ileostomy | Tumor recurrence | Management of recurrence | ||||
31 | 74 | Colorectal cancer | Resection & colostomy | Pericolic collection | Drainage | ||||
32 | 42 | Colorectal cancer | Resection & colostomy | Fistula (recto-ileal) | Fistulectomy | ||||
33 | 40 | Colorectal cancer | Resection & colostomy | Tumor recurrence | Management of recurrence | ||||
34 | 39 | Colorectal cancer | Resection & colostomy | Pericolic collection | Drainage | ||||
35 | 28 | Colorectal cancer | Resection & colostomy | Stricture | Resection anastomosis | ||||
36 | 52 | Colorectal cancer | Resection & ileostomy | Tumor recurrence | Management of recurrence |