An institutional comparison of total abdominal colectomy and diverting loop ileostomy and colonic lavage in the treatment of severe, complicated Clostridium difficile infections.

Fashandi AZ, Martin AN, Wang PT, Hedrick TL, Friel CM, Smith PW, Hays RA, Hallowell PT. An institutional comparison of total abdominal colectomy and diverting loop ileostomy and colonic lavage in the treatment of severe, complicated Clostridium difficile infections. American journal of surgery. 2017 Mar;213(213). 507-511. PMID: 27964924 [PubMed] PMCID: PMC5605138 NIHMSID: NIHMS889365.

Abstract

Total abdominal colectomy (TAC) is the standard surgical treatment of Clostridium difficile infection (CDI). An alternative therapy, loop ileostomy and colonic lavage (IL), was described in 2011, but the results have never been validated.