Loop Ileostomy (Decompression Type) Using Polytetrafluroethylene

Diverting ileostomy was initially introduced and used by Turnbull and Weakley to provide fecal diversion in patients with toxic megacolon.1 Traditionally, transverse colostomy has been the preferred method for temporary proximal diversion in patients with colonic obstruction. However, recently, diverting ileostomy has been popularized for proximal diversion, mainly for lack of an offensive odor of the ileostomy effluent compared with fecal material from a colostomy. We have used diverting ileostomy routinely for protection of ileorectal anastomoses, especially when tension exists at the site of anastomoses or for those patients who have been on steroids.