Technique of Ghost (Khatith) Ileostomy-How I Do It?

The concept of ghost/Khatith ileostomy is a bridge between covering ileostomy and no-ileostomy (‘Khatith’ meaning ‘hidden’ in Kashmiri language). We performed the pre-stage ghost ileostomy (GI) without parietal wall split. The technique of GI is that after the completion of resection-anastomosis of...

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Autores principales:	Mudassir Khan, Nisar Chowdri, Rauf Wani, Fazl Parray, Asif Mehraj, Arshad Baba, Mushtaq Laway
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2021
Materias:	ghost ileostomy carcinoma rectum anastomotic leak pre-stage ileostomy virtual ileostomy Medicine R
Acceso en línea:	https://doaj.org/article/f6f9472dda4e41e3b3249158380be994
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id	oai:doaj.org-article:f6f9472dda4e41e3b3249158380be994
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spelling	oai:doaj.org-article:f6f9472dda4e41e3b3249158380be9942021-11-14T06:50:42ZTechnique of Ghost (Khatith) Ileostomy-How I Do It?2783-243010.30476/acrr.2021.89835.1082https://doaj.org/article/f6f9472dda4e41e3b3249158380be9942021-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47638_0063283a3e8babffe59aa52b041f2a65.pdfhttps://doaj.org/toc/2783-2430The concept of ghost/Khatith ileostomy is a bridge between covering ileostomy and no-ileostomy (‘Khatith’ meaning ‘hidden’ in Kashmiri language). We performed the pre-stage ghost ileostomy (GI) without parietal wall split. The technique of GI is that after the completion of resection-anastomosis of rectal cancer, a terminal ileal loop at about 20cm from ileocecal junction is identified. Small (10-12F) Ryle’s tube (RT) is passed through a small opening in the mesentery of the identified ileal loop. A small 4-5mm incision is given on abdominal wall at pre-operatively marked proposed stoma site in right iliac fossa region. Haemostatic Kelly’s forceps is introduced through this small incision to get out the two limbs of the RT that has been already looped around the identified ileal loop. These two limbs of the RT are cut short and fixed to each other and to the skin around it with 2-0 silk sutures, taking care to keep the tubing loop loose enough to avoid any tension to the vascular supply of the ileal loop and without causing any luminal compression of the loop to avoid bowel obstruction. In case of AL, the pre-stage GI can be converted into a formal covering stoma under local or spinal anesthesia by gentle pull of the two limbs of the looped RT to extract the isolated ileal loop through an adequate circular incision around the site of GI. In case of uncomplicated postoperative course, the fixing RT is pulled out gently from the abdominal cavity to release down the GI.Mudassir KhanNisar ChowdriRauf WaniFazl ParrayAsif MehrajArshad BabaMushtaq LawayShiraz University of Medical Sciencesarticleghost ileostomycarcinoma rectumanastomotic leakpre-stage ileostomyvirtual ileostomyMedicineRENIranian Journal of Colorectal Research, Vol 9, Iss 2, Pp 51-57 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ghost ileostomy carcinoma rectum anastomotic leak pre-stage ileostomy virtual ileostomy Medicine R
spellingShingle	ghost ileostomy carcinoma rectum anastomotic leak pre-stage ileostomy virtual ileostomy Medicine R Mudassir Khan Nisar Chowdri Rauf Wani Fazl Parray Asif Mehraj Arshad Baba Mushtaq Laway Technique of Ghost (Khatith) Ileostomy-How I Do It?
description	The concept of ghost/Khatith ileostomy is a bridge between covering ileostomy and no-ileostomy (‘Khatith’ meaning ‘hidden’ in Kashmiri language). We performed the pre-stage ghost ileostomy (GI) without parietal wall split. The technique of GI is that after the completion of resection-anastomosis of rectal cancer, a terminal ileal loop at about 20cm from ileocecal junction is identified. Small (10-12F) Ryle’s tube (RT) is passed through a small opening in the mesentery of the identified ileal loop. A small 4-5mm incision is given on abdominal wall at pre-operatively marked proposed stoma site in right iliac fossa region. Haemostatic Kelly’s forceps is introduced through this small incision to get out the two limbs of the RT that has been already looped around the identified ileal loop. These two limbs of the RT are cut short and fixed to each other and to the skin around it with 2-0 silk sutures, taking care to keep the tubing loop loose enough to avoid any tension to the vascular supply of the ileal loop and without causing any luminal compression of the loop to avoid bowel obstruction. In case of AL, the pre-stage GI can be converted into a formal covering stoma under local or spinal anesthesia by gentle pull of the two limbs of the looped RT to extract the isolated ileal loop through an adequate circular incision around the site of GI. In case of uncomplicated postoperative course, the fixing RT is pulled out gently from the abdominal cavity to release down the GI.
format	article
author	Mudassir Khan Nisar Chowdri Rauf Wani Fazl Parray Asif Mehraj Arshad Baba Mushtaq Laway
author_facet	Mudassir Khan Nisar Chowdri Rauf Wani Fazl Parray Asif Mehraj Arshad Baba Mushtaq Laway
author_sort	Mudassir Khan
title	Technique of Ghost (Khatith) Ileostomy-How I Do It?
title_short	Technique of Ghost (Khatith) Ileostomy-How I Do It?
title_full	Technique of Ghost (Khatith) Ileostomy-How I Do It?
title_fullStr	Technique of Ghost (Khatith) Ileostomy-How I Do It?
title_full_unstemmed	Technique of Ghost (Khatith) Ileostomy-How I Do It?
title_sort	technique of ghost (khatith) ileostomy-how i do it?
publisher	Shiraz University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/f6f9472dda4e41e3b3249158380be994
work_keys_str_mv	AT mudassirkhan techniqueofghostkhatithileostomyhowidoit AT nisarchowdri techniqueofghostkhatithileostomyhowidoit AT raufwani techniqueofghostkhatithileostomyhowidoit AT fazlparray techniqueofghostkhatithileostomyhowidoit AT asifmehraj techniqueofghostkhatithileostomyhowidoit AT arshadbaba techniqueofghostkhatithileostomyhowidoit AT mushtaqlaway techniqueofghostkhatithileostomyhowidoit
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Technique of Ghost (Khatith) Ileostomy-How I Do It?

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