Results 1 to 2 of 2

Small Bowel Resection with Double Barrel Ileostomy

  1. #1
    Default Small Bowel Resection with Double Barrel Ileostomy
    New Call-to-action
    Any advice is greatly appreciated

    Patient is 4 days post op from sigmoid colectomy with low pelvic anastomosis.

    Free air, free fluid on CT scan.
    Perforation of recto-colon anastomosis.

    Exploratory laparotomy.
    Opening of recent laparotomy incision.
    Washout and drain placement.
    Creation of double barrel ileostomy.
    Small bowel resection.

    Stool spillage in the abdomen with contamination of
    pelvis and left quadrant.
    Defect of anastomosis on right anterior aspect

    **removed staples, separated the skin and subcutaneous tissues, and removed the previous #1 looped PDS sutures
    **significant feculent material in the abdomen


    **5 mm leak on the anterior right side of anastomosis
    ** bowel was extremely friable
    **mesenteric injury at 20 cm proximal to the cecum.
    **elected to resect the small bowel associated with the mesenteric rent and then brought up a double-barrel ileostomy in the
    right lower quadrant
    **attention to the double-barrel ileostostomy
    **the proximal end brooked to approximately 5 cm, the inferior segment of the bowel we fashioned superiorly to the
    proximal end, inferiorly we Brooked this slightly to the skin

    Thanks in advance...

  2. #2
    Any thoughts???

    Is there any difference between a 'double barrel' ileostomy and a 'loop ileostomy'.
    If so, can someone please explain?...does anyone know what would the code for just that be?

    Thanks yall

Similar Threads

  1. Small Bowel Resec. with anastamosis and ileostomy
    By EricaR in forum General Surgery
    Replies: 0
    Last Post: 08-30-2013, 06:10 AM
  2. Replies: 0
    Last Post: 07-26-2012, 01:32 PM
  3. Replies: 5
    Last Post: 04-26-2012, 07:58 AM
  4. Replies: 1
    Last Post: 12-28-2011, 01:06 PM
  5. Small bowel resection w/double barrel ileostomy
    By cauer in forum General Surgery
    Replies: 0
    Last Post: 06-04-2010, 04:27 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.