Huang W, Chen ZZ, Wei ZQ. Successful reversal of ostomy 13 years after Hartmann procedure in a patient with colon cancer: A case report. World J Clin Cases 2021; 9(20): 5547-5555 [PMID: 34307608 DOI: 10.12998/wjcc.v9.i20.5547]
Corresponding Author of This Article
Zheng-Qiang Wei, MD, Doctor, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing 400000, China. 384535713@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2021; 9(20): 5547-5555 Published online Jul 16, 2021. doi: 10.12998/wjcc.v9.i20.5547
Successful reversal of ostomy 13 years after Hartmann procedure in a patient with colon cancer: A case report
Wang Huang, Zhen-Zhou Chen, Zheng-Qiang Wei
Wang Huang, Zhen-Zhou Chen, Zheng-Qiang Wei, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China
Author contributions: Huang W performed the case report and wrote the manuscript; Chen ZZ edited the manuscript; Wei ZQ supervised the work and edited the manuscript.
Supported byChongqing Key Diseases Research and Application Demonstration Program (Colorectal Cancer Prevention and Treatment Technology Research and Application Demonstration), No. 2019ZX003.
Informed consent statement: The patient provided informed written consent for participation in this study, including sample collection and permission for their use in research.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zheng-Qiang Wei, MD, Doctor, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuanjiagang, Yuzhong District, Chongqing 400000, China. 384535713@qq.com
Received: November 26, 2020 Peer-review started: November 26, 2020 First decision: May 11, 2021 Revised: May 22, 2021 Accepted: May 25, 2021 Article in press: May 25, 2021 Published online: July 16, 2021 Processing time: 222 Days and 23 Hours
Abstract
BACKGROUND
The Hartmann procedure is currently recognized as a common, safe, and feasible surgical procedure. However, its reversal rate is low, and the optimal timing for Hartmann reversal surgery is controversial.
CASE SUMMARY
A 65-year-old man came to our hospital with a complaint of an intestinal fistula next to the stoma. The patient had undergone a Hartmann procedure 13 years prior. We performed colonoscopy, computed tomography, and other diagnostics before successfully reversing the stoma.
CONCLUSION
Although the optimal time for Hartmann procedure reversal is controversial, time may ultimately not be a factor in the success of reversal.
Core Tip: First, for acute intestinal obstruction in the left colon or rectum, Hartmann’s surgery is a safe and feasible treatment. Second, there is controversy about the time to reversal after Hartmann’s procedure. This case is the longest successful reversal in the world.
