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Bishop Koop conversion of temporary stoma can be an option to establish gut continuity early when primary anastomosis is not safe
  1. Md Samiul Hasan,
  2. Ashrarur Rahman,
  3. Umama Huq,
  4. Kazi Nur Ul Ferdous and
  5. Md Ayub Ali
  1. Pediatric Surgery, Bangladesh Institute of Child Health (BICH), Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh
  1. Correspondence to Dr Md Samiul Hasan; samiulo45{at}


Background Intestinal perforation and sometimes obstruction in neonates demand diverting stomas which are associated with fluid, electrolytes and nutrient loss. Early establishment of gut continuity is the key to the best outcome, though primary anastomosis is not always safe. The aim of this study was to evaluate the effectiveness of Bishop Koop stoma in establishing early continuity of gut and confirming the function of distal gut.

Methods Data of patients who underwent Bishop Koop conversion of diverting stoma from July 2016 to June 2018 were reviewed retrospectively. Demographic and outcome data were recorded and analyzed using Statistical Package for the Social Science (SPSS) V.22 software. Ethical permission was taken from hospital ethical committee.

Results 29 patients were included (16 male and 13 female). Mean age of conversion was 5.8±2.5 months and mean weight was 4.9±1.6. Normal bowel movement was established in 26 patients. One patient died of sepsis on sixth postoperative day and one had anastomotic leakage. There was no significant difference with respect to outcome between perforation and obstruction group. Bishop Koop stomas were closed after 6 weeks of formation.

Conclusions Bishop Koop conversion of temporary stoma was turned out as a good choice for these patients.

  • bishop koop stoma
  • diverting stoma
  • intestinal perforation

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  • Contributors MdSH contributed to the conception, study design, data collection, data analysis, manuscript writing and submission. AR contributed to the literature search, manuscript editing and critical appraisal. UH contributed to the data collection and manuscript editing. KMNF contributed to the study design and data analysis. MdAA obtained ethical permission and contributed to data collection and manuscript revision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Guardian consent obtained.

  • Ethics approval Taken from Dhaka Shishu (Children) Hospital ethical committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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