Shah, ShashikantGandhi, Jenit P2016-02-192016-02-192015-01Shah Shashikant, Gandhi Jenit P. Role of Ileostomy in Enteric Perforation. IJSS Journal of Surgery 2015 Jan-Feb; 1(1): 10-15.2395-1893http://imsear.searo.who.int/handle/123456789/173446Introduction: Enteric perforations have been seen as a common problem in tropical countries. Over a period the trend of enteric perforations has changed, its treatment, disease progression and prognosis. Methods: The studies of 25 cases of ileal perforations treated and underwent an ileostomy as a treatment modality between the periods of May 2010-August 2012 were included. Traumatic ileal perforations and ileal perforation without an ileostomy were excluded from the study. Results: In a study conducted commonest cause was Enteric fever in nonspecifi c ileal perforations. Perforation commonly occurred in second and third decade of life with 48% of patients belongs to the age group between 11 and 30. The mean age of the patients in the study was 33 years. Male preponderance with male to female ratio 5:1 was observed. Pneumoperitoneum in chest and erect abdominal X-ray was seen in 84% of the patients. Time between onset of pain and surgical intervention (Lag period) was between 10 and 96 h with the mean of 43.44 h. Single ileal perforations were seen in 84% of the cases with 72% being located within 30 cm from ileocecal junction (ICJ). Majority were located within 60 cm from ICJ (96%). Conclusions: A non-specifi c enteric perforation (60%) was the most common cause of ileal perforation. Ileostomy as a treatment modality carried a mortality rate of 4%. Ileostomy closure an overall complication rate of 24%. Wound infection, small bowel obstruction and enterocutaneous fi stula were commonly seen complications. 12% cases had small bowel obstruction managed conservatively.enCrisis InterventionIleostomyPneumoperitoneumArticle