The “Clover” solution – 4-lumen double-loop stoma in managing multifocal intestinal obstruction due to peritoneal metastases

Multifocal intestinal obstruction (IO) due to peritoneal metastases (PM) presents significant surgical challenges, with traditional approaches often falling short. The Clover stoma, a four-lumen technique, combines a loop ileostomy and transverse loop colostomy into a single stoma, decompressing both small and large bowel while minimizing complications. In six patients with multifocal IO, it effectively relieved symptoms, prolonged obstruction-free intervals, and prevented re-obstructions. This technique simplifies stoma care, improves postoperative recovery, and can be adapted as disease progresses. The Clover stoma offers a promising strategy for managing complex IO in PM patients, enhancing surgical outcomes and quality of life in this challenging population.

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Publication Details

Journal
Annals of Medicine and Surgery
Published
2025-08-11
DOI
https://doi.org/10.1097/ms9.0000000000003694
Primary Topic
Intestinal and Peritoneal Adhesions
Type
article
Field-Weighted Citation Impact
0.00
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article

The “Clover” solution – 4-lumen double-loop stoma in managing multifocal intestinal obstruction due to peritoneal metastases

Clara Y.L. Chong, O. Chen, Jolene Si Min Wong, Qiu Xuan Tan et al.
Annals of Medicine and Surgery
Intestinal and Peritoneal Adhesions
article

The “Clover” solution – 4-lumen double-loop stoma in managing multifocal intestinal obstruction due to peritoneal metastases

Clara Y.L. Chong, O. Chen, Jolene Si Min Wong, Qiu Xuan Tan, Claramae Shulyn Chia, Chin Jin Seo, Felicia Teo, Joey Wee‐Shan Tan, Gillian Ng, Chin‐Ann Johnny Ong, Ying Liu, Wanyu Guo, Mingzhe Cai, Vinoth Kumar Rethineswaran
article en

Abstract

Multifocal intestinal obstruction (IO) due to peritoneal metastases (PM) presents significant surgical challenges, with traditional approaches often falling short. The Clover stoma, a four-lumen technique, combines a loop ileostomy and transverse loop colostomy into a single stoma, decompressing both small and large bowel while minimizing complications. In six patients with multifocal IO, it effectively relieved symptoms, prolonged obstruction-free intervals, and prevented re-obstructions. This technique simplifies stoma care, improves postoperative recovery, and can be adapted as disease progresses. The Clover stoma offers a promising strategy for managing complex IO in PM patients, enhancing surgical outcomes and quality of life in this challenging population.

Annals of Medicine and SurgeryVol. 87(10)
Sprint (United States) (US), Agency for Science, Technology and Research (SG), Singapore General Hospital (SG), SingHealth Duke-NUS Academic Medical Centre (SG), Duke-NUS Medical School (SG), Experimental Drug Development Centre (SG), National Cancer Centre Singapore (SG), Genome Institute of Singapore (SG), Institute of Molecular and Cell Biology (SG)
Openalex Percentile: Top 66%
Intestinal and Peritoneal Adhesions
DOIOpen Access PDFOpenAlex
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