Copyright
©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2025; 17(12): 114274
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.114274
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.114274
Timing of diverting loop ileostomy closure after rectal resection: Commentary on recent findings
Jasneet S Bhullar, Saleh A Busbait, Koby Herman, Gautham Chitragari, Jai P Singh, Ernesto R Drelichman, Department of Surgery, Henry Ford Providence Hospital, Michigan State University College of Human Medicine, Southfield, MI 48075, United States
Saleh A Busbait, Department of Surgery, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
Co-corresponding authors: Jasneet S Bhullar and Saleh A Busbait.
Author contributions: Bhullar JB, Busbait SA, Herman K, Chitragari G, Singh JP, and Drelichman ER designed the concept and outline and contributed to the writing and review of literature; Bhullar JB, Busbait SA, and Drelichman ER were responsible for oversight and coordination; Bhullar JB and Busbait SA contributed equally to this article, they are the co-corresponding authors of this manuscript. All authors contributed to the editing of the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jasneet S Bhullar, Department of Surgery, Henry Ford Providence Hospital, Michigan State University College of Human Medicine, 16001 W Nine Mile Rd, Southfield, MI 48075, United States. drjsbhullar@gmail.com
Received: September 16, 2025
Revised: October 19, 2025
Accepted: October 30, 2025
Published online: December 27, 2025
Processing time: 101 Days and 3.2 Hours
Revised: October 19, 2025
Accepted: October 30, 2025
Published online: December 27, 2025
Processing time: 101 Days and 3.2 Hours
Core Tip
Core Tip: This commentary highlights that while traditional delayed closure protects the anastomosis, it imposes substantial patient burden. Recent retrospective data suggest that ultra-early (10-14 days) reversal may be safe and improve quality of life, but this aggressive strategy warrants cautious interpretation and prospective validation to define ideal candidates.