To the Editor We thank Juo et al1 for analyzing the trend between loop ileostomy (LI) and total abdominal colectomy as surgical management of Clostridium difficile colitis. They concluded that in the United States, LI has doubled over the past few years with no significant difference in patient mortality, making it a viable alternative to total abdominal colectomy. We would like to highlight a few points and reservations with regards to this conclusion based on the results in this study.
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Ng CZL, Ng CCY, Owyang D. Loop Ileostomy a Viable Alternative for Clostridium difficile Colitis? JAMA Surg. Published online November 06, 2019. doi:https://doi.org/10.1001/jamasurg.2019.4697
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