A previously healthy 46-year-old woman with a history of rectal adenocarcinoma, first discovered on colonoscopy 1 year ago who is status post low anterior resection with a diverting loop ileostomy returns to clinic 3 months after her low anterior resection for a preoperative appointment for her ileostomy reversal. Over the past 3 months she has had good ileostomy output as well as occasional loose stools per rectum. What workup does she need to have prior to ileostomy reversal?
A. A digital rectal examination to palpate the anastomosis and check for patencyA flexible endoscopic examination and a contrast enema (Gastrografin) are recommended prior to closure to ensure that the anastomosis has not leaked and is patent.