Skip to main content
SpringerLink
Log in

Early complications after stoma formation: a prospective cohort study in 100 patients with 1-year follow-up

  • Original Article
  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

This study aims to provide an overview of all complications that may occur after construction of an ileostomy or colostomy (loop or end) in daily practice.

Methods

Between July 2007 and April 2008, all adult patients who underwent any type of intestinal stoma formation were asked to participate in this prospective cohort study. All relevant patient characteristics were gathered. Patients were evaluated for complications eight times in a 1-year postoperative period. Enterostomal therapy nurses scored complications on specially designed forms.

Results

One hundred patients were included; two patients were lost before initial follow-up (FU). During FU, 21% of the patients deceased, and 15% were lost, physically unable to visit the outpatient clinic or withdrew from FU. In 37% of the patients, bowel continuity was restored. Only 26% of the patients were able to complete FU. Overall, 82% of all the patients had one or more stoma-related complications. Most common complications were skin irritation (55%), fixation problems (46%) and leakage (40%). Superficial necrosis, bleeding and retraction occurred in 20%, 14% and 9% of patients, respectively. More stoma related complications were found in stoma’s on inappropriate locations.

Conclusions

In this heterogenic patient population with formation of different stoma types, a high complication rate was detected.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Numbers via Dutch association for stoma patients (2010)

  2. Shellito PC (1998) Complications of abdominal stoma surgery. Dis Colon Rectum 41(12):1562–1572

    Article  PubMed  CAS  Google Scholar 

  3. Shabbir J, Britton DC (2009) Stoma complications: a literature overview. Colorectal Dis 2009 Jul 10

  4. Salvadalena G (2008) Incidence of complications of the stoma and peristomal skin among individuals with colostomy, ileostomy, and urostomy: a systematic review. J Wound Ostomy Continence Nurs 35(6):596–607

    Article  PubMed  Google Scholar 

  5. Nastro P, Knowles CH, McGrath A, Heyman B, Porrett TR, Lunniss PJ (2010) Complications of intestinal stomas. Br J Surg 97(12):1885–1889

    Article  PubMed  CAS  Google Scholar 

  6. Caricato M, Ausania F, Ripetti V, Bartolozzi F, Campoli G, Coppola R (2007) Retrospective analysis of long-term defunctioning stoma complications after colorectal surgery. Colorectal Dis 9(6):559–561

    Article  PubMed  CAS  Google Scholar 

  7. Harris DA, Egbeare D, Jones S, Benjamin H, Woodward A, Foster ME (2005) Complications and mortality following stoma formation. Ann R Coll Surg Engl 87(6):427–431

    Article  PubMed  CAS  Google Scholar 

  8. Mylonakis E, Scarpa M, Barollo M, Yarnoz C, Keighley MR (2001) Life table analysis of hernia following end colostomy construction. Colorectal Dis 3(5):334–337

    Article  PubMed  CAS  Google Scholar 

  9. Kaiser AM, Jiang JK, Lake JP, Ault G, Artinyan A, Gonzalez-Ruiz C, Essani R, Beart RW Jr (2005) The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol 100(4):910–917

    Article  PubMed  Google Scholar 

  10. Robertson I, Leung E, Hughes D, Spiers M, Donnelly L, Mackenzie I, Macdonald A (2005) Prospective analysis of stoma-related complications. Colorectal Dis 7(3):279–285

    Article  PubMed  CAS  Google Scholar 

  11. Guenaga KF, Lustosa SA, Saad SS, Saconato H, Matos D (2007) Ileostomy or colostomy for temporary decompression of colorectal anastomosis. Cochrane Database Syst Rev (1):CD004647

  12. Armendariz-Rubio P, de Miguel V, Ortiz HH (2007) Comparison of colostomies and ileostomies as diverting stomas after low anterior resection. Cir Esp 81(3):115–120

    Article  PubMed  Google Scholar 

  13. Bass EM, Del PA, Tan A, Pearl RK, Orsay CP, Abcarian H (1997) Does preoperative stoma marking and education by the enterostomal therapist affect outcome? Dis. Colon Rectum 40(4):440–442

    Article  CAS  Google Scholar 

  14. Arumugam PJ, Bevan L, Macdonald L, Watkins AJ, Morgan AR, Beynon J, Carr ND (2003) A prospective audit of stomas—analysis of risk factors and complications and their management. Colorectal Dis 5(1):49–52

    Article  PubMed  CAS  Google Scholar 

  15. Persson E, Berndtsson I, Carlsson E, Hallen AM, Lindholm E (2010) Stoma-related complications and stoma size—a 2-year follow up. Colorectal Dis 12(10):971–976

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

The authors would like to thank Ms. Noor van den Broek and Ms. Gerda van den Oever, both are specialised enterostomal therapy nurses, for their help during the data acquisition and follow-up of this study.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Meander Medical Centre Amersfoort, Utrechtseweg 160, 3818 ES, Amersfoort, the Netherlands

    H. A. Formijne Jonkers, W. A. Draaisma, A. M. Roskott, A. J. van Overbeeke, I. A. M. J. Broeders & E. C. J. Consten

  2. Institute of Technical Medicine, University of Twente, Enschede, the Netherlands

    I. A. M. J. Broeders

Authors
  1. H. A. Formijne Jonkers
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. A. Draaisma
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. M. Roskott
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. J. van Overbeeke
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. I. A. M. J. Broeders
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. E. C. J. Consten
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. C. J. Consten.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Formijne Jonkers, H.A., Draaisma, W.A., Roskott, A.M. et al. Early complications after stoma formation: a prospective cohort study in 100 patients with 1-year follow-up. Int J Colorectal Dis 27, 1095–1099 (2012). https://doi.org/10.1007/s00384-012-1413-y

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00384-012-1413-y

Keywords

Search

Navigation