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Complication and management of intestinal stomas: In Indian perspective

  • Original Article
  • Published:
Hellenic Journal of Surgery

An Erratum to this article was published on 01 July 2014

Abstract

Introduction

Complications associated with stomas are frequent and run the gamut from the technical, mechanical, physiological and psychological aspect. The impact of these complications ranges from simple inconvenience to life-threatening situations [1].

Materials and Methods

The study was conducted with 50 patients who underwent surgery and had a resultant stoma (ileostomy/colostomy) between Jan 2012 to September 2013.

Discussion

In our study, the most common complication observed was skin excoriation (66%), followed by wound infection (60%), transient oedema (56%), ileostomy diarrhoea(52%), mucocutaneous separation and retraction (26% respectively), wound gaping and incisional hernia (32% respectively), peristomal fistula (16%), burst abdomen (14%), dermatitis (24%), stomal ischaemia (4%), and superficial bleeding (6%).

Conclusion

Good care of a stoma includes a careful surgical technique, perioperative management and close attention to stoma care to minimize stoma-related complications.

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References

  1. Pearl RK, Prasad LM, Orsay CP, et al. Early local complications from intestinal stomas. Arch Surg 1985;120:1145

    Article  CAS  PubMed  Google Scholar 

  2. Leenen LPH, Kuypers JH. Some factors influencing the outcome of stoma surgery. Dis Colon Rectum 1989;32:500

    Article  CAS  PubMed  Google Scholar 

  3. Buchman AL, Scolapio J, Fryer J. AGA technical review on short bowel syndrome and intestinal transplantation. Gastroenterology 2003;124:111

    Article  Google Scholar 

  4. Leong AP, Londono-Schimmer EE, Phillips RK. Life table analysis of stomal complications following ileostomy. Br J Surg 1994;81:727

    Article  CAS  PubMed  Google Scholar 

  5. Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum 1998;41:1562

    Article  CAS  PubMed  Google Scholar 

  6. Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum 1994;37:916

    Article  CAS  PubMed  Google Scholar 

  7. Fucini CF, Wolff BG, Dozois RR. Bleeding from peristomal varices: Perspectives on prevention and treatment. Dis Colon Rectum 1991;34:1073

    Article  CAS  PubMed  Google Scholar 

  8. Bass EM, Pino AD, Tan A, et al. Does preoperative stoma marking and education by the enterostomal therapist affect outcome?. Dis Colon Rectum 1997;40:440–442

    Article  CAS  PubMed  Google Scholar 

  9. Prian GW, Sawyer RB, Sawyer KC. Repair of peristomal colostomy hernias. Am J Surg 1975;130:694

    Article  CAS  PubMed  Google Scholar 

  10. Arumugan PJ, Bevan L, Macdonald L, et al. A prospective audit of stomas: Analysis of risk factors and complications and their management. Colorect Dis 2003;5:49–52

    Article  Google Scholar 

  11. Carne PW, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg 2003;90:784

    Article  CAS  PubMed  Google Scholar 

  12. Cheung MT, Chia NH, Chiu WY. Surgical treatment of parastomal hernia complicating sigmoid colostomies. Dis Colon Rectum 2001;44:266

    Article  CAS  PubMed  Google Scholar 

  13. Suarez V, Alexander-Williams J, O’Connor HJ, et al. Carcinoma developing in ileostomies after 25 or more years. Gastroenterology. 1988;95:205–208

    CAS  PubMed  Google Scholar 

  14. Gadacz TR, McFadden DW, Gabrielson EW, Ullah A, Berman JJ. Adenocarcinoma of the ileostomy: the latent risk of cancer after colectomy for ulcerative colitis and familial polyposis. Surgery 1990;107:698–703

    CAS  PubMed  Google Scholar 

  15. Leong AP, Londono-Schimmer EE, Phillips RK. Life table analysis of ostoma complications following ileostomy. Br J Surg 1994;81:727–729

    Article  CAS  PubMed  Google Scholar 

  16. Wara P, Sorensen K, Berg V. Proximal fecal diversion: review of ten years experience. Dis Colon Rectum 1981;24:114–119

    Article  CAS  PubMed  Google Scholar 

  17. 1Billings PJ, Leter DJ. Laser Doppler velocimetry and the measurement of colostomy blood flow. Dis Colon Rectum 1987;30:376–380

    Article  CAS  PubMed  Google Scholar 

  18. Khoo RE, Cohen MM, Chapman GM, Jenken DA, Langevin JM. Loopileostomy for temporary fecal diversion. Am J Surg 1994;167:519–522

    Article  CAS  PubMed  Google Scholar 

  19. Wexner SD, Taranow DA, Johanson OB, et al. Loop ileostomy is safe option for fecal diversion. Dis Colon Rectum 1993;36:349–354

    Article  CAS  PubMed  Google Scholar 

  20. Hull TL, Kobe I, Fazio VW. Comparison of handsewn with stapled loop ileostomy closures. Dis Colon Rectum 1996;39:1086–1089

    Article  CAS  PubMed  Google Scholar 

  21. Harris DA, Egbeare D, Jones S, Bejamin H, Woodward A, Foster ME. Complications and mortality following stoma formation. Ann R Coll Surg Engl 2005;87:427–431

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  22. Phang PT, Hain JM, Prez-Ramirez JJ, Madoff RD, Gemlo BT. Techniques and complications of ileostomy takedown. Am J Surg 1999;177:463–466

    Article  CAS  PubMed  Google Scholar 

  23. Kaider-person O, Person B, Waxner SD. Complications of construction and closure of temporary loop ileostomy. J Am Coll Surg 2005;201:759–773

    Article  Google Scholar 

  24. Robertson I, leung E, Hughes D, Spiers M, Donnelly L, Mackenzie I, et al. Prospective analysis of stoma related complications. Colorectal Dis 2005;7:279–285

    Article  CAS  PubMed  Google Scholar 

  25. Andivox T, Bail J, Chio F, et al. Complications of colostomies. Follow-up study of 500 colostomized patients. Ann Chir 1996;50:252–257

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  27. Morris DM, Rayburn D. Loop colostomies are totally diverting in adults. Am J Surg 1991;161:668–671

    Article  CAS  PubMed  Google Scholar 

  28. Hallbook O, Matthiessen P, Leinskold T, Nystorm PO, Sjodhal R. Satey of the temporary loop ileostomy. Colorectal Disease 2002;4:361–364

    Article  PubMed  Google Scholar 

  29. Awad RW, El Ghary TM, Skillon JS, Elder JB. Life quality and psychological morbidity with an ileostomy. Br J Surg 1993;80:252–253

    Article  CAS  PubMed  Google Scholar 

  30. Phang PT, Hain JM, Perez-Ramirez JJ, Madoff RD, Gemlo BT. Techniques and complications of ileostomy takedown. Am Journ Surg 1999;177:463–466

    Article  CAS  Google Scholar 

  31. Zahid Ali Memon, Shamim Qureshi, Marium Murtaza, Mumtaz Maher. Outcome of ileostomy closure. Pakistan Journal of Surgery 2009;25:230–234

    Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, Medical College and Hospital, Kolkata, India

    Arghya Basu, Amit Kumar Gupta & Sukumar Maiti

  2. Pathology Resident, Apollo Gleneagles Hospitals, Kolkata, India

    Antora Choudhury

  3. Biochemistry Dept. of Biochemistry, Medical College and Hospital, Kolkata, India

    Soumika Biswas

  4. 26A, Keshab Chandra Sen Street, West Bengal, India, Postal Code: 700009

    Arghya Basu

Authors
  1. Arghya Basu
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  2. Amit Kumar Gupta
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  3. Antora Choudhury
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  4. Soumika Biswas
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  5. Sukumar Maiti
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Correspondence to Arghya Basu.

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Basu, A., Gupta, A.K., Choudhury, A. et al. Complication and management of intestinal stomas: In Indian perspective. Hellenic J Surg 86, 142–149 (2014). https://doi.org/10.1007/s13126-014-0116-y

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  • DOI: https://doi.org/10.1007/s13126-014-0116-y

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