A clinical study of intestinal stomas: its indications and complications

Ahmad, Zeeshanuddin; Sharma, Adya; Saxena, Pradeep; Choudhary, Anuradha; Ahmed, Minhajuddin

doi:10.5455/2320-6012.ijrms20131140

Cited by 37 publications

(64 citation statements)

References 8 publications

(9 reference statements)

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“…Stoma formation is safe and life saving surgical procedure in certain situations like for example in emergency surgery. 10 Common indication for ileostomy formation was cancer followed by any medical cause which is in accordance with different studies literature 11 show colorectal carcinoma as a common cause for ileostomy formation .But in contrast to this another study 9,12 .…”

Section: Discussioncontrasting

confidence: 46%

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To Study Indication of Ileostomy/Colostomy at Medical College, Hospital Bikaner Rajasthan

Gupta¹

2017

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Section: Discussioncontrasting

confidence: 46%

“…8 Ileostomy and colostomy are commonly performed intestinal stomas in general surgical practice 9 . Stoma formation is safe and life saving surgical procedure in certain situations like for example in emergency surgery.…”

Section: Discussionmentioning

confidence: 99%

To Study Indication of Ileostomy/Colostomy at Medical College, Hospital Bikaner Rajasthan

Gupta¹

2017

jmscr

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“…11 Ileostomy and colostomy are commonly performed intestinal stomas in general surgical practice 1 . Stoma formation is safe and life saving surgical procedure in certain situations like for example in emergency surgery.…”

Section: Discussionmentioning

confidence: 99%

“…9 Intestinal stoma related complications can be either early such as metabolic derangements, skin irritation, ischaemia and stoma retraction or late including parastomal hernia, prolapse and stenosis, moreover stoma and its complications produce social, domestic and psychological problems. 1 But thorough prioperative preparation and optimization of patients and correction of nutritional status, and timely management of stoma related complications usually give satisfactory results. 10 In this current study, an attempt was made to identify common reasons for stoma formation and to highlight stoma related complications in our hospital which is main referral centre for tertiary level care of patients of whole province.…”

Section: Introductionmentioning

confidence: 99%

Ileostomies and Colostomies; Common Reasons and Complications of Construction: One Year Study

Hussain

Aslam

Khan

et al. 2015

TPMJ

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ABSTRACT… Background: An intestinal stoma is an opening of intestine on the anterior abdominal wall made surgically. The commonly performed procedures include colostomy and ileostomy. The purpose of the present study was to identify indications for commonly performed intestinal stomas and to study complications related to it. Objective: To identify indications for commonly performed intestinal stomas and to study complications related to it. Study Design: Observational study. Setting: Department of General Surgery, Unit-B, Lady reading Hospital, Peshawar. Period: 1 st Jan 2013, to 31 st Dec 2013. Subjects and Method: A total of 106 patients who underwent surgery and ended up in intestinal stomas, ileostomy or colostomy, were included in the study. Indications, immediate and late complications of stomas were recorded. Results: A break up of 106 patients of different intestinal stomas. Majority (61.32%) of patients were males. There were 49 ileostomies and 57 cases of colostomy making a total of 106 patients. Main indications of Ileostomy were enteric perforation (55.10%), and intestinal tuberculosis (20.40%). Main indications of colostomy were penetrating injuries (50.88%), and intestinal obstruction. In a total of 106 stomas local complications appeared in 23 (21.69%). Skin excoriation, ulceration, lap and wound infection were the most common respectively. Seventy eight stomas including 36 ileostomies and 42 colostomies were closed on an average of 3 months after primary operation. There were 7 cases of wound infection, 2 anastamotic leak-ages and one mortality (1.3%) in the stoma reversal group. Conclusion: Common indications for intestinal stomas were abdominal penetrating trauma, enteric perforation, intestinal obstruction and intestinal tuberculosis. Main complications included local skin problems, wound infection and retraction.

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“…In present study all the stomas constructed in emergency setting except two hence no statistically significant difference with elective cases can be obtained. Safirullah et al 11 reported major complications as skin excoriation (12%) oedema of spout (8%) prolapse (6%) and retraction (4%). In follow up period after stoma construction, minimal skin excoriation was noted in 9 cases in first follow up later the frequency went down gradually to 4 and 2 cases in second and third follow up respectively.…”

Section: Comparison Of Stomal Complication Incidencementioning

confidence: 99%

A Surgical Audit on Ileostomy- From Creation to Closure

Swathi¹,

S²,

Reddy³

et al. 2019

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BACKGROUNDTemporary ileostomies are commonly used forms of faecal diversion. We wanted to study the various indications, complications, morbidity and mortality of ileostomy. METHODSAn analysis was performed of all patients who underwent ileostomy construction and reversal between June 2015 to October 2017, with data being collected prospectively in post-operative period and then patients are followed for next 12 weeks (average) before reversal. Later they were followed after reversal for next 12 weeks. RESULTSThirty patients, (21 male, 9 female) with a mean age of 46 years (range 15 to 60 years) had ileostomies constructed. Indications for ileostomy construction included traumatic ileal perforation (6), tuberculous ileal stricture (5), enteric ileal perforation (4), intestinal obstruction due to post-operative adhesions (4), obstructed hernia (3), caecal perforation (2), suspected Crohn's disease (2), tuberculous ileal perforation (1), ileovaginal fistula (1), anastomotic leak (1) and sigmoid volvulus (1). Complications like peristomal skin excoriation were noted in 26 patients, 7 patients had wound infection, 2 patients underwent resurgery one for stomal necrosis and other for post-operative adhesions. Death was reported in 3 patients. Mean time to ileostomy reversal was 9.6 weeks. Ileostomy was reversed in 26 patients. Among them, 10 patients had wound infection, diarrhea in 2 cases, resurgery was done in one case, enterocutaneous fistula was noted in one case, and one patient expired after reversal procedure. Diarrhoea was noted in one case in first follow up. Stitch abscess and incisional hernia were observed in 3 and 2 cases respectively. CONCLUSIONSThe present study states that considerable complications are associated with ileostomy, but the role of active intervention is minimal. Hence it can be stated that benefits outweigh the risks.

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A clinical study of intestinal stomas: its indications and complications

Cited by 37 publications

References 8 publications

To Study Indication of Ileostomy/Colostomy at Medical College, Hospital Bikaner Rajasthan

To Study Indication of Ileostomy/Colostomy at Medical College, Hospital Bikaner Rajasthan

Ileostomies and Colostomies; Common Reasons and Complications of Construction: One Year Study

A Surgical Audit on Ileostomy- From Creation to Closure

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