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

Jonkers, H. A. Formijne; Draaisma, W. A.; Roskott, Anne Margot; Overbeeke, Adriaan J van; Broeders, I. A. M. J.; Consten, Esther C. J.

doi:10.1007/s00384-012-1413-y

Cited by 73 publications

(60 citation statements)

References 14 publications

(20 reference statements)

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“…This incision has been associated with chronic abdominal pain because of nerve entrapment . Although we reported a higher rate of stoma‐related complications in our study (81%), our results are similar to a study by Formijne Jonkers et al . They included 100 adult patients who underwent intestinal stoma formation for different indications (e.g., colorectal malignancies, complicated diverticulitis, inflammatory bowel disease, anastomotic leakage) and reported that 82% of adult patients had one or more stoma‐related complications.…”

Section: Discussionsupporting

confidence: 89%

Surgical management of children with intractable functional constipation; experience of a single tertiary children's hospital

Kuizenga-Wessel

Koppen

Zwager

et al. 2016

Neurogastroenterology Motil

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Section: Discussionsupporting

confidence: 89%

Surgical management of children with intractable functional constipation; experience of a single tertiary children's hospital

Kuizenga-Wessel

Koppen

Zwager

et al. 2016

Neurogastroenterology Motil

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“…Superficial necrosis is observed in 2%–20% of the patients, and deep necrosis is observed in 0.37%–3%. 11 – 14 The bowel prepared for ostomy to prevent ischemia should be able to move easily up to the place where it will exit the skin, and the vascularity of the bowel should not be disrupted during this process. Epiploic fat and mesentery should not be damaged too much.…”

Section: Discussionmentioning

confidence: 99%

Is stoma care effective in terms of morbidity in complicated ileostomies?

Sarkut¹,

Dündar²,

Tirnova³

et al. 2015

IJGM

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BackgroundPerforming transient or permanent ileostomy is one of the common procedures involved in colorectal surgery. Complication rates up to 40% have been reported in ileostomies. In this report, the effect of specific stoma care unit on ileostomy and its complications were investigated.MethodsA total of 141 patients, who were operated and underwent ileostomy, due to different causes, at Department of General Surgery, Uludağ University, Bursa, Turkey, between 2003 and 2006, were examined, retrospectively. Patient records were examined in terms of age, sex, surgery indications, urgent/elective state, benign/malign origin, ileostomy type, complications and stoma care, and education. χ2 test was used to compare the categorical data.ResultsAmong the patients, 95 (67%) were male and 46 (33%) were female. The mean age was 47 years (17–67). Some of the subjects (49%) were operated urgently and some (51%) were under elective conditions. The ileostomy types used included the following: end ileostomy (43%), loop ileostomy (46%), and double-barrel ileostomy (11%). Permanent ileostomy was performed in 23 patients and transient ileostomy was performed in 118 patients. The patients were operated because of either benign (48%) or malign (52%) causes. Complications developed in 37 (26%) patients. The rate of development of complication was markedly higher in ileostomies performed under urgent conditions (61% vs 39%) (P<0.001). The complications included mucocutaneous separation (12 patients), maceration in the peristomal skin (ten patients), retraction (five patients), necrosis (three patients), prolapsus (three patients), and other metabolic complications (four patients). The complications were treated with care (68%) and surgical revision (32%).ConclusionThe rate of ileostomy was found to be higher in the male patients compared to female patients. The risk of development of complications was found to be higher in ileostomies performed under urgent conditions. The most common complication observed was mucocutaneous separation. Ileostomy complications can be treated conservatively with professional care and education.

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“…These complications were diagnosed according to standard predefined criteria and were based on those occurring most frequently2, 4, 16, 17, 18, 19, 20, 21, 22. General postoperative complications were recorded, including surgical‐site infection, abdominal abscess, ileus, abdominal fascia dehiscence, anastomotic leakage, pneumonia, urinary tract infection and a miscellaneous (other) group.…”

Section: Methodsmentioning

confidence: 99%

Randomized clinical trial of intracutaneouslyversustranscutaneously sutured ileostomy to prevent stoma-related complications (ISI trial)

Sier¹,

Wisselink²,

Ubbink³

et al. 2018

British Journal of Surgery

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BackgroundIleostomy construction is a common procedure but can be associated with morbidity. The stoma is commonly secured to the skin using transcutaneous sutures. It is hypothesized that intracutaneous sutures result in a tighter adherence of the peristomal skin to the stoma plate to prevent faecal leakage. The study aimed to compare the effect of intracutaneous versus transcutaneous suturing of ileostomies on faecal leakage and quality of life.MethodsThis randomized trial was undertaken in 11 hospitals in the Netherlands. Patients scheduled to receive an ileostomy for any reason were randomized to intracutaneous or transcutaneous suturing (IC and TC groups respectively). The primary outcome was faecal leakage. Secondary outcomes were stoma‐related quality of life and costs of stoma‐related materials and reinterventions.ResultsBetween April 2011 and February 2016, 339 patients were randomized to the IC (170) or TC (169) group. Leakage rates were higher in the IC than in the TC group (52·4 versus 41·4 per cent respectively; risk difference 11·0 (95 per cent c.i. 0·3 to 21·2) per cent). Skin irritation rates were high (78·2 versus 72·2 per cent), but did not differ significantly between the groups (risk difference 6·1 (95 per cent c.i. –3·2 to 15·10) per cent). There were no significant differences in quality of life or costs between the groups.ConclusionIntracutaneous suturing of an ileostomy is associated with more peristomal leakage than transcutaneous suturing. Overall stoma‐related complications did not differ between the two techniques. Registration number: NTR2369 ( http://www.trialregister.nl).

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

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

Cited by 73 publications

References 14 publications

Surgical management of children with intractable functional constipation; experience of a single tertiary children's hospital

Surgical management of children with intractable functional constipation; experience of a single tertiary children's hospital

Is stoma care effective in terms of morbidity in complicated ileostomies?

Randomized clinical trial of intracutaneouslyversustranscutaneously sutured ileostomy to prevent stoma-related complications (ISI trial)

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