Estoma & câncer retal: revisão de 195 estomas realizados em 380 pacientes portadores de câncer retal

Abstract

Trabalho realizado pelo Grupo de Coloproctologia da Santa Casa de Belo Horizonte e Faculdade de Ciências Médicas de Minas Gerais.Recebido em 05/11/200705/11/ Aceito em 27/12/2007 OBJETIVO O objetivo deste trabalho é estudar 380 pacientes portadores de câncer retal, analisando, especificamente, os 195 estomas criados nos mesmos, estratificando-os em temporários e definitivos, descrevendo suas modalidades e indicações bem como suas complicações e abordagem das mesmas. São analisados os dados relacionados às várias cirurgias a que os pacientes foram submetidos, tanto como casos eletivos quanto como de urgência, estudando os que receberam estomas, seja como opção cirúrgica em cirurgias eletivas (e.g., estomas protetoras de anastomoses), ou opção de conduta em cirurgias de urgência (impossibi-

Characterization of patients with ostomy treated at a public municipal and regional reference center

“…The definitive characteristic of the ostomy was also the one most commonly found in most studies. 2,6,7,21 This is consistent with the underlying cause of the stoma, in which colorectal neoplasia is usually the most important one, determining resections that often preclude future reconstructions.…”

“…The type of ostomy more often performed in this population was a permanent colostomy. In all studies 2,4,6,7,14,21 that included this information, the colostomy was more prevalent than the ileostomy. The definitive characteristic of the ostomy was also the one most commonly found in most studies.…”

“…1 It is known that the ostomies performed in the digestive system, specifically colostomies and ileostomies, are the most frequent ones; they can serve as protection for anastomoses in elective surgeries, be an option in urgency surgeries (to avoid anastomosis in patients without preoperative preparation) or even as definitive procedure for patients without the possibility of future intestinal reconstruction, either as palliative (e.g., desobstruction for unresectable tumors) or curative treatment (e.g., abdominoperineal amputation in rectal tumor resection). 2 Its origin as a surgical procedure dates back to the eighteenth century, but it was only in the 1950s that new knowledge allowed its improvement. The continuous evolution of Medicine and related areas has allowed the use of better techniques to perform the ostomy and, concomitantly, new materials and equipment have also been developed, so that currently there is a wide range of pouching systems and other products for individuals with ostomies.…”