Evaluation of the end colostomy complications and the risk factors influencing them in Iranian patients

Abstract

The risk of most prevalent complications of colostomy construction increases in elder patients. The high prevalence of psychosocial and skin problems in patients with a colostomy, needs special attention especially from the viewpoint of education by trained stoma nurses and preparation of standard equipment.

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

“…A taxa de complicação dos estomas em nossa casuística foi de 7,2%, taxa esta impossível de ser comparada às taxas relatadas na literatura, uma vez que, em alguns estudos são levados em consideração complicações mínimas (infecções urinárias, incontinência urinária de alguns dias, incontinência fecal de alguns dias, pequenos abscessos de parede abdominal, dentre outros). Exatamente por este motivo algumas taxas de morbilidade variam em torno de 10% e outras em torno de até 70% 10,11,12 . …”

Evaluation of psychiatric illness in Iranian stoma patients

“…Furthermore, in comparison with similar studies performed in other countries [5,7,21], psychiatric problems, like other complications of this surgery (i.e., dermal irritation and mucosal hemorrhage), seem to be more prevalent in Iranian stoma patients [6]. Bekkers et al [7] evaluated the prevalence of mental disturbances reported in studies done between 1982 and 1992 and stated frequencies of about 23% emotional problems, 45% decreased social contacts, and 57% decreased libido in stoma patients.…”

“…Due to some limitations of access to the suitable instruments for stoma care and trained staff in Iran, there might be different aspects of postoperative complications. The only study [6] that evaluated stoma patients in Iran indicated that postoperative problems, especially psychosocial ones, have a rather high frequency in comparison with other reports, but since no standardized questionnaire was applied for the evaluation of psychosocial problems and their severity, further studies were needed. Therefore, the main objective of this study was to assess the nonpsychotic psychiatric disorders of stoma patients in Iran.…”

“…Investigations of studies confirm the existence of a variety of psychosocial problems, especially in the emotional, sexual, and social areas [2,[5][6][7]. Around one quarter of stoma patients experience clinically significant psychosocial symptoms postoperatively [8], and living with a permanent ostomy significantly diminishes a patient's quality of life [9].…”

Insurgence of Maggots Around Colostomy: An Unusual Presentation

“…The patients with stoma may develop complication like parastomal hernia, stomal stenosis, necrosis, retraction, skin irritation or rare complications like prolapse, perforation, fistula, dehydration etc. [10]. Colostomy care is a very important domain of the post operative care but it is sometimes neglected by the patient and relatives in developing countries.…”