Stoma Complications

Erol, Timüçin

doi:10.32552/2019.actamedica.364

Cited by 3 publications

(5 citation statements)

References 28 publications

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“…This would make sense since majority of the study participants in our study never used stoma bags routinely, yet stoma bags are very important in the prevention of skin complications following stoma placement (16). Also ileostomies contain digestive juices which cause insult to the skin resulting in skin excoriation (21), and it's not surprising that they were the commonest complication seen. Contrary to our ndings, Whelan et al (23) in south Africa, reported that the commonest stoma complication was high output stoma representing 80% of all complications.…”

Section: Discussionmentioning

confidence: 99%

“…This is possibly because in children, the anterior abdominal wall is not fully developed which may create changes in xing the bowel to the fascia. But also cough is a common condition in children which cough increases intra-abdominal pressure that has been associated with these prolapses (21).…”

Section: Discussionmentioning

confidence: 99%

“…Prolapse is a complication that usually results from increased intra-abdominal pressure (21), and so it was seen late possibly because in children recurrent chronic cough could have resulted in the increase in intra-abdominal pressure.…”

Section: Discussionmentioning

confidence: 99%

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Incidence, patterns and factors associated with ileostomy complications in two selected hospitals in Western Uganda

Ali,

Mauricio,

Kyomukama

et al. 2023

Preprint

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Introduction: In resource limited settings, the burden of stomas is high due to inadequate elective surgical service. This results in a big number of patients living with stomas for a long time with substandard stoma care, hence, ileostomy complications. This study aimed to determine the incidence, patterns and factors associated with ileostomy complications in two selected hospitals in western Uganda. Methods This was a prospective observational study conducted in the surgical departments of two regional referral hospitals in western Uganda. Patients were enrolled at the time of ileostomy creation and followed up for 6 weeks to assess for occurrence of complications, the time they occurred and the management. Analysis was done using SPSS version 26 with Poisson regression done to determine the factors associated with occurrence of complications. Results Among the 74 patients enrolled, the mean age was 30.2 years (SD = 18.5). Majority of the stomas were cared for by non-medical personnel 54(73.0%), with only 10(13.5%) using stoma bags routinely. The incidence of stoma complications was 68.9% (95%CI = 58.1%-79.7%). The commonest complication was skin excoriation accounting for 43.1% of the complications, followed by prolapse (15.7%), high output stoma (15.7%), and stoma retraction (15.7%). Majority of the complications occurred in the first week (39.2%). Most of the complications were managed non-operatively 30(58.8%). Not using a stoma bag was independently associated with occurrence of complications (aRR = 4.692, CI = 1.131–19.459, P = 0.033). Conclusion More efforts are still needed in reducing ileostomy complications and immediate efforts should be focused on providing standard stoma bags that are affordable to the patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Incidence, patterns and factors associated with ileostomy complications in two selected hospitals in Western Uganda

Ali,

Mauricio,

Kyomukama

et al. 2023

Preprint

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“…У післяопераційному періоді у 24 хворих спостерігалися ускладнення після формування стом. У ранньому післяопераційному періоді спостерігались: парастомальний дерматит (17) з ерозуванням (8), парастомальний інфільтрат (3), парастомальний абсцес (1), ретракція стоми (3), відходження стоми від шкіри і її провалювання (3), некроз стоми (1), кровотеча (1), неспроможність кукси (1), абсцес черевної порожнини (1). У пізньому післяопераційному періоді відмічено: лігатурні нориці (7), пролапс стоми (3), стриктура стоми (1), парастомальні грижі (2), гіпергрануляції (6).…”

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“…Виникнення даних ускладнень залежить від багатьох факторів, починаючи від порушень хірургічної техніки та правил формування стоми, неврахування анатомічної будови передньої черевної стінки до порушень правил догляду за стомою, використання неналежних за розмірами калоприймачів. Це все вимагає ретельного догляду за стомою у післяопераційному періоді, а у випадку появи таких пізніх ускладень, як пролапс, стриктура, ретракція, лігатурні нориці, парастомальна грижа -виконання реконструктивно-відновної операції [6,7,8].…”

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Thin and Thick Bowl Stomas: Etiology and Types of Complications

Shaprynskyi

Verba

Shaprynskyi

et al. 2022

Scientific and practical journal

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The eight-year armed conflict in eastern Ukraine, which escalated into a full-scale war over the russian invasion, has led to an increase in the number of wounded with injuries to the abdominal cavity, retroperitoneal space and pelvis. This has led to an increase in the number of patients with intestinal stoma. The aim of our research was to analyze the surgical interventions that result in the formation of intestinal fistula, as well as the types of complications from the stoma. Materials and methods. The results of treatment of 90 patients who were treated at the Military Medical Clinical Center of the Central Region and the Military Medical Clinical Center of the Northern Region, who underwent surgery with formation of intestinal fistula for the period from 2015 to 2022, were studied. The reasons for surgery in 19 cases were combat trauma to the abdomen, in 53 cases – intestinal disease of malignant origin, in 15 – diverticular disease, others: stab wound to the abdomen – in 1, pelviorectal paraproctitis – in 1, mesenteric thrombosis – in 1. Results. In the postoperative period 24 patients had complications after stoma formation. These complications were divided into complications from the stoma and intestine of the stoma, as well as the skin around the stoma. Some patients had 2-3 complications, so the total number of complications exceeded the total number of patients with complications. Early complications were most often observed. Among them were: parastomal dermatitis (17) with ulceration (8), parastomal infiltrate (3), parastomal abscess (1), retraction of the stoma (3), stoma deviation from skin and its failure (3), necrosis of the stoma (1), bleeding (1), failure of the gut stump (1), abdominal abscess (1). Parastomal infiltrate and abscess occurred in patients with perforated diverticulitis, which required urgent surgery: opening and drainage. The onset of stoma retraction is associated with a violation of the method of stoma formation and also required surgery. Failure of the stoma with its discharge from the skin, necrosis of the stoma required surgery in the form of its reconstruction. Bleeding from the stoma in one patient was stopped conservatively. Failure of the stump sutures of the distal intestine occurred in one patient and led to the formation of an abscess of the pelvic cavity, which also required urgent surgery. Among the late complications we noted: prolapse of the stoma (3), ligature fistulas (7), stricture of the stoma (1), parastomal hernias (2), hypergranulation (6). The frequency of these complications, in our opinion, depends on the correct formation of the stoma with proper surgical techniques, taking into account the anatomical features of the structure of the anterior abdominal wall, the constitutional characteristics of the patient, the degree of infection of parastomal tissues. Conclusions. The most common early complications after stoma formation are purulent-inflammatory, which occurred in 27.78 % of patients operated on urgently. At parastomal abscess, failure of stoma, its necrosis urgent surgical intervention is indicated. Among late complications, complications such as ligature fistulas, prolapse and paracolostomy hernias were common – up to 14.4 %, which required surgical correction. The main reasons for the development of parastomal complications are non-compliance with the rules of stoma formation, constitutional features of patients, disregard for the anatomical features of the structure of the anterior abdominal wall, infection of paracolostomy tissues, defects of stoma care.

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Intestinal Stoma: Causes of Formation and Its Complications

Shaprynskyі¹,

Verba²,

Shaprynskyi³

et al. 2022

Khark. Surg. Sch.

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Abstract. Aim. The aim of our work was to analyze the causes of intestinal fistula formation in injuries and diseases of the abdominal cavity of different genesis and to identify the causes of complications in them. Materials and methods. The results of treatment of 88 patients who were treated at the Military Medical Clinical Center of the Central Region and the Military Medical Clinical Center of the Northern Region, who underwent surgery with formation of intestinal fistula for the period from 2015 to 2022, were studied. The reasons for surgery in 17 cases were combat trauma to the abdomen, in 53 ca-ses – intestinal disease of malignant origin, in 15 – diverticular disease, others: stab wound to the abdomen – in 1, pelviorectal paraproctitis – in 1, mesenteric thrombosis – in 1. Results and discussion. In the postoperative period 22 patients had complications after stoma formation. These complications were divided into complications from the stoma and intestine of the stoma, as well as the skin around the stoma. Some patients had 2-3 complications, so the total number of complications exceeded the total number of patients with complications. Among the early complications were observed: parastomal dermatitis (17) with ulceration (8), parastomal infiltrate (3), parastomal abscess (1), retraction of the stoma (3), stoma deviation from skin and its failure (1), necrosis of the stoma (1), bleeding (1), failure of the gut stump (1), abdominal abscess (1). Among the late complications we noted: prolapse of the stoma (3), ligature fistulas (7), stricture of the stoma (1), parastomal hernias (2), hypergranulation (6). The frequency of these complications, in our opinion, depends on the correct formation of the stoma with proper surgical techniques, taking into account the anatomical features of the structure of the anterior abdominal wall, the constitutional characteristics of the patient, the degree of infection of parastomal tissues. Conclusions. The most common early complications after stoma formation are purulent-inflammatory, which occurred in 25.0 % of patients operated on urgently. Among late complications, complications such as ligature fistulas, prolapse and paracolostomy hernias were common – up to 7.95 %, which required surgical correction.

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Stoma Complications

Cited by 3 publications

References 28 publications

Incidence, patterns and factors associated with ileostomy complications in two selected hospitals in Western Uganda

Incidence, patterns and factors associated with ileostomy complications in two selected hospitals in Western Uganda

Thin and Thick Bowl Stomas: Etiology and Types of Complications

Intestinal Stoma: Causes of Formation and Its Complications

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