Stoma complications

Park, John J.; Pino, Alberto Del; Orsay, Charles P.; Nelson, Richard L.; Pearl, Russell K.; Cintron, José; Abcarian, Herand

doi:10.1007/bf02236210

Cited by 310 publications

(106 citation statements)

References 4 publications

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“…However, after construction of the ileostomy, many patients (42%) experienced stoma-related complications. In the literature, this percentage ranges from 9 to 74% [5, 9, 17, 20, 23, 24, 25]. These complications enhance the adverse effect of an ileostomy per se on the quality of life.…”

Section: Discussionmentioning

confidence: 99%

Morbidity of Temporary Loop Ileostomies

et al. 2004

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Background/Aims: A temporary loop ileostomy is constructed to protect a distal colonic anastomosis. Closure is usually performed not earlier than 8–12 weeks after the primary operation. During this period, stoma-related complications can occur and enhance the adverse effect on quality of life. The aim of this study was to evaluate the length of time between ileostomy construction and closure, to quantify stoma-related morbidity and to examine the potential advantages of early ileostomy closure. Methods: Sixty-nine patients with a temporary, protective loop ileostomy (constructed between January 1996 and December 2000) were retrospectively analysed. The analysis was done by reviewing the medical records and the notes of the stoma care nurse. Results: Sixty ileostomies (87%) were closed after a median period of 24 weeks (range 2–124 weeks). Stoma-related complications occurred in 29 of the 69 patients (42%), and 11 patients (18%) had complications after ileostomy closure. Conclusion: The length of time between ileostomy construction and closure was substantially longer than initially planned. Earlier ileostomy closure (preferably even during the initial admission) could reduce the frequently occurring stoma-related morbidity in these patients and thus improve quality of life.

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Section: Discussionmentioning

confidence: 99%

Morbidity of Temporary Loop Ileostomies

et al. 2004

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“…A variety of surgical techniques has been used either locally at the stoma site or following laparotomy and attempting internal fixation or major reconstruction of the colostomy. Many of the aforementioned methods, however, are associated with remarkable morbidity especially those requiring laparotomy or major stoma revision, in elderly patients [1,4,5].…”

Section: Discussionmentioning

confidence: 99%

Local treatment of a loop colostomy prolapse with a linear stapler

2005

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Stomal prolapse is considered to be a common complication especially following loop colostomies. A variety of methods has been reported for the management of this condition, with many of them requiring extensive reconstruction of the stoma under anesthesia. We report a simple and fast technique for the local correction of the prolapse under minor sedation. A linear stapler device was applied for the amputation and reconstruction of the prolapse stoma at the desired level.

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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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Stoma complications

Abstract: Complications from enteric stoma construction are common. Preoperative enteric stoma site marking, especially in older patients, and avoiding the ileostomy, particularly in the loop configuration, can help minimize complications.

Cited by 310 publications

References 4 publications

Morbidity of Temporary Loop Ileostomies

Morbidity of Temporary Loop Ileostomies

Local treatment of a loop colostomy prolapse with a linear stapler

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

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