Assessment of complications in patients with intestinal stoma
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 3
Abstract
Stoma, though it is a lifesaving procedure, it carries significant number of complications. Despite extensive surgical expertise, complications after stoma creation still occur and often cause social isolation and a significant reduction in the quality of life. Factors affecting type and frequency of complications include surgical specialty, surgeon experience, emergency Vs Selective creation, appropriate preoperative marking and education, and patient issues such as age, obesity, diabetes and ability to care for stoma. Hence the present study was planned to evaluate the intestinal stoma and their complications. The present study was retrospective study done in the Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna. The clinical data of 50 patients over a period of three (3) years from January 2015 to January 2018 who underwent surgery for various reasons and were reviewed retrospectively to note any complication after the creation of intestinal stomas. Stoma formation is a frequently performed surgical procedure associated with high rates of postoperative complications. Stoma complications can significantly affect patients' quality of life and sense of well-being while burdening the health care system. Early referral to the tertiary hospital, early diagnosis, proper preoperative management like intravenous fluids, antibiotics, etc., early detection and prevention of hypotension, reduction of time duration for emergency laparotomy, close post-operative monitoring definitely reduce the morbidity and mortality of stoma.
Authors and Affiliations
Dr. Sanjay Kumar, Dr. Amarjit Kumar Raj, Dr. Rakesh Kumar singh, Dr. Manish Mandal
Keywords
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