Colostomy Complications in Childhood: Analysis of 84 Patients
Journal Title: JOURNAL OF CONTEMPORARY MEDICINE - Year 2018, Vol 8, Issue 3
Abstract
Introduction: Colostomies play a vital role in the surgery of congenital and acquired gastrointestinal system pathologies. Despite improvements in surgical approaches, surgical morbidity and complication rates are still high. The incidence of complications after colostomy is reported in the literature between 10% to 74%.Materials and Methods: Eighty-four patients who underwent colostomy due to congenital and acquired pathologies in pediatric surgery clinics of Van Yuzuncuuyil University and Van Regional Education and Research Hospital were evaluated retrospectively. Patients were compared in terms of risk factors, urgency status, reasons for opening colostomy, location of opening area in abdomen wall, types and complications.Results: 84 patients were found to have colostomy for different reasons. 52 of the patients were male and 42 were female. The most frequent anorectal malformations and Hirschsprung's disease revealed colostomy. Complications related to colostomy were found in 72% of the cases. A total of 14 patients underwent colostomy revision. The most common complication was stomal dermatitis with 67% and colostomy prolapse with 16%. Conclusion: Surgical technique errors and lack of care increase the morbidity by affecting the comfort of the patient. Prophylactic care and awareness of complications will reduce morbidity and mortality.
Authors and Affiliations
burhan beger, metin Simsek, ebuzer DÜZ, Baran Serdar Kızılyıldız
Keywords
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- EP ID EP423509
- DOI 10.16899/gopctd.429287
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