KMID : 0356719980140020299
|
|
Journal of the Korean Society of Coloproctology 1998 Volume.14 No. 2 p.299 ~ p.304
|
|
Stomal Complications in Infants and Children
|
|
Jun Si-Youl
Choi Hyun-Chul Lee Seok Jung Keuk-Won Jung Woo-Sik
|
|
Abstract
|
|
|
We performed this study to analyse the morbidity and mortality of stoma formation in infants and children over a 17-year period. Thirty-seven stoma formations were performed in 37 patients: 21 for anorectal malformation, 9 for Hirschsprung¡¯s disease, 3 for necrotizing enterocolitis, 2 for multiple ileal atresia, 1 for volvulus neonatorum with perforation, and 1 for diaphragmatic hernia with colon perforation. There were 26 boys and 11 girls with a mean age of 0.4 years. Complications after stoma formation were encountered in 12 patients(32.4%) and included stomal prolapse, stenosis, retraction, dysfunction, skin excoriation and parastomal hernia. Four patients(10.8%) required stomal revision. The incidence of complications was neither related to the age nor to the primary indication for the stoma formation, but sigmoid colostomy was associated with a lower complication rate compared to transverse colostomy(22.1% versus 42.1%, P£¼0.05). Five patients died, but only one(2.7%) was dead, which was directly related to stoma formation. Eighteen of these children subsequently underwent stoma closure which was associated with complications in six patients(33.3%). The most common complication after stoma closure was wound sepsis in 4 children. In conclusion, because the significant morbidity of stoma formation still exists the refinements in surgical technique may help in reducing the incidence of complications and a sigmoid loop colostomy should be used whenever possible.
|
|
KEYWORD
|
|
Colostomy, Complication, Child
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|