A Prospective Study of Intestinal Stomas

Abstract

Background and Objectives: Intestinal stomas are commonly constructed in an emergency as well as elective setting for a variety of indications. Historically associated with a high morbidity, evolution of skills on the part of the surgeon has lead to better understanding of the indications, complications and management of a stoma. This study aims to evaluate the above mentioned parameters and hence improve the outcome of patients undergoing a stoma. Method 50 patients admitted in MMIMSR, Mullana (Ambala) and later operated and managed with a stoma were closely followed up from the date of admission to the date of discharge and the various parameters were studied. Results The indications, technique, complications and its management were studied in detail by following patients in person or through phone and the results were analyzed in detail. Interpretation and Conclusion Construction and management of stoma was associated with a few complications. Most patients however tolerated the procedure well and the overall compliance was satisfactory. Loop ileostomy was the commonly constructed stoma and the one associated with most complications. Transverse loop colostomy was associated with no complications and was extremely well tolerated.