AN OBSERVATIONAL CLINICAL STUDY OF 40 CASES OF INTESTINAL STOMA CLOSURE AND ITS COMPLICATIONS AT TERTIARY CARE HOSPITAL SOUTH GUJARAT

Abstract

Background: Intestinal stoma whether temporary or permanent as its own complication which increase the morbidity of the patient and hospital stay .In this article we have tried to analyze the various complications faced in 40 cases of stoma closure in a tertiary care hospital and factors affecting the outcome of patient undergoing stoma closure which determine morbidity and decrease hospital stay. To Observe certain complications of intestinal stoma c Aims And Objectives: losure that are common in certain age group with ileoileal, ileo colonic &colo-colonic types of intestinal stoma and its Outcome in Certain Age groups. Data was collected from case METHODS: reviews of patients admitted and operated in the hospital during the period of May 2018 to April 2020 and different parameters have been taken into consideration regarding the stoma closure and its related complications. Results & Conclusion :Among 40 patients anastomotic leak is most common complication followed by obstruction due to stenosis or stricture and wound site complications.Abdominal tuberculosis is the commonest comorbidity associated with the overall post- operative complications, anastamotic leak and mortality.There is higher probability of anastamotic leak with the lower values of albumin and protein, with bowel lumen disparity and lower if early stoma closure was done(<90days)