ILEOSTOMIES AND COLOSTOMIES

Abstract

Background: An intestinal stoma is an opening of intestine on the anteriorabdominal wall made surgically. The commonly performed procedures include colostomy andileostomy. The purpose of the present study was to identify indications for commonly performedintestinal stomas and to study complications related to it. Objective: To identify indications forcommonly performed intestinal stomas and to study complications related to it. Study Design:Observational study. Setting: Department of General Surgery, Unit- B, Lady reading Hospital,Peshawar. Period: 1st Jan 2013, to 31st Dec 2013. Subjects and Method: A total of 106 patientswho underwent surgery and ended up in intestinal stomas, ileostomy or colostomy, were includedin the study. Indications, immediate and late complications of stomas were recorded. Results: Abreak up of 106 patients of different intestinal stomas. Majority (61.32%) of patients were males.There were 49 ileostomies and 57 cases of colostomy making a total of 106 patients. Mainindications of Ileostomy were enteric perforation (55.10%), and intestinal tuberculosis (20.40%).Main indications of colostomy were penetrating injuries (50.88%), and intestinal obstruction. Ina total of 106 stomas local complications appeared in 23 (21.69%). Skin excoriation, ulceration,lap and wound infection were the most common respectively. Seventy eight stomas including 36ileostomies and 42 colostomies were closed on an average of 3 months after primary operation.There were 7 cases of wound infection, 2 anastamotic leak-ages and one mortality (1.3%) in thestoma reversal group. Conclusion: Common indications for intestinal stomas were abdominalpenetrating trauma, enteric perforation, intestinal obstruction and intestinal tuberculosis. Maincomplications included local skin problems, wound infection and retraction.