Abstract
The nutritional impact of colonic stomas in children. A case control study
Highlights
IntroductionColostomies are fashioned in children for several conditions majority of which are congenital colorectal disorders such as Hirschsprung’s disease and Anorectal malformations
Colonic stomas are fashioned in children for several conditions, the majority of these conditions are congenital colorectal disorders such as Hirschsprung’s disease (HSCD) and Ano-rectal malformations (ARM) [1]
The stomas are associated with recurrent trauma to the exposed mucosa and surrounding skin leading to chronic blood loss and anaemia which further worsens the nutrition state [1,4]
Summary
Colostomies are fashioned in children for several conditions majority of which are congenital colorectal disorders such as Hirschsprung’s disease and Anorectal malformations. Nutritional deficiencies may be seen in children with colostomies as a result of altered gut function, inadequate food intake and chronic anaemia. Colonic stomas are fashioned in children for several conditions, the majority of these conditions are congenital colorectal disorders such as Hirschsprung’s disease (HSCD) and Ano-rectal malformations (ARM) [1]. The stoma interrupts the normal gut function at the point where it is created, affecting the nature of output and the individual’s ability to absorb nutrients from food [2,3]. The stomas are associated with recurrent trauma to the exposed mucosa and surrounding skin leading to chronic blood loss and anaemia which further worsens the nutrition state [1,4]. It is likely that the dietary intake of patients with stoma is not adequate due to underlying disease, socio-economic factors or as an attempt to adapt the stomal output to a manageable socially acceptable state [5,6]
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