Stomal Complications in Infants and Children.
- Author:
Si Youl JUN
;
Hyun Sheol CHOI
;
Seok LEE
;
Keuk Won JEONG
;
Woo Shik CHUNG
- Publication Type:Original Article
- Keywords:
Colostomy;
Complication;
Child
- MeSH:
Child*;
Colon;
Colon, Sigmoid;
Colostomy;
Constriction, Pathologic;
Enterocolitis, Necrotizing;
Female;
Hernia;
Hernia, Diaphragmatic;
Hirschsprung Disease;
Humans;
Incidence;
Infant*;
Intestinal Volvulus;
Mortality;
Prolapse;
Sepsis;
Skin;
Wounds and Injuries
- From:Journal of the Korean Society of Coloproctology
1998;14(2):299-304
- CountryRepublic of Korea
- Language:Korean
-
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<0.05). 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.
