Stomal Complications in Children.
- Author:
Joong Jai PARK
1
;
Joo Hong LEE
;
Jong Do JUNG
;
Young Cheol CHOI
;
Woo Shik CHUNG
;
Si Youl JUN
Author Information
1. Department of Surgery, Masan Samsung Hospital, Sungkyunkwan University College of Medicine, Masan, Korea.
- Publication Type:Original Article
- Keywords:
Colostomy;
Complication;
Child
- MeSH:
Child*;
Colon;
Colon, Sigmoid;
Colostomy;
Constriction, Pathologic;
Enterocolitis, Necrotizing;
Enterostomy;
Female;
Hernia;
Hernia, Diaphragmatic;
Humans;
Intestinal Volvulus;
Prolapse;
Sepsis;
Skin;
Wounds and Injuries
- From:Journal of the Korean Association of Pediatric Surgeons
2002;8(1):11-15
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This is a 20 year analysis of the problems associated with enterostomy formation, and closure. Forty-three stomas were established in 43 patients: 23 for anorectal malformations, 11 for Hirschsprung's diseases, 4 for necrotizing enterocolitis, 3 for multiple ileal atresias, 1 for volvulus neonatorum with perforation, and 1 for diaphragmatic hernia with colon perforation. Thirty boys and 13 girls were included (mean age 4.8 months). Stoma complications were encountered in 13 patients (30.2 %): stomal prolapse, stenosis, obstruction, paracolic hernia, retraction, dysfunction, and skin excoriation. Four patients (9.3 %) required stomal revision. Occurrence of complications was not related to age and primary disease, but sigmoid colostomy showed lower complication rate than transverse colostomy (20.0 % vs 42.9 %, p<0.05). There were five deaths but, only one (2.3 %) was directly related to the enterostomy complication. Twenty-one stomas were closed in our hospital and complications occurred in seven patients (33.3 %). The most common complication was wound sepsis in 5 children. In conclusion, because the significant morbidity of stomal formation still exists, refinements of the surgical technique seem to be required. Sigmoid loop colostomy is preferred whenever possible.
