Comparative Analysis between Natural Evacuation and Irrigation Technique in Patients with Colostomy.
- Author:
Kang Hong LEE
;
Hae Ok LEE
;
Mi Suk KIM
;
Chang Sik YU
;
Jin Cheon KIM
- Publication Type:Original Article
- Keywords:
Colostomy;
Irrigation;
Rectal cancer
- MeSH:
Colon;
Colon, Sigmoid;
Colostomy*;
Humans;
Odors;
Surveys and Questionnaires;
Rectal Neoplasms;
Recurrence;
Skin
- From:Journal of the Korean Society of Coloproctology
1998;14(3):453-458
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sixty-three patients with permanent sigmoid colostomy were surveyed to evaluate their satisfaction and complications with the "irrigation technique" and the "atural evacuation" of the colostomy management (irrigation technique; 32 patients, natural evacuation; 31 patients). All patients had colostomy for at least 12 months without disease recurrence. Each patient was interviewed in addition to standard questionnaire. The irrigation was not associated with any major complication including colonic perforation. The irrigation was used younger age group than the natural evacuation (53+/-10 vs. 62+/-12, P=0.01). The frequency of bowel movement was lower in the irrigation than in the natural evacuation (5.1+/-2.5/wk vs. 10.8+/-9.0/wk, P=0.04). Five patients (16%) of the irrigation experienced spontaneous bowel action but only one patient suffered from it. The time spent for managing irrigation was 59+/-13 minutes. Twenty-three patients (74%) of the natural evacuation suffered from one or moreproblems such as expensive apparatus, leakage, skin irritation or odor. Sixteen patients (52%) of the natural evacuation and 2 patients (6%) of the irrigation were restricted in social activity (P=0.0001). Thirteen patients (42%) of the natural evacuation and 1 patient (3%) of the irrigation were dissatisfied with colostomy management (P=0.002). Thus, the irrigation technique seems to be more effective and satisfactory method for managing colostomy without compromising patient's social activity when it is performed in appropriately selected patients.
