PURPOSE: This study aims to provide an overview of all complications that may occur after construction of an ileostomy or colostomy (loop or end) in daily practice. METHODS: Between July 2007 and April 2008, all adult patients who underwent any type of intestinal stoma formation were asked to participate in this prospective cohort study. All relevant patient characteristics were gathered.Patients were evaluated for complications eight times in a1-year postoperative period. Enterostomal therapy nurses scored complications on specially designed forms. RESULTS: One hundred patients were included; two patients were lost before initial follow-up (FU). During FU, 21% of the patients deceased, and 15% were lost, physically unable to visit the outpatient clinic or withdrew from FU. In 37% of the patients, bowel continuity was restored. Only 26% of the patients were able to complete FU. Overall, 82% of all the patients had one or more stoma-related complications. Most common complications were skin irritation (55%), fixation problems (46%) and leakage (40%). Superficial necrosis,bleeding and retraction occurred in 20%, 14% and 9% of patients, respectively. More stoma related complications were found in stoma's on inappropriate locations. CONCLUSIONS: In this heterogenic patient population with formation of different stoma types, a high complication rate was detected.
PURPOSE: This study aims to provide an overview of all complications that may occur after construction of an ileostomy or colostomy (loop or end) in daily practice. METHODS: Between July 2007 and April 2008, all adult patients who underwent any type of intestinal stoma formation were asked to participate in this prospective cohort study. All relevant patient characteristics were gathered.Patients were evaluated for complications eight times in a1-year postoperative period. Enterostomal therapy nurses scored complications on specially designed forms. RESULTS: One hundred patients were included; two patients were lost before initial follow-up (FU). During FU, 21% of the patients deceased, and 15% were lost, physically unable to visit the outpatient clinic or withdrew from FU. In 37% of the patients, bowel continuity was restored. Only 26% of the patients were able to complete FU. Overall, 82% of all the patients had one or more stoma-related complications. Most common complications were skin irritation (55%), fixation problems (46%) and leakage (40%). Superficial necrosis,bleeding and retraction occurred in 20%, 14% and 9% of patients, respectively. More stoma related complications were found in stoma's on inappropriate locations. CONCLUSIONS: In this heterogenic patient population with formation of different stoma types, a high complication rate was detected.
Authors: Andrea Cercek; Melissa Lumish; Jenna Sinopoli; Jill Weiss; Jinru Shia; Michelle Lamendola-Essel; Imane H El Dika; Neil Segal; Marina Shcherba; Ryan Sugarman; Zsofia Stadler; Rona Yaeger; J Joshua Smith; Benoit Rousseau; Guillem Argiles; Miteshkumar Patel; Avni Desai; Leonard B Saltz; Maria Widmar; Krishna Iyer; Janie Zhang; Nicole Gianino; Christopher Crane; Paul B Romesser; Emmanouil P Pappou; Philip Paty; Julio Garcia-Aguilar; Mithat Gonen; Marc Gollub; Martin R Weiser; Kurt A Schalper; Luis A Diaz Journal: N Engl J Med Date: 2022-06-05 Impact factor: 176.079
Authors: Claudia Seifarth; Leonard N Augustin; Kai S Lehmann; Andrea Stroux; Johannes C Lauscher; Martin E Kreis; Christoph Holmer Journal: Front Surg Date: 2021-05-21