EVALUATION PROFILE OF INTESTINAL STOMAS AT A TERTIARY CARE CENTRE OF CENTRAL INDIA

Jagdish B Hedawoo, Nirjhar Raj, Vinod N. Rathod

Abstract


Aim:  To study indications, types and different uses of stoma. To study causes of complications, management to them; and time interval between stoma creation and closure.

Method: From July 2010 to October 2012,266 patients of intestinal stoma including colostomy, ileostomy, urostomy were studied in 28 months in all age group.

Results and conclusion: Out of 266 cases of stoma studied 188 cases (70.6%) were of colostomy, 78 cases (29.3%) were of ileostomy. Stoma construction is more common in age group >12yrs (61.3%) with male preponderance (76.3%). Most of the stomas were done on emergency (60.1%) basis by junior doctors without preoperative bowel preparation. Most of stomas were temporary (77.5%) and closure was done after 6 wks interval. Complications are more with ileostomy (53.8%) than colostomy. Complications can be minimized by preoperative bowel preparation, availability of stoma therapist, surgery in elective hours and by senior doctor.


Keywords


Stoma, Intestinal stoma, Stoma creation, Stoma closure, Ileostomy, Colostomy.

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