Intestinal Stoma Experience Of 100 Cases At Tertiary Care Hospital

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(B), Issue. (2)
First page: (29) Last page: (38)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Intestinal Stoma Experience of 100 Cases At Tertiary Care Hospital    
Kaushal D Suthar1 and Viraj D Patel2*
1Associate Professor, 2First  Year Resident, Sheth V.s. Hospital & Nhl Municipal Medical College, Ellisbridge   Ahmedabad. Pin 380006
Corresponding author email id: viraj221@yahoo.co.in  

Online Published on 02-Jul-2019

ABSTRACT

Introduction :An intestinal stoma is an opening of the intestine on anterior abdominal wall made surgically. Stomas are used to divert the fecal stream away from distal bowel in order to allow a distal anastomosis to heal as well as to relieve obstruction in emergency situation. Aims & Objectives : 1) to identify indications for commonly performed stomas 2) to study complications associated with stomas.
Methods: This is a retrospective study was carried out in a surgical unit of A tertiary teaching Hospital, Ahmedabad from January 2016 to December 2018. Data was collected retrospectively from medical records and meticulous history taking including age, gender, indication, type of stoma, type of surgery, careful clinical examination, appropriate operative findings and follow up of the cases were noted. The results were analyzed and compared with other studies. Results: A total of 100 patients were evaluated age ranged between 12- 85 years (50.5 ± 29.01 years) Male to female ratio was 7:3. Of the 100 patients 88 were admitted in emergency while 12 in out-patient department. The most common type of stoma made was loop ileostomy (62%) followed by sigmoid colostomy (13%) and transverse loop colostomy (9%). Main indication for a stoma formation was enteric perforation (35%) followed by Koch’s abdomen (16%). Of the various complications encountered with intestinal stoma, peristomal skin irritation (45%) was the most consistent complication followed by laparotomy wound infection (22%). Conclusions: In Spite of vast exposure of general surgeons towards stoma formation the complications are inevitable. Early detection of complication and its timely management is the keystone.

Keywords

Intestinal stoma, Indications, Complication

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