Inflammatory bowel disease (IBD) is a chronic disease causing inflammation of the gastrointestinal tract. Some patients require ostomy surgery to optimize their health. This study assessed perceived medical and psychosocial educational needs related to ostomy surgery in pediatric patients with IBD. This mixed-methods study included qualitative interviews of pediatric patients and caregivers with demographic/medical variables obtained from medical records. Participants (n = 8) had an average age of 15.62 years (standard deviation = 2.97). Mean length of diagnosis was 4.5 years (standard deviation = 3.6 years). Interviews were transcribed and coded. Qualitative coding of narratives identified main codes of Ostomy Surgery, Preoperative Concerns, Postoperative Concerns, Education Preferences, and Social Concerns, with various subcodes. Codes captured unfamiliarity with the ostomies, preferences for education from a medical provider, and psychosocial concerns. Results suggest pediatric patients with IBD have limited understanding of ostomies and limited insight into educational preferences. These findings highlight the importance of developmentally appropriate information for accessible ostomy education.
Material and Method: A retrospective, longitudinal, observational, single-center study was conducted by reviewing the medical records of 653 patients and 1208 implants. Results: Patients over 65 accounted for 15.50% (101) patients and 203 implants were placed (16,80%). There were 17 complications (8.62%), 9 (4.56%) corresponded to the suture dehiscence, 3 (1.52%) infections, 2 (1.01%) to fracture or fenestration of the the cortical bone and lost 3 (1.52%) implants. 11 sinus lift (11.82%) were performed and there was piercing the membrane of Schneider in a case. Conclusions: 1-The main complication we can find is suture dehiscence. 2-Most complications were caused by external factors to patients. The 3-Most complications do not involve the failure of the implants. 4-3 implants were lost, representing 1.47% of the implants.
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