An appraisal of intestinal stomas at a tertiary hospital in South Western, Nigeria

Osinowo, Adedapo Olumide; Balogun, Olanrewaju Samuel; Olajide, Thomas; Lawal, Oluwagbemiga A; Adesanya, AA

doi:10.4103/jcls.jcls_23_18

Cited by 5 publications

(6 citation statements)

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“…In the present study, an average of 11 stomas was performed per year. This is at variance with the report of other series on creation of stomas [12,13]. The cohort of patients (pediatric/adult) recruited in the different studies may explain the discrepancies in incidence.…”

Section: Discussioncontrasting

confidence: 57%

Pediatric Stomas: A Study in a Teaching Hospital, Our Experience

Nkiruka¹,

Unebike²

2023

JCMR

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Background: A stoma is a purposeful surgical connection of a segment of a hollow viscus (intestine, ureter) to the anterior abdominal wall and can be a life-saving procedure. The aim of this study was to evaluate our experience in respect of stomas (ileostomies, colostomies, ureterostomies) performed in children. Materials and Methods: This was a retrospective study of children who had stoma created at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. Children who had intestinal or urinary tract stomas were included in the study and covered a 10-year period. The information analyzed included the patients’ age, gender, diagnosis, indications for the stoma creation, type of stoma (colostomy, ileostomy and ureterostomy), post-operative complications and treatment outcome. Results: A total of 112 stomas were created in children during the 10-year study period. There were 80 (71.4%) males and 32 (28.6%) females. Hirschsprung’s disease and typhoid intestinal perforation were the first and second most common indications for stoma creation. Colostomy creation and peristomal skin excoriations were the most performed stoma and most common post-operative complication respectively. Eleven (9.8%) patients expired due to respiratory failure and uncontrollable sepsis. Conclusion: Stoma creation may form an essential component for the treatment of surgical conditions in children and it can be life-saving. Stomas can be created for disorders of the intestinal and urinary tracts. There may be stoma complications accounting for morbidity experienced in these patients.

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Section: Discussioncontrasting

confidence: 57%

Pediatric Stomas: A Study in a Teaching Hospital, Our Experience

Nkiruka¹,

Unebike²

2023

JCMR

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“…Hussain S et al reported indication of colostomies as penetrating injury (50.87%) followed by obstruction (33.3%)and for ileostomy formation was enteric perforation (55.10%) followed by intestinal tuberculosis (20.40%) 11 . While in a study by Osinowo et al anastomotic dehiscence (15.3%) was commonest indication for de-functioning stomas and obstruction due to colorectal carcinoma (21.2%) as commonest indication for decompression stomas 16 . Congenital anomalies accounted for only a few cases in our study, may be due to early referral of such cases to pediatric surgeons unless a life threatening emergency.…”

Section: Discussionmentioning

confidence: 92%

Intestinal stomas: A clinical study in a Teaching Hospital, our experience

Karki

2020

J. Kathmandu Med. Coll.

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Background: An intestinal stoma is an opening of the intestine on anterior abdominal wall made with an intention of either decompression of an obstructed colon or diversion of stool. Intestinal stomas may be temporary or permanent, depending on their role. Objectives: The objective of this study was to determine the common indications and types of intestinal stomas, and outcomes of patients operated at Manipal Teaching Hospital, Pokhara, Nepal. Methodology: A retrospective cross-sectional study was conducted in 105 patients of intestinal stomas from February 2017 to March 2020 in a teaching hospital after approval from institutional review committee. Data were derived from medical records of patients and operation logbooks with the consecutive sampling method. Data were analyzed with the help of the Statistical Package for Social Sciences (SPSS) version20 and p value < 0.05 was considered significant. Results: Total of 105 patients with intestinal stomas was included for the study of which 82.9% (n=63) were emergency operations and 17.1% (n=13) were elective. There were 46 (43.80%) cases of ileostomy, 9(8.5%) jejunostomy and 50(47.6%) colostomy patients. Major indications of stoma formation were trauma 33.3% (n=35) and intestinal obstruction 22.8% (n=24). Complications were observed in 39 (37.14%) of the patients, with wound infection 11.8% (n=9) and peristomal dermatitis 11.8% (n=9) for ostomates being the commonest. Higher complications were seen with ileostomy as compared to colostomy (p=0.02) and loop ileostomy still higher than end ileostomy (p=0.00). Conclusion: Common indications for intestinal stomas were abdominal trauma, enteric perforation, intestinal obstruction and colorectal carcinoma. Main complications included local skin problems, wound infection and retraction.

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“…This could be from reactions caused by prolonged used of adhesive plaster that is used to secure the make shift ostomy pouch. Studies showed that skin irritations around the stoma may result from leakage of effluents from the stoma ( Choudhary and Kaur, 2020 ; Osinowo et al., 2018 ; Ceylan and Vural, 2017 ). This is in contrast with a study conducted by Sena (2018) where none of the participants had any skin complication around the stoma site.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of colorectal cancer (CRC) in Nigeria is 3.4/100,000, a good number of these patients end up needing an ostomy ( Irabor et al., 2010 ). In a South Western State in Nigeria, colorectal cancer was the most common indication for stoma creation ( Osinowo et al., 2018 ).…”

Section: Introductionmentioning

confidence: 99%