Early Stomal Complications

Abstract

The creation of intestinal stomas for diversion of enteric contents is an important component of the surgical management of several disease processes. However, complications of stoma creation are seen frequently, despite extensive measures aimed at reducing them. Early complications (those seen less than one month postoperatively) are frequently technical in nature. These include, but are not limited to, peristomal skin irritation, improper stoma site selection, acute peristomal herniation and bowel obstruction, and vascular compromise, along with several others. These authors review the early complications associated with stoma creation, discuss means of preventing them, and outline the management strategy for such complications when they do occur.Objectives: On completion of this article, the reader should be familiar with the diagnosis, management, and prevention of early complications arising from intestinal stoma creation.

Quality of Life and Psychological Well-Being of Colorectal Cancer Survivors in Jordan

“…The prevalence of early complications of stoma varied from 13.1% to 69.4% (Kann, 2008), while the prevalence rates of late complications varied from a low of 6% to a high rate exceeding 76% (Husain and Cataldo, 2008). There are several approaches to reduce such high complications rates (Husain and Cataldo, 2008;Kann, 2008). Preventive measures should be applied and patients need support and counseling to reduce feelings of embarrassment.…”

Peristomal skin complications: causes, effects, and treatments

“…[1][2][3][4][5][6][7][8][9] In principle, a stoma is an artificial opening through which the bowel protrudes, and is attached to the skin surface, allowing stool or urine to be diverted to the outside of the body. [4][5][6]9 The effluent must be separated from the skin, and contained within a pouching system that adheres to the skin.…”

“…1,4,6,[8][9][10][11][12] Ileostomies, and in particular loop ileostomies, are responsible for the greatest proportion of peristomal skin complications. 1,2,[4][5][6]11 Complications range from mild irritation to full thickness ulcerations leading to pain, anxiety, and in some cases significant social isolation related to the pouching system leaks. 1,4,8,10 They are some of the most common postoperative complications, and usually occur within the first two weeks of the creation of the stoma.…”

Ostomijų komplikacijos

“…Full-thickness necrosis above the fascia could lead to stenosis later, especially if it extends more than 1 or 2 cm, and early revision is recommended to prevent future stenosis. If necrosis extends below the fascia, an urgent reoperation is required [9][10][11].…”