Stoma complications: a literature overview

Shabbir, J.; Britton, D C

doi:10.1111/j.1463-1318.2009.02006.x

Cited by 395 publications

(414 citation statements)

References 61 publications

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“…One of the complications of ileostomy, and one of the causes of output obstruction, is the pressure differential between the intestinal tract and the rectus muscle 7) .…”

Section: Discussionmentioning

confidence: 99%

Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure

Hada

Hayashi

Sawada

et al. 2018

J Anus Rectum Colon

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Abstract:Objective: The use of laparoscopic surgery for rectal disease is expected to provide good cosmetic benefits for patients postoperatively. However, this expectation is significantly reduced when a diverting ileostomy is created. We present a new technique that reduces the size of the skin wound by constructing a diverting ileostomy in the umbilicus. This procedure, diverting umbilical ileostomy (umbistoma) does not require special tools for its construction and closure. Methods: Twenty-nine patients underwent treatment with umbilical diverting stoma, including five women and 24 men, with a mean age of 70 years (range: 40-88 years). At the time of ostomy closure, a new umbilicus was formed by subcutaneously suturing the wound to the fascia. In addition, we did not close the new umbilical upper and lower spaces, so as to allow open drainage of the healing wound. Results: All procedures were completed successfully without any perioperative complications. Conclusions: Our findings suggest that the umbilical diverting stoma could provide improved safety and cosmetic advantages in laparoscopic rectal resection.

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“…One of the complications of ileostomy, and one of the causes of output obstruction, is the pressure differential between the intestinal tract and the rectus muscle 7) .…”

Section: Discussionmentioning

confidence: 99%

Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure

Hada

Hayashi

Sawada

et al. 2018

J Anus Rectum Colon

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“…There are many reports concerning the effect of diverting ileostomy on reducing the incidence of anastomotic leakage and the severity of pelvic peritonitis [1][2][3] . However, a number of complications induced by ileostomy itself have also been reported, including peristoma dermatitis, stoma ischemia, stoma retraction, high-output stoma, and bowel obstruction as early complications and parastomal hernia, stenosis, and prolapse as late complication 4,5) . Bowel obstruction includes a special condition induced by obstruction at the outlet of the stoma called "outlet obstruction."…”

Section: Introductionmentioning

confidence: 99%

Incidence and risk factor of outlet obstruction after construction of ileostomy

Ohira

Miyauchi

Hayano

et al. 2018

J Anus Rectum Colon

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Abstract:There are several reports on the usefulness of diverting ileostomy for decreasing the incidence of anastomotic leakage and the severity of pelvic peritonitis. However, a number of complications induced by ileostomy itself have also been reported, including a special condition induced by obstruction at the outlet of the stoma known as "outlet obstruction." In this study, we examined the frequency and risk factors of this complication based on the data of ileostomy cases in our institution. Methods: One hundred and seven patients who received ileostomy creation at our department from January 2010 to December 2015 were included. The incidence of outlet obstruction and risk factors were analyzed. Results: Outlet obstruction occurred in 18 cases (16.8%). The incidence was significantly higher in total colectomy or proctocolectomy cases as well as in those with left side construction and laparoscopic surgery than in other patients in a univariate analysis. However, in a multivariate analysis, no risk factors were extracted. Conclusions: To determine the true cause of this disease, a prospective study with a large number of cases is needed. Since multiple terms are used for this condition, resulting in confusion, a consensus on the appropriate terms is also important.

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“…These complications were diagnosed according to standard predefined criteria and were based on those occurring most frequently2, 4, 16, 17, 18, 19, 20, 21, 22. General postoperative complications were recorded, including surgical‐site infection, abdominal abscess, ileus, abdominal fascia dehiscence, anastomotic leakage, pneumonia, urinary tract infection and a miscellaneous (other) group.…”

Section: Methodsmentioning

confidence: 99%

Randomized clinical trial of intracutaneouslyversustranscutaneously sutured ileostomy to prevent stoma-related complications (ISI trial)

Sier¹,

Wisselink²,

Ubbink³

et al. 2018

British Journal of Surgery

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BackgroundIleostomy construction is a common procedure but can be associated with morbidity. The stoma is commonly secured to the skin using transcutaneous sutures. It is hypothesized that intracutaneous sutures result in a tighter adherence of the peristomal skin to the stoma plate to prevent faecal leakage. The study aimed to compare the effect of intracutaneous versus transcutaneous suturing of ileostomies on faecal leakage and quality of life.MethodsThis randomized trial was undertaken in 11 hospitals in the Netherlands. Patients scheduled to receive an ileostomy for any reason were randomized to intracutaneous or transcutaneous suturing (IC and TC groups respectively). The primary outcome was faecal leakage. Secondary outcomes were stoma‐related quality of life and costs of stoma‐related materials and reinterventions.ResultsBetween April 2011 and February 2016, 339 patients were randomized to the IC (170) or TC (169) group. Leakage rates were higher in the IC than in the TC group (52·4 versus 41·4 per cent respectively; risk difference 11·0 (95 per cent c.i. 0·3 to 21·2) per cent). Skin irritation rates were high (78·2 versus 72·2 per cent), but did not differ significantly between the groups (risk difference 6·1 (95 per cent c.i. –3·2 to 15·10) per cent). There were no significant differences in quality of life or costs between the groups.ConclusionIntracutaneous suturing of an ileostomy is associated with more peristomal leakage than transcutaneous suturing. Overall stoma‐related complications did not differ between the two techniques. Registration number: NTR2369 ( http://www.trialregister.nl).

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Stoma complications: a literature overview

Cited by 395 publications

References 61 publications

Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure

Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure

Incidence and risk factor of outlet obstruction after construction of ileostomy

Randomized clinical trial of intracutaneouslyversustranscutaneously sutured ileostomy to prevent stoma-related complications (ISI trial)

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