Advances in pediatric surgery
- Volume 8 Issue 1
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- Pages.11-15
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- 2002
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
Stomal Complications in Children
소아 장루의 합병증
- Park, Joong-Jai (Department of Surgery, Masan Samsung Hospital, Sungkyunkwan University College of Medicine) ;
- Lee, Joo-Hong (Department of Surgery, Masan Samsung Hospital, Sungkyunkwan University College of Medicine) ;
- Jung, Jong-Do (Department of Surgery, Masan Samsung Hospital, Sungkyunkwan University College of Medicine) ;
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Choi, Young-Cheol
(Department of Surgery, Masan Samsung Hospital, Sungkyunkwan University College of Medicine) ;
- Chung, Woo-Shik (Department of Surgery, Masan Samsung Hospital, Sungkyunkwan University College of Medicine) ;
- Jun, Si-Youl (Department of Surgery, Masan Samsung Hospital, Sungkyunkwan University College of Medicine)
- 박중재 (성균관대학교 의과대학 마산삼성병원 외과) ;
- 이주홍 (성균관대학교 의과대학 마산삼성병원 외과) ;
- 정종도 (성균관대학교 의과대학 마산삼성병원 외과) ;
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최영철
(성균관대학교 의과대학 마산삼성병원 외과) ;
- 정우식 (성균관대학교 의과대학 마산삼성병원 외과) ;
- 전시열 (성균관대학교 의과대학 마산삼성병원 외과)
- Published : 2002.06.30
Abstract
This is a 20 year analysis of the problems associated with enterostomy formation, and closure. Forty-three stomas were established in 43 patients: 23 for anorectal malformations, 11 for Hirschsprung's diseases, 4 for necrotizing enterocolitis, 3 for multiple ileal atresias, 1 for volvulus neonatorum with perforation, and 1 for diaphragmatic hernia with colon perforation. Thirty boys and 13 girls were included (mean age 4.8 months). Stoma complications were encountered in 13 patients (30.2 %): stomal prolapse, stenosis, obstruction, paracolic hernia, retraction, dysfunction, and skin excoriation, Four patients (9.3 %) required stomal revision. Occurrence of complications was not related to age and primary disease, but sigmoid colostomy showed lower complication rate than transverse colostomy (20.0 % vs 42.9 %, p<0.05). There were five deaths but, only one (2.3 %) was directly related to the enterostomy complication. Twenty-one stomas were closed in our hospital and complications occurred in seven patients (33.3 %). The most common complication was wound sepsis in 5 children. In conclusion, because the significant morbidity of stomal formation still exists, refinements of the surgical technique seem to be required, Sigmoid loop colostomy is preferred whenever possible.