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) ;
  • 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) ;
  • 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.

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