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Stoma complications: a multivariate analysis.

Juan C Duchesne1, Yi-Zarn Wang, Sharon L Weintraub

  • 1Department of Surgery, Louisiana State University Health Science Center, New Orleans, Louisiana 70112, USA.

The American Surgeon
|November 29, 2002
PubMed
Summary
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Gastrointestinal stoma complications occur in 25% of patients, with obesity and inflammatory bowel disease as key risk factors. Enterostomal nurse care significantly reduces these ostomy complications.

Area of Science:

  • Surgical Procedures
  • Gastroenterology
  • Patient Outcomes

Background:

  • Gastrointestinal stoma construction is a common surgical procedure.
  • Ostomy complications represent a significant challenge in patient care.
  • Understanding risk factors and preventative measures is crucial.

Purpose of the Study:

  • To analyze a large patient cohort to determine the frequency and types of ostomy complications.
  • To identify risk factors associated with ostomy complications.
  • To evaluate the impact of enterostomal nursing on complication rates.

Main Methods:

  • Retrospective chart review of patients undergoing ostomy construction over a 3-year period.
  • Data collection included demographics, indications, ostomy details, perioperative factors, and complications.

Related Experiment Videos

  • Case-control methodology and multiple logistic regression were used to identify significant predictors.

    • Main Results:

    • A total of 164 patients were analyzed, with 41 (25.0%) experiencing ostomy complications.
    • Common complications included prolapse, necrosis, stenosis, irritation, and infection.
    • Obesity (OR=2.66) and inflammatory bowel disease (OR=4.49) were significant predictors of complications.
    • Enterostomal nurse care was associated with a reduced risk of complications (OR=0.15).

    Conclusions:

    • Ostomies carry a high risk of complications, independent of stoma type or location.
    • Obesity and inflammatory bowel disease are identified as predisposing factors for ostomy complications.
    • The involvement of enterostomal nurses is instrumental in preventing ostomy-related complications.