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Prospective analysis of stoma-related complications
I Robertson1, E Leung, D Hughes
1Department of Surgery, Monklands Hospital, Airdrie, UK.
Summary
Stoma complication rates do not improve over time, with parastomal hernias and ileostomy issues worsening. Ileostomy patients require additional support for persistent issues like leakage and soiling.
Area of Science:
- Surgical outcomes
- Gastroenterology
- Patient care
Background:
- Stoma complication rates vary widely (10-70%), potentially due to follow-up duration.
- Neglected complications like leakage, soiling, and night-time emptying cause distress.
- Prospective audit aimed to assess complication rates at different postoperative time-points.
Purpose of the Study:
- To prospectively evaluate stoma-related complication rates over time.
- To identify differences in complication incidence at various postoperative intervals.
- To investigate the impact of time on stoma complication resolution.
Main Methods:
- Prospective study of 408 patients with colostomy or ileostomy.
- Inclusion of both emergency and elective procedures.
- Analysis of stoma complications at 10 days, 3 months, 6 months, 1 year, and 2 years.
Main Results:
- Stenosis, retraction, prolapse, and odor rates remained stable over time.
- Ileostomy patients showed higher rates of skin excoriation, leakage, soiling, and night-time emptying, which did not improve.
- Parastomal hernia rates increased over time in both colostomy (0-40%) and ileostomy (0-22%) groups.
Conclusions:
- Postoperative stoma complication rates did not improve with time.
- Parastomal hernias and ileostomy-specific issues (night-time emptying) worsened over time.
- Ileostomy patients need enhanced support due to higher incidence of skin issues, leakage, soiling, and night-time emptying.