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Stoma complications: a literature overview.
1Colorectal Surgery, Frenchay Hospital, Bristol, UK Royal United Hospital, Bath, UK. jshabbir@aol.com
Summary
Stoma formation in colorectal surgery can lead to serious complications like leakage and hernias, affecting 21-70% of patients. This review summarizes common stoma-related issues and their management.
Area of Science:
- Colorectal Surgery
- Surgical Complications
- Stoma Therapy
Background:
- Stoma formation is a frequent procedure in colorectal surgery for malignant and inflammatory bowel diseases.
- Improper stoma formation can result in significant patient complications, impacting quality of life.
- Reported complication rates for stomas range widely from 21% to 70%.
Purpose of the Study:
- To summarize common complications associated with stoma formation in colorectal surgery.
- To provide an overview of stoma-related issues based on existing literature.
- To highlight the importance of proper stoma technique to minimize adverse outcomes.
Main Methods:
- A comprehensive literature search was conducted using Medline, Ovid, and Google Scholar databases.
- Articles published between January 1980 and December 2008 were included.
- Search terms included colostomy, ileostomy, stoma, parastomal hernia, stenosis, prolapse, necrosis, and complications.
Main Results:
- The review identifies and summarizes frequent complications following stoma formation.
- Common stoma complications include leakage, prolapse, parastomal hernia, and retraction.
- The incidence of these complications varies significantly across reported studies.
Conclusions:
- Stoma formation, while common, is associated with a high rate of potential complications.
- Awareness and understanding of these complications are crucial for colorectal surgeons.
- Minimizing stoma-related morbidity requires careful surgical technique and patient monitoring.
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