Related Experiment Video
Updated: May 25, 2026
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
Early complications after stoma formation: a prospective cohort study in 100 patients with 1-year follow-up
H A Formijne Jonkers1, W A Draaisma, A M Roskott
1Department of Colorectal Surgery, Meander Medical Centre Amersfoort, Utrechtseweg 160, 3818 ES Amersfoort, the Netherlands.
Insights
Ileostomy and colostomy surgery have high complication rates, with skin irritation, fixation issues, and leakage being most common. Early detection and management of stoma complications are crucial for patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Complications
- Ostomy Care
Background:
- Ileostomy and colostomy are common surgical procedures.
- Complications following ostomy formation can significantly impact patient quality of life.
Purpose of the Study:
- To provide a comprehensive overview of complications associated with ileostomy and colostomy.
- To identify the incidence and types of stoma-related complications in daily practice.
Main Methods:
- Prospective cohort study involving adult patients undergoing intestinal stoma formation.
- Data collection on patient characteristics and complications over a 1-year postoperative period.
- Standardized complication scoring by enterostomal therapy nurses.
Main Results:
- 82% of patients experienced one or more stoma-related complications.
- Most frequent complications included skin irritation (55%), fixation problems (46%), and leakage (40%).
- Superficial necrosis, bleeding, and retraction occurred in 20%, 14%, and 9% of patients, respectively. Inappropriate stoma location was linked to increased complications.
Conclusions:
- A high rate of stoma-related complications was observed in this diverse patient population.
- Effective management strategies are needed to address the frequent complications of ileostomy and colostomy.
Purpose:
This study aims to provide an overview of all complications that may occur after construction of an ileostomy or colostomy (loop or end) in daily practice.
Methods:
Between July 2007 and April 2008, all adult patients who underwent any type of intestinal stoma formation were asked to participate in this prospective cohort study. All relevant patient characteristics were gathered.Patients were evaluated for complications eight times in a1-year postoperative period. Enterostomal therapy nurses scored complications on specially designed forms.
Results:
One hundred patients were included; two patients were lost before initial follow-up (FU). During FU, 21% of the patients deceased, and 15% were lost, physically unable to visit the outpatient clinic or withdrew from FU. In 37% of the patients, bowel continuity was restored. Only 26% of the patients were able to complete FU. Overall, 82% of all the patients had one or more stoma-related complications. Most common complications were skin irritation (55%), fixation problems (46%) and leakage (40%). Superficial necrosis,bleeding and retraction occurred in 20%, 14% and 9% of patients, respectively. More stoma related complications were found in stoma's on inappropriate locations.
Conclusions:
In this heterogenic patient population with formation of different stoma types, a high complication rate was detected.
Related Concept Videos
01:24Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
01:21Tracheostomy Decannulation
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
01:16Tracheostomy Care I: Pre-procedural Steps
Required Equipment
The equipment necessary for tracheostomy care includes:
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications