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[Complications of colostomy in childhood]
F Schier1, D Antoniu, J Waldschmidt
1Abteilung für Kinderchirurgie, Universitätsklinikums Steglitz, Freie Universität Berlin.
Insights
This study analyzed 86 colostomies in pediatric patients, finding a 42% complication rate. Common issues included strictures and fistulae, with necrotizing enterocolitis and Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Complications
Context:
- Colostomy is a common surgical procedure in neonates and infants.
- Necrotizing enterocolitis and Hirschsprung's disease are frequent indications for colostomy in this age group.
Purpose:
- To report the complications associated with colostomies in a pediatric patient cohort.
- To identify the most frequent indications and types of colostomies performed.
- To determine the overall complication rate and specific types of complications observed.
Summary:
- This study reviewed 86 colostomies in 70 pediatric patients, with most undergoing transverse colostomies for necrotizing enterocolitis or Hirschsprung's disease.
- Over half of the patients were under one week old at surgery, and colostomies were typically in place for 1-3 months.
- A 42% complication rate was observed, with common issues including strictures, adhesions causing bowel obstruction, enterocutaneous fistulae, and fungal infections.
Impact:
- Provides valuable data on the safety and outcomes of pediatric colostomies.
- Highlights key complications to monitor and potentially mitigate in surgical practice.
- Informs surgical decision-making and patient management strategies for pediatric gastrointestinal conditions requiring colostomy.
Abstract:
The complications of 86 colostomies in 70 patients are reported. The most frequent indications were necrotizing enterocolitis and Hirschsprung's disease. More than half of the children were less than one week of age at the time of surgery. Most frequently transverse colostomies were performed. Most colostomies existed for 1-3 months. In 58% of the children no complications occurred, which could be attributed to the colostomy. Thus, the complication rate of the colostomies was 42%. The most common complications were strictures, adhesions with bowel obstruction, enterocutaneous fistulae, occasionally leading to abscess formation, and candida mycosis.