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Experience with colostomy and colostomy reversal in children in Bauchi
Kefas John Bwala1, Samuel Wabada2, Mohammed Umar Aminu1
1Department of Surgery, Abubakar Tafawa Balewa University Teaching Hospital and Abubakar Tafawa Balewa University, Bauchi, Nigeria.
Insights
Pediatric colostomy reversal is a safe procedure with a 26.4% complication rate, primarily in infants under two years old. Most complications were manageable, with no mortality observed in this study.
Area of Science:
- Pediatric Surgery
- Surgical Outcomes
- Gastrointestinal Surgery
Background:
- Colostomy is a frequent surgical intervention in pediatric practice.
- This study focuses on the outcomes of colostomy and its subsequent closure in children.
- Understanding these outcomes is crucial for improving pediatric surgical care.
Purpose of the Study:
- To retrospectively analyze the experience with colostomy and colostomy reversal in children.
- To identify common indications, surgical techniques, and complication rates.
- To evaluate the safety and outcomes of colostomy reversal in pediatric patients.
Main Methods:
- Retrospective review of pediatric patients (≤15 years) undergoing colostomy and closure over five years.
- Data collection included patient demographics, indications, surgical types, and outcomes.
- Analysis focused on complication rates, hospital stay, and mortality.
Main Results:
- 67 children underwent colostomy; 56 (83.6%) were under two years old.
- Anorectal malformation was the primary indication (79.1%).
- A 26.4% complication rate was observed, with no mortality; hospital stay was 4-10 days.
Conclusions:
- Colostomy reversal in children is a safe procedure.
- While complications can occur, they are generally manageable.
- This review highlights the safety profile and key outcomes of pediatric colostomy reversal.
Background:
Colostomy is one of the common surgical procedures performed in pediatric surgical practice. The aim of this study was to retrospectively review our experience with colostomy and closure (reversal) in children.
Patients And Methods:
A retrospective review of the data of all children aged 15 years and below who had colostomy and colostomy closure in the past 5 years.
Results:
Of the 67 children who had colostomy 42 (62.7%) boys and 25 (37.3%) girls, with an age range between 13 months and 8 years. Fifty-six (83.6%) of the children were <2 years. Anorectal malformation 53 (79.1%) was the common indication. Divided colostomy was performed in 62 (92.5%) patients and loop colostomy was performed in 5 (7.5%) patients. All the patients had intraperitoneal colostomy closure. A complication rate of 26.4% was seen. Duration of hospital stay ranged between 4 and 10 days. No mortality was recorded.
Conclusion:
Colostomy reversal is a safe procedure but morbidity may ensure and can easily manage.
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