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Ostomy Complications: A Narrative Review for Emergency Clinicians.
Brit Long1, Anna M DePompolo2, Alex Koyfman3
1Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, Virginia.
Ostomy complications, including necrosis and hernias, require prompt recognition and management by emergency clinicians. Understanding these risks is crucial for effective patient care following ostomy surgery.
Area of Science:
- Gastroenterology
- Surgical Complications
- Emergency Medicine
Background:
- An ostomy is a surgical opening connecting a hollow organ to the body surface.
- Ostomies are essential for various conditions but can lead to complications.
Purpose of the Study:
- To provide emergency clinicians with a focused overview of ostomy complications.
- To enhance recognition and management of ostomy-related issues in emergency settings.
Main Methods:
- Narrative review of ostomy complications.
- Discussion of early and late complication types.
- Emphasis on emergent surgical intervention indications.
Main Results:
- Common ostomy complications include high-output, stoma necrosis, retraction, skin irritation, parastomal hernia, prolapse, stenosis, and bleeding.
- Complications most frequently occur within 5 years post-creation.
- Surgical consultation is often recommended, with emergent intervention needed for necrosis, strangulated hernia, and obstruction.
Conclusions:
- Emergency clinicians benefit from understanding ostomy complications.
- Timely recognition and management are key to improving patient outcomes.
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