A Clinical Study of Intestinal Stomas in Emergency Laparotomies by Rovena B* in Gerontology & Geriatrics Studies_ International Journal of Gerontology
Abstract
Background: Intestinal stomas are used to
divert the fecal stream away from distal bowel in order to allow a distal
anastomosis to heal as well as to relieve obstruction in emergency situation.
The aim of the present study was to identify indications for emergency
laparotomy, commonly performed intestinal stomas and to study complications
related to it.
Methods: This is a retrospective study and was carried
out in the surgical unit of Mother Teresa University Hospital Center, from
January 2017 to August 2018. All patients were admitted through emergency and
underwent surgery for various
reasons and were followed up to note any complication which resulted in the
creation of intestinal stomas, and who fit in to inclusion criteria.
Results: The most common indication for stoma formation
was colorectal carcinoma (n=77) followed by sigmoid volvulus (n=16), perforated
sigmoid diverticula (n=12), recto-sigmoid perforation by corpus alienum (n=6).
A total of 106 patients underwent colostomy formation, of which 85 were end
colostomy and 21 were Baguette colostomy. Thirty-one (31) patients underwent
ileostomy formation, of which 9 were loop ileostomy and 10 were temporary end
ileostomy, one was double barrel ileostomy. Nine (9) cases were treated with
jejunostomy and 5 cases with duodenostomy.
Conclusion: Fecal/intestinal diversion
remains an effective option to treat a variety of gastrointestinal and
abdominal conditions. Stoma formation is the best minimum surgical procedure to
save the life in emergency intestinal surgery for obstructive cancer,
inflammatory colic disease, anastomotic leaks with low mortality.
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