[Clinical characteristics and evolution of permanent digestive ostomies. Results of a nation-wide retrospective survey].
Factors influencing the achievement and the evolution of permanent stomas were determined during a National Inquiry including 1,082 stomas (978 colostomies and 104 ileostomies). This study, although not exhaustive, was representative, giving its statistical value. The principal concepts are well known with regard to the indications of colostomies (cancer) and ileostomies (inflammatory bowel diseases), to age (older in patients with colostomies: 63.8 vs 41.7 years, P < 0.001) and to the unequal geographical distribution of ileostomies (most frequent in northern provinces: P = 0.02). Frequency of complications (25%) after definitive stoma have decreased since 1985 (P = 0.01) but reoperation was necessary in 50% of cases. Most patients were informed of their stoma before the operation, but 23% were not. Among the informed patients, one fourth considered themselves insufficiently acquainted with their stoma.
Baumel
H
H
Service de Chirurgie Digestive C, Hôpital Saint-Eloi, Montpellier.
Fabre
J M
JM
Manderscheid
J C
JC
Guillon
F
F
Domergue
J
J
Boutelier
P
P
Visset
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000601:surgery; D003125:Colostomy / Q000009:adverse effects*; D005260:Female; D005602:France; D006547:Hernia / Q000209:etiology; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010030:Ostomy; D011350:Proctocolitis / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery; D012005:Rectal Prolapse / Q000209:etiology; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors
Caractéristiques cliniques et évolution des stomies digestives définitives. Résultats d'une enquête rétrospective nationale.