[Retrospective study of 50 ileostomies at the Salvador Zubirán National Institute of Nutrition].
OBJECTIVE
To establish the diseases that motivated an ileostomy and the short and long-term morbi-mortality of the procedure.


METHODS
Retrospective analysis of 50 consecutive cases of ileostomies performed from 1989-1993 at a referral center in Mexico City.


RESULTS
Most ileostomies were temporary (92%); the most frequent diagnoses were multiple familial polyposis, inflammatory bowel disease, and diverse intra-abdominal inflammatory complications. Operative mortality was 22%, caused mainly by the severity of the disease that motivated the ileostomy. A reoperation was required in 14% of the cases because of stomal complications (stricture, prolapse); 6% presented peristomal dermatitis, 4% high output, and 4% associated depression. With a mean time interval of three months, 32 patients were subjected to intestinal reconnection with a morbidity of 19% but no mortality.


CONCLUSIONS
Ileostomy remains a necessary procedure mainly on a temporary basis. It is convenient to prevent complications by means of adequate surgical techniques, and a better rehabilitation by a multidisciplinary team.
Granados-García
J
J
Servicio de Cirugía de Colon y Recto, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
Takahashi
T
T
Tapia
M
M
Hoyos
C
C
Villalobos
J J
JJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects; D007410:Intestinal Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies