Complications / problems of colostomy in infants and children.
OBJECTIVE
To determine the frequency of complications/problems occurring with construction of colostomy in infants and children.


METHODS
Descriptive study.


METHODS
Surgical Unit B, National Institute of Child Health, Karachi, from September 2001 to March 2003.


METHODS
All the patients admitted in the unit who required colostomy as part of their management were included in the study. The patients who were operated upon previously or operated elsewhere and referred after having colostomy, were excluded. Problems associated with colostomy construction like skin excoriation and chronic blood loss were also recorded. Chi-square test of proportion was used to determine the p-value.


RESULTS
There were 121 patients. Most of the patients were operated due to anorectal malformations (n=71) and Hirschsprung's disease (41). Complications/problems related to colostomy occurred in 67.7% patients. The most common problem was skin excoriation. Second in rating was chronic blood loss from stoma. Prolapse of stoma was more common in transverse loop colostomies. Divided colostomies had higher number of complications as compared to loop colostomies, similarly, transverse colostomies had high number of complications but in both the cases difference was not statistically significant. Four (3.3%) patients died.


CONCLUSIONS
Construction of colostomy in paediatric patients carries high frequency of complications/problems and requires careful technique. The role of stoma care clinic and enterostomal therapist can be instrumental in preventing problems associated with colostomy.
Sheikh
Muhammad Ali
MA
Department of Paediatric Surgery, National Institute of Child Health, Karachi. drali444@yahoo.com
Akhtar
Jamshed
J
Ahmed
Soofia
S
D001003:Anal Canal / Q000002:abnormalities / Q000601:surgery; D002675:Child, Preschool; D003092:Colitis / Q000601:surgery; D003106:Colon / Q000293:injuries / Q000601:surgery; D003110:Colonic Neoplasms / Q000601:surgery; D003125:Colostomy / Q000009:adverse effects*; D005260:Female; D006627:Hirschsprung Disease / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008223:Lymphoma / Q000601:surgery; D008297:Male; D010154:Pakistan; D011183:Postoperative Complications / Q000145:classification / Q000209:etiology* / Q000401:mortality; D012007:Rectum / Q000002:abnormalities / Q000601:surgery; D013724:Teratoma / Q000601:surgery