Morbidity and mortality of colostomy and its closure in children.
Abstract | BACKGROUND: This study evaluated the complications of colostomy and its closure in infants and children. METHODS: RESULTS: Of these, 17 (11.6%) had early complications, and 80 (69.8%) had stomal complications. Three patients died, but only 1 death was directly related to colostomy. Colostomy prolapse, peristomal excoriation, and malnutrition were the major complications. The complications were not dependant on the children's age or primary indication. Sigmoid colostomy had a lower malnutrition rate than transverse colostomy (34.9% v 16.9% P =.009). Among the 56 children who underwent colostomy closure, major complications include death (1.8%), anastomotic leak (7.1%), and wound infection (12.6%). CONCLUSIONS: A divided sigmoid colostomy should be performed whenever possible. Proper stomal care, regular nutritional assessment, and early closure of the colostomy would minimize morbidity and mortality of colostomy and its closure.
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Authors | B Chandramouli, K Srinivasan, S Jagdish, N Ananthakrishnan |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 39
Issue 4
Pg. 596-9
(Apr 2004)
ISSN: 1531-5037 [Electronic] United States |
PMID | 15065035
(Publication Type: Journal Article)
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Topics |
- Abnormalities, Multiple
(mortality)
- Anastomosis, Surgical
(adverse effects, methods, mortality, statistics & numerical data)
- Child
- Child, Preschool
- Colon
(surgery)
- Colon, Sigmoid
(surgery)
- Colostomy
(adverse effects, methods, mortality, statistics & numerical data)
- Female
- Hernia
(epidemiology, etiology)
- Herniorrhaphy
- Humans
- India
(epidemiology)
- Infant
- Infant, Newborn
- Intestinal Diseases
(epidemiology, etiology)
- Intestinal Obstruction
(epidemiology, etiology, surgery)
- Male
- Malnutrition
(epidemiology, etiology)
- Postoperative Complications
(epidemiology, mortality)
- Prolapse
- Retrospective Studies
- Sepsis
(etiology, mortality)
- Surgical Wound Infection
(epidemiology, etiology)
- Tissue Adhesions
(epidemiology, etiology, surgery)
- Treatment Outcome
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