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Is stoma care effective in terms of morbidity in complicated ileostomies?

BACKGROUND: Performing transient or permanent ileostomy is one of the common procedures involved in colorectal surgery. Complication rates up to 40% have been reported in ileostomies. In this report, the effect of specific stoma care unit on ileostomy and its complications were investigated. METHODS...

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Autores principales: Sarkut, Pinar, Dundar, Halit Ziya, Tirnova, Ismail, Ozturk, Ersin, Yilmazlar, Tuncay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4547692/
https://www.ncbi.nlm.nih.gov/pubmed/26316798
http://dx.doi.org/10.2147/IJGM.S79224
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author Sarkut, Pinar
Dundar, Halit Ziya
Tirnova, Ismail
Ozturk, Ersin
Yilmazlar, Tuncay
author_facet Sarkut, Pinar
Dundar, Halit Ziya
Tirnova, Ismail
Ozturk, Ersin
Yilmazlar, Tuncay
author_sort Sarkut, Pinar
collection PubMed
description BACKGROUND: Performing transient or permanent ileostomy is one of the common procedures involved in colorectal surgery. Complication rates up to 40% have been reported in ileostomies. In this report, the effect of specific stoma care unit on ileostomy and its complications were investigated. METHODS: A total of 141 patients, who were operated and underwent ileostomy, due to different causes, at Department of General Surgery, Uludağ University, Bursa, Turkey, between 2003 and 2006, were examined, retrospectively. Patient records were examined in terms of age, sex, surgery indications, urgent/elective state, benign/malign origin, ileostomy type, complications and stoma care, and education. χ(2) test was used to compare the categorical data. RESULTS: Among the patients, 95 (67%) were male and 46 (33%) were female. The mean age was 47 years (17–67). Some of the subjects (49%) were operated urgently and some (51%) were under elective conditions. The ileostomy types used included the following: end ileostomy (43%), loop ileostomy (46%), and double-barrel ileostomy (11%). Permanent ileostomy was performed in 23 patients and transient ileostomy was performed in 118 patients. The patients were operated because of either benign (48%) or malign (52%) causes. Complications developed in 37 (26%) patients. The rate of development of complication was markedly higher in ileostomies performed under urgent conditions (61% vs 39%) (P<0.001). The complications included mucocutaneous separation (12 patients), maceration in the peristomal skin (ten patients), retraction (five patients), necrosis (three patients), prolapsus (three patients), and other metabolic complications (four patients). The complications were treated with care (68%) and surgical revision (32%). CONCLUSION: The rate of ileostomy was found to be higher in the male patients compared to female patients. The risk of development of complications was found to be higher in ileostomies performed under urgent conditions. The most common complication observed was mucocutaneous separation. Ileostomy complications can be treated conservatively with professional care and education.
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spelling pubmed-45476922015-08-27 Is stoma care effective in terms of morbidity in complicated ileostomies? Sarkut, Pinar Dundar, Halit Ziya Tirnova, Ismail Ozturk, Ersin Yilmazlar, Tuncay Int J Gen Med Original Research BACKGROUND: Performing transient or permanent ileostomy is one of the common procedures involved in colorectal surgery. Complication rates up to 40% have been reported in ileostomies. In this report, the effect of specific stoma care unit on ileostomy and its complications were investigated. METHODS: A total of 141 patients, who were operated and underwent ileostomy, due to different causes, at Department of General Surgery, Uludağ University, Bursa, Turkey, between 2003 and 2006, were examined, retrospectively. Patient records were examined in terms of age, sex, surgery indications, urgent/elective state, benign/malign origin, ileostomy type, complications and stoma care, and education. χ(2) test was used to compare the categorical data. RESULTS: Among the patients, 95 (67%) were male and 46 (33%) were female. The mean age was 47 years (17–67). Some of the subjects (49%) were operated urgently and some (51%) were under elective conditions. The ileostomy types used included the following: end ileostomy (43%), loop ileostomy (46%), and double-barrel ileostomy (11%). Permanent ileostomy was performed in 23 patients and transient ileostomy was performed in 118 patients. The patients were operated because of either benign (48%) or malign (52%) causes. Complications developed in 37 (26%) patients. The rate of development of complication was markedly higher in ileostomies performed under urgent conditions (61% vs 39%) (P<0.001). The complications included mucocutaneous separation (12 patients), maceration in the peristomal skin (ten patients), retraction (five patients), necrosis (three patients), prolapsus (three patients), and other metabolic complications (four patients). The complications were treated with care (68%) and surgical revision (32%). CONCLUSION: The rate of ileostomy was found to be higher in the male patients compared to female patients. The risk of development of complications was found to be higher in ileostomies performed under urgent conditions. The most common complication observed was mucocutaneous separation. Ileostomy complications can be treated conservatively with professional care and education. Dove Medical Press 2015-08-18 /pmc/articles/PMC4547692/ /pubmed/26316798 http://dx.doi.org/10.2147/IJGM.S79224 Text en © 2015 Sarkut et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Sarkut, Pinar
Dundar, Halit Ziya
Tirnova, Ismail
Ozturk, Ersin
Yilmazlar, Tuncay
Is stoma care effective in terms of morbidity in complicated ileostomies?
title Is stoma care effective in terms of morbidity in complicated ileostomies?
title_full Is stoma care effective in terms of morbidity in complicated ileostomies?
title_fullStr Is stoma care effective in terms of morbidity in complicated ileostomies?
title_full_unstemmed Is stoma care effective in terms of morbidity in complicated ileostomies?
title_short Is stoma care effective in terms of morbidity in complicated ileostomies?
title_sort is stoma care effective in terms of morbidity in complicated ileostomies?
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4547692/
https://www.ncbi.nlm.nih.gov/pubmed/26316798
http://dx.doi.org/10.2147/IJGM.S79224
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