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A study of long-term complications associated with enteral ostomy and their contributory factors
BACKGROUND: Complications of ostomy significantly affect the quality of life of ostomates. There is little evidence on the rate of long-term complications in ostomates, especially from the developing countries which include Sri Lanka. This study was aimed to describe the long-term complications of e...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5139041/ https://www.ncbi.nlm.nih.gov/pubmed/27919277 http://dx.doi.org/10.1186/s13104-016-2304-z |
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author | Jayarajah, Umesh Samarasekara, Asuramuni M. P. Samarasekera, Dharmabandhu N. |
author_facet | Jayarajah, Umesh Samarasekara, Asuramuni M. P. Samarasekera, Dharmabandhu N. |
author_sort | Jayarajah, Umesh |
collection | PubMed |
description | BACKGROUND: Complications of ostomy significantly affect the quality of life of ostomates. There is little evidence on the rate of long-term complications in ostomates, especially from the developing countries which include Sri Lanka. This study was aimed to describe the long-term complications of enteral ostomies and their contributory factors. METHODS: A retrospective analysis was carried out on 192 patients who underwent ostomy creation over a period of 5 years. Data on type of complications, age, sex, type of ostomy, type of surgery and perioperative care by enteric stoma therapist were gathered. Associations were established using Chi square test and multiple logistic regression. RESULTS: Out of 192 patients, only 146 patients presented regularly for follow up. The mean follow up duration was 28 months (range: 3–183). Around 34.2% developed surgical long-term complications related to the ostomy. Common complications were prolapse (n = 24, 16.4%), skin excoriation (n = 22, 15.1%) and parastomal hernia (n = 14, 9.6%). Overall complication rate was significantly less in loop ostomies (p < 0.05) and defunctioning ostomies (p < 0.05). Skin excoriation was significantly high in males (p < 0.05) and in ileostomies (p < 0.001). Parastomal hernia was commoner in end ostomies (p < 0.05). Perioperative care by enteric stoma therapist reduced the overall and specific complications (p < 0.001). CONCLUSION: The overall complication rate in our cohort of patients was 34.2%. The perioperative care of a stoma therapist may be very effective in preventing complications particularly in a setting with limited resources. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13104-016-2304-z) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5139041 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-51390412016-12-15 A study of long-term complications associated with enteral ostomy and their contributory factors Jayarajah, Umesh Samarasekara, Asuramuni M. P. Samarasekera, Dharmabandhu N. BMC Res Notes Research Article BACKGROUND: Complications of ostomy significantly affect the quality of life of ostomates. There is little evidence on the rate of long-term complications in ostomates, especially from the developing countries which include Sri Lanka. This study was aimed to describe the long-term complications of enteral ostomies and their contributory factors. METHODS: A retrospective analysis was carried out on 192 patients who underwent ostomy creation over a period of 5 years. Data on type of complications, age, sex, type of ostomy, type of surgery and perioperative care by enteric stoma therapist were gathered. Associations were established using Chi square test and multiple logistic regression. RESULTS: Out of 192 patients, only 146 patients presented regularly for follow up. The mean follow up duration was 28 months (range: 3–183). Around 34.2% developed surgical long-term complications related to the ostomy. Common complications were prolapse (n = 24, 16.4%), skin excoriation (n = 22, 15.1%) and parastomal hernia (n = 14, 9.6%). Overall complication rate was significantly less in loop ostomies (p < 0.05) and defunctioning ostomies (p < 0.05). Skin excoriation was significantly high in males (p < 0.05) and in ileostomies (p < 0.001). Parastomal hernia was commoner in end ostomies (p < 0.05). Perioperative care by enteric stoma therapist reduced the overall and specific complications (p < 0.001). CONCLUSION: The overall complication rate in our cohort of patients was 34.2%. The perioperative care of a stoma therapist may be very effective in preventing complications particularly in a setting with limited resources. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13104-016-2304-z) contains supplementary material, which is available to authorized users. BioMed Central 2016-12-05 /pmc/articles/PMC5139041/ /pubmed/27919277 http://dx.doi.org/10.1186/s13104-016-2304-z Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Jayarajah, Umesh Samarasekara, Asuramuni M. P. Samarasekera, Dharmabandhu N. A study of long-term complications associated with enteral ostomy and their contributory factors |
title | A study of long-term complications associated with enteral ostomy and their contributory factors |
title_full | A study of long-term complications associated with enteral ostomy and their contributory factors |
title_fullStr | A study of long-term complications associated with enteral ostomy and their contributory factors |
title_full_unstemmed | A study of long-term complications associated with enteral ostomy and their contributory factors |
title_short | A study of long-term complications associated with enteral ostomy and their contributory factors |
title_sort | study of long-term complications associated with enteral ostomy and their contributory factors |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5139041/ https://www.ncbi.nlm.nih.gov/pubmed/27919277 http://dx.doi.org/10.1186/s13104-016-2304-z |
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