Çocuklukta Kolostomi Komplikasyonları: 84 Hastanın Analizi

Öz

Giriş:   Kolostomiler; konjenital ve edinsel gastrointestinal sistem patolojilerinde hayati bir rol oynamaktadır. Cerrahi yaklaşımlardaki gelişmelere rağmen, cerrahi morbidite ve komplikasyon oranları hala yüksektir. Kolostomi  açılma sonrası komplikasyon insidansı literatürde% 10 ile% 74 arasında bildirilmiştir.

Gereç ve Yöntem: Van Yuzuncuuyil Üniversitesi ve Van Bölge Eğitim ve Araştırma Hastanesi Çocuk Cerrahisi Kliniği'nde doğumsal ve edinsel patolojilere bağlı kolostomi açılan 84 hasta retrospektif olarak incelendi. Hastalar risk faktörleri, aciliyet durumu, kolostomi açılma nedenleri, karın duvarındaki açılma bölgesinin yeri, tipleri ve komplikasyonları açısından karşılaştırıldı.

Bulgular: 84 olguya farklı nedenlerle kolostomi  açıldığı saptandı. Hastaların 52'si erkek, 42'si kadındı. En sık  anorektal malformasyonlar ve Hirschsprung hastalığı nedeniyle kolostomi açıldı.  Olguların% 72'sinde kolostomi ile ilgili komplikasyonlar saptandı. Toplam 14 hastaya kolostomi revizyonu yapıldı. En sık görülen komplikasyon% 67 ile stomal dermatit ve% 16 ile kolostomi prolapsusudur.

Sonuç: Cerrahi teknik hataları ve bakımsızlık, hastanın konforunu etkileyerek morbiditeyi arttırmaktadır. Profilaktik bakım ve komplikasyonların bilinmesi morbidite ve mortaliteyi azaltacaktır.

Anahtar Kelimeler

• kolostomi,pediatri,komplikasyon

Colostomy Complications in Childhood: Analysis of 84 Patients

Öz

Introduction: Colostomies play a vital role in the surgery of congenital and acquired gastrointestinal system  pathologies. Despite improvements in surgical approaches, surgical morbidity and complication rates are still high. The incidence of complications after colostomy is reported in the literature between 10% to 74%.

Materials and Methods:  Eighty-four patients who underwent colostomy due to congenital and acquired pathologies in  pediatric surgery clinics of Van Yuzuncuuyil University and Van Regional Education  and Research Hospital were evaluated retrospectively. Patients were compared in terms of risk factors, urgency status, reasons for opening colostomy, location of opening area in abdomen wall, types and complications.

Results: 84 patients were found to have colostomy for different reasons. 52 of the patients were male and 42 were female. The most frequent anorectal malformations and Hirschsprung's disease revealed colostomy. Complications related to colostomy were found in 72% of the cases. A total of 14 patients underwent colostomy revision. The most common complication was stomal dermatitis with 67% and colostomy prolapse with 16%.

Conclusion: Surgical technique errors and lack of care increase the morbidity by affecting the comfort of the patient. Prophylactic care and awareness of complications will reduce morbidity and mortality.

Anahtar Kelimeler

• colostomy,pediatrics,complication

Kaynakça

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