Çocuklukta Kolostomi Komplikasyonları: 84 Hastanın Analizi

Year 2018, Volume: 8 Issue: 3, 223 - 226, 30.09.2018

Burhan Beger Metin Simsek Ebuzer Düz Baran Serdar Kızılyıldız

https://doi.org/10.16899/gopctd.429287

Abstract

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.

Keywords

kolostomi, pediatri, komplikasyon

Colostomy Complications in Childhood: Analysis of 84 Patients

Abstract

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.

Keywords

colostomy, pediatrics, complication

References

• 1-Soomro BA, Solangi RA, Siddiqui MA. Colostomy in Children: Indications and Complications. Pakistan Journal of Medical Sciences. 2010; 26(4).
• 2-Çiğdem MK, Onen A, Duran H, Öztürk H, Otçu S. The mechanical complications of colostomy in infants and children: analysis of 473 cases of a single center. Pediatric surgery international.2006; 22(8): 671-676.
• 3-- Bakal U, Sarac M, Tartar T, Kazez A. Colostomy İn Children. Firat Med. 2015: 20(1); 47-50.
• 4- Chirdan LB, Uba FA, Ameh EA, Mshelbwala PM. Colostomy for high anorectal malformation: an evaluation of morbidity and mortality in a developing country. Pediatric surgery international.2008; 24(4): 407-410.
• 5-Demirogullari B, Yilmaz Y, Yildiz GE, Ozen, IO, Karabulut R, Turkyilmaz Z, Kale N. Ostomy complicatıons in patients with anorectal malformations. Pediatric surgery international.2011; 27(10): 1075.
• 6- Abdur-Rahman L O, Shawyer A, Vizcarra R, Bailey K, Cameron BH. Do geography and resources influence the need for colostomy in Hirschsprung's disease and anorectal malformations? A Canadian association of paediatric surgeons: Association of paediatric surgeons of Nigeria survey. African Journal of Paediatric Surgery.2014; 11(2): 150.
• 7- Chandramouli B, Srinivasan K, Jagdish S, Ananthakrishnan N. Morbidity and mortality of colostomy and its closure in children. Journal of pediatric surgery.2004; 39(4): 596-599.
• 8- Londono-Schimmer EE, Leong APK, Phillips RKS. Life table analysis of stomal complications following colostomy. Diseases of the colon & rectum.1994; 37(9): 916-920.
• 9- Özaydın İ, Taşkın AK, İskender A. Stoma ile ilgili komplikasyonların retrospektif analizi. Journal of Clinical and Experimental Investigations.2013; 4(1).
• 10- Pena A, Migotto-Krieger M, Levitt MA. Colostomy in anorectal malformations: a procedure with serious but preventable complications. Journal of pediatric surgery.2006; 41(4): 748-756.
• 11- Wilkins S, Peña A. The role of colostomy in the management of anorectal malformations. Pediatric surgery international. 1998; 3(2-3): 105-109.
• 12- Chandramouli B, Srinivasan K, Jagdish S, Ananthakrishnan N. Morbidity and mortality of colostomy and its closure in children. Journal of pediatric surgery.2004, 39(4): 596-599.
• 13- Ekenze SO, Agugua-Obianyo NEN, Amah CC. Colostomy for large bowel anomalies in children: a case controlled study. International Journal of Surgery.2007; 5(4): 273-277.