TY - JOUR T1 - Colostomy Complications in Childhood: Analysis of 84 Patients TT - Çocuklukta Kolostomi Komplikasyonları: 84 Hastanın Analizi AU - Beger, Burhan AU - Simsek, Metin AU - Düz, Ebuzer AU - Kızılyıldız, Baran Serdar PY - 2018 DA - September Y2 - 2018 DO - 10.16899/gopctd.429287 JF - Çağdaş Tıp Dergisi JO - J Contemp Med PB - Rabia YILMAZ WT - DergiPark SN - 2146-6009 SP - 223 EP - 226 VL - 8 IS - 3 LA - en AB - Introduction: Colostomiesplay a vital role in the surgery of congenital and acquired gastrointestinalsystem pathologies. Despite improvementsin surgical approaches, surgical morbidity and complication rates are stillhigh. The incidence of complications after colostomy is reported in theliterature between 10% to 74%.Materials andMethods: Eighty-four patients whounderwent colostomy due to congenital and acquired pathologies in pediatric surgery clinics of Van YuzuncuuyilUniversity and Van Regional Education and Research Hospital were evaluatedretrospectively. Patients were compared in terms of risk factors, urgencystatus, reasons for opening colostomy, location of opening area in abdomen wall,types and complications.Results: 84 patientswere found to have colostomy for different reasons. 52 of the patients were maleand 42 were female. The most frequent anorectal malformations andHirschsprung's disease revealed colostomy. Complications related to colostomywere found in 72% of the cases. A total of 14 patients underwent colostomyrevision. The most common complication was stomal dermatitis with 67% andcolostomy prolapse with 16%.Conclusion: Surgicaltechnique errors and lack of care increase the morbidity by affecting thecomfort of the patient. Prophylactic care and awareness of complications willreduce morbidity and mortality. KW - colostomy KW - pediatrics KW - complication N2 - Giriş: Kolostomiler; konjenital ve edinselgastrointestinal sistem patolojilerinde hayati bir rol oynamaktadır. Cerrahiyaklaşımlardaki gelişmelere rağmen, cerrahi morbidite ve komplikasyon oranlarıhala yüksektir. Kolostomi açılma sonrasıkomplikasyon insidansı literatürde% 10 ile% 74 arasında bildirilmiştir.Gereç ve Yöntem: VanYuzuncuuyil Üniversitesi ve Van Bölge Eğitim ve Araştırma Hastanesi ÇocukCerrahisi Kliniği'nde doğumsal ve edinsel patolojilere bağlı kolostomi açılan84 hasta retrospektif olarak incelendi. Hastalar risk faktörleri, aciliyetdurumu, kolostomi açılma nedenleri, karın duvarındaki açılma bölgesinin yeri,tipleri ve komplikasyonları açısından karşılaştırıldı.Bulgular: 84olguya farklı nedenlerle kolostomiaçıldığı saptandı. Hastaların 52'si erkek, 42'si kadındı. En sık anorektal malformasyonlar ve Hirschsprunghastalığı nedeniyle kolostomi açıldı.Olguların% 72'sinde kolostomi ile ilgili komplikasyonlar saptandı.Toplam 14 hastaya kolostomi revizyonu yapıldı. En sık görülen komplikasyon% 67ile stomal dermatit ve% 16 ile kolostomi prolapsusudur.Sonuç: Cerrahiteknik hataları ve bakımsızlık, hastanın konforunu etkileyerek morbiditeyiarttırmaktadır. Profilaktik bakım ve komplikasyonların bilinmesi morbidite vemortaliteyi azaltacaktır. CR - 1-Soomro BA, Solangi RA, Siddiqui MA. Colostomy in Children: Indications and Complications. Pakistan Journal of Medical Sciences. 2010; 26(4). CR - 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. CR - 3-- Bakal U, Sarac M, Tartar T, Kazez A. Colostomy İn Children. Firat Med. 2015: 20(1); 47-50. CR - 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. 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