Öz
The incidence of prolapse which is a late complication of stoma ranges between 0–25%. In this study the records of the patients who had been treated and followed up with the diagnosis of stoma prolapse between 1995 -2005 in the General Surgery Department of Dicle University Hospital were examined, retrospectively. There were 12 patients (5 men, 7 women) with a mean age of 51,6±15.01 years. The causes of stoma construction were malign diseases in 9 patients and benign diseases in 3 of them. The average time between construction of stoma and formation of prolapse was 10,9±6.84 month. The type of stoma was loop in 7 patient, end stoma in 4 patient and double bowel enterostomy in 1 patient. Of nine patients with stoma prolapse had been subjected chemotherapy. The overall rate of stomal prolapsus was 3,1% in this series. It was 10,8% in patients who had received chemoradiotherapy. Since stomal prolasus is a serious complication and its reconstruction needs general anesthesia great care should be shown when creatig a stoma.
Anahtar Kelimeler
Kaynakça
- Miles R, Grene R. Review of colostomy in a community hospital. Am Surg 1983; 49: 182–186
- Leenen L, Kuypers J. Some factors influencing the outcame of stoma surgery. Dis Colon Rectum 1989; 32: 500–504
- Robertson I, Leung E, Hughes D et al. Prospective analysis of stoma–related complications. Colorectal Dis. 2005; 7: 279– 285
- Dushesne J, Wang Y, Weintraub S et al. Early local complications from intestinal stomas. Arch Surg 1985;120:1145–1147
- Mealy K, O’Broin E, Donohue J et all. Reversible colostomy-what is outcame? Dis Colon Rektum. 1996; 39: 1227–1231
- Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41: 1562–1572
- Law WL, Chu KW, Choi et all. Randomized clinical trial comparing loop ileostomy and loop transverse colostomy for faecal diversion following total mesorectal excision. Br J Surg. 2002; 89: 704–708
- Chandler JG, Evans BP. Colostomy prolapse. Surgery 1978; 84: 577–582
- Doberneck RC. Revision and closure of the colostomy. Surg Clin North Am. 1991; 7: 193–201
- Londono-Schimmeer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy Dis Colon Rektum 1994; 37: 916–920
- Maeda K, Maruta M, Utsumi et al. Pathophysiology and prevention of loop stomal prolapse in the transverse colon. Tech Coloproctol. 2003; 7: 108–111
- Leong AP, Londono-Schimmeer EE, Phillips RK. Life table analysis of stomal complications following ileostomy. Br J Surg 1994; 8: 727–729
Öz
Sıklıkla geç dönem stoma komplikasyonu olarak karşımıza çıkan
prolapsusun, görülme sıklığı; genel olarak %0–25 arasında değişmektedir
Bu çalışma ile 1995–2005 yılları arasında Dicle Üniversitesi Tıp Fakültesi
Genel Cerrahi kliniğinde stoma prolapsusu nedeniyle takip ve tedavisi
yapılan olguların dosya ve ameliyat bilgileri retrospektif olarak incelendi.
Toplam 12 olgu da (5’i erkek, 7’si bayan) stoma prolapsusu tespit edildi.
Ortalama yaş: 51,6±15.01 idi. Olguların dokuzunda malign, üçünde ise
benign patolojiler nedeni ile stoma uygulanmıştı. Stoma prolapsus görülme
zamanı ortalama 10,9±6.84 ay idi. Olguların yedisinde loop stoma,
dördünde uç stoma, birinde ise çifte namlulu enterostomide prolapsus
görüldü. Dokuz olguya kemoradyoterapi uygulanmıştı. Çalışmanın yapıldığı
sürede uygulanan stomalar içinde stomal prolapsus insidansı %3,1 olarak
tespit edildi. Kemoradyoterapi alan olgularda ise bu oran %10,8 idi. Stoma
prolapsusu sıklıkla genel anestezi ile rekonstrüksiyon gerektiren bir
komplikasyon olup, stoma uygulanırken azami özenin gösterilmesi
gerekmektedir. Stoma prolapsusu nedenleri tam olarak ortaya
konmamasına rağmen ciddi bakım ve kozmetik sorunlara neden olmaktadır.
Bu nedenle etiyolojik faktörlerin ortaya konulması için daha fazla
araştırmaya ihtiyaç vardır.
Anahtar Kelimeler
Kaynakça
- Miles R, Grene R. Review of colostomy in a community hospital. Am Surg 1983; 49: 182–186
- Leenen L, Kuypers J. Some factors influencing the outcame of stoma surgery. Dis Colon Rectum 1989; 32: 500–504
- Robertson I, Leung E, Hughes D et al. Prospective analysis of stoma–related complications. Colorectal Dis. 2005; 7: 279– 285
- Dushesne J, Wang Y, Weintraub S et al. Early local complications from intestinal stomas. Arch Surg 1985;120:1145–1147
- Mealy K, O’Broin E, Donohue J et all. Reversible colostomy-what is outcame? Dis Colon Rektum. 1996; 39: 1227–1231
- Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41: 1562–1572
- Law WL, Chu KW, Choi et all. Randomized clinical trial comparing loop ileostomy and loop transverse colostomy for faecal diversion following total mesorectal excision. Br J Surg. 2002; 89: 704–708
- Chandler JG, Evans BP. Colostomy prolapse. Surgery 1978; 84: 577–582
- Doberneck RC. Revision and closure of the colostomy. Surg Clin North Am. 1991; 7: 193–201
- Londono-Schimmeer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy Dis Colon Rektum 1994; 37: 916–920
- Maeda K, Maruta M, Utsumi et al. Pathophysiology and prevention of loop stomal prolapse in the transverse colon. Tech Coloproctol. 2003; 7: 108–111
- Leong AP, Londono-Schimmeer EE, Phillips RK. Life table analysis of stomal complications following ileostomy. Br J Surg 1994; 8: 727–729
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2008 |
| Gönderilme Tarihi | 2 Mart 2015 |
| Yayımlandığı Sayı | Yıl 2008 Cilt: 35 Sayı: 1 |