The mechanical complications of colostomy in infants and children

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dc.contributor.authorCigdem, Murat Kemal
dc.contributor.authorOnen, Abdurrahman
dc.contributor.authorDuran, Hatun
dc.contributor.authorOeztuerk, Hayrettin
dc.contributor.authorOtcu, Selcuk
dc.date.accessioned2024-04-24T16:00:11Z
dc.date.available2024-04-24T16:00:11Z
dc.date.issued2006
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe purpose of this study was to determine the morbidity, mortality and possible risk factors in children who underwent colostomy. A total of 473 children who underwent colostomy in our clinic between 1983 and 2005 were retrospectively reviewed. Of these patients, 278 were boys and 195 were girls. The major indications for colostomy were anorectal malformation (252 patients), Hirschsprung's disease (117), and trauma (66). The patients' age ranged from 1 day to 15 years. Of the 473 patients, 254 (53.6%) were < 1 month of age, 97 (20.5%) were 1-12 months of age, and 122 (25.7%) were > 12 months of age. The side of colostomy was transverse in 341 (72%) patients and sigmoid in 132 (28%). The type of colostomy was loop in 364 (77%) patients and diverting in 109 (23%). Postoperative complication was observed in 80.5% of patients; excoriation (46.5%), prolapse (20.5%), stomal obstruction/stenosis (6.1%), and stomal bleeding (2.1%). A stomal revision was required for 26 (5.5%) patients. Overall, 50 (10.5%) patients died; 37 were related directly to major congenital anomalies, while 13 (2.7%) patients had a colostomy complication. The age of patients who died was < 1 month in 46 (92%) patients. The incidence of morbidity and mortality in children with colostomy is significantly high, particularly in neonates. Prompt colostomy procedure by an experienced hand, prompt stomal care under the supervision of a trained and experienced stomal care giver and early closure of the colostomy may increase the survival of these patients.en_US
dc.identifier.doi10.1007/s00383-006-1718-4
dc.identifier.endpage676en_US
dc.identifier.issn0179-0358
dc.identifier.issn1437-9813
dc.identifier.issue8en_US
dc.identifier.pmid16838189
dc.identifier.scopus2-s2.0-33748607160
dc.identifier.scopusqualityQ2
dc.identifier.startpage671en_US
dc.identifier.urihttps://doi.org/10.1007/s00383-006-1718-4
dc.identifier.urihttps://hdl.handle.net/11468/14400
dc.identifier.volume22en_US
dc.identifier.wosWOS:000240363600007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofPediatric Surgery International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectStomaen_US
dc.subjectColostomyen_US
dc.subjectChildrenen_US
dc.subjectAnorectal Malformationen_US
dc.subjectHirschsprung's Diseaseen_US
dc.titleThe mechanical complications of colostomy in infants and childrenen_US
dc.titleThe mechanical complications of colostomy in infants and children
dc.typeArticleen_US

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