One year experience of stoma patient at tertiary care hospital

Dharmesh J. Balsarkar; Mangesh Pawar; Rahul V. Kandekar; Shazia S. Malik; Surajsinh Amarsinh Chauhan; Prashant B. Lakhe; Sejarali S. Mohmad; Dhvani Shah

Volume : V, Issue : VI, June - 2016

One year experience of stoma patient at tertiary care hospital

Dharmesh J. Balsarkar, Mangesh Pawar, Rahul V. Kandekar, Shazia S. Malik, Surajsinh Amarsinh Chauhan, Prashant B. Lakhe, Sejarali S. Mohmad, Dhvani Shah

Abstract :

 Aim/ Objectives—The aim of this study was to perform a prospective analysis on indication, complication, outcome of stoma patient between 20 12 and 2013 at tertiary care hospital in Mumbai. METHODS— 50 Patients in the age group of 18 to 70 operated on emergency and elective basis were studied. Demographic data, indication for stoma, clinical outcomes and stoma-related complication data were collected. Patients were followed up till 6 months or stoma closure. RESULTS—Of the 50 subjects studied, 34 were male (68%) and 16 were female (32%). The mean age of this patient population was 45 years. The most common indication for stoma was colorectal malignancy presenting as lump in abdomen or rectal growth (34%), Followed by Perforative peritonitis. A total of 26 patients (52%) underwent ileostomy and 24 patient (48%)colostomy. 30 patient (60%) had stoma performed on emergency basis were common cause was perforative peritonitis (30%) 15 patient .20 patient (40%) underwent stoma on elective basis, most common indication was for colorectal carcinoma 17 patient(34%). All the complication occurred in ileostomy. 26 patients had complication where in most common complication was peristomal skin excoriation (42%). In this study mortality was 2 patients for ileostomy and colostomy each. CONCLUSIONS: Right loop ileostomy (38%) commonly performed stoma in our study, followed by left end colostomy (24%). 60% of stoma were created in Emergency and remaining 40% in elective setting.Colorectal carcinoma was the most common indication for ostomy followed by typhoid, tuberculosis, gangrenous bowel, traumatic perforation etc.Most complication rate was seen in cases of typhoid perforations25%, abdominal tuberculosis (20%). Complications were more in ileostomies than colostomies none of the complications were serious or life threatening.