Ileostomy complications: A broad analysis

Abstract

Introduction: Construction of a gastrointestinal stoma is a frequently performed surgical procedure. Th e rationale for a temporary loop ileostomy is to provide de-functioning in case of a potentially dangerous anastomotic complication with an obvious risk for mortality. Although formation of de-functioning loop Ileostomy is usually a straight forward procedure, there is an appreciable complication rate. Most of the complications seen aft er ileostomy are due to advanced pathology and relative in-experience of the residents in emergency situation. Objectives: Th e main objectives of the study were to see the nature and rate of complications of ileostomy construction and to develop a strategy to prevent these complications and how to deal with them. Main outcome measures: Morbidity and mortality of patients within 03 months of the procedure or till the reversal of ileostomy was performed. Study design: It was a descriptive Study. Sett ing: Surgical B ward, Khyber Teaching Hospital, Peshawar. Subjects: 106 patients who underwent general surgical operations with construction of an ileostomy were included in the study. Material & Methods: 106 patients selected by consecutive sampling were include9d in the study. Th e study was conducted from August 2016-July 2017 which included 106 patients and data was collected from the Surgical “B” unit of Khyber Teaching Hospital, Peshawar. Results: Th e results obtained showed that the most common complication was high stoma output (28.30%), skin excoriation (25.48%). Other complications included stoma prolapse, stoma retraction, parastomal hernia, bleeding, parastomal fi stula, electrolytes imbalance, stenosis, and parastomalverices. Conclusion: It is concluded that Ileostomy should be properly fashioned in order to decrease the morbidity and mortality by properly trained surgeons.