Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Analysis of the Complications of Emergency Enterostomy in our Hospital
Masahiko NakanoNaruki HigashidateYusuke ItagakiHisashi KurodaMasaya TanakaKazuhito TamehiroHiroji Shima
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2013 Volume 33 Issue 4 Pages 683-686

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Abstract

The data of 93 patients who underwent emergency enterostomy without stoma site marking at this hospital between April 2011 and March 2012 were reviewed retrospectively. The patients, consisting of 45 males and 48 females with an average age of 74.5 years included 45 cases (48%) of colon cancer, 16 cases (17%) of ileus, 15 cases (16%) of bowel perforation, and 9 cases (9.7%) of anastomotic leakage. The most common stoma type constructed was colostomy (39 cases, 42%), followed by loop colostomy (24 cases, 26%) and loop ileostomy (24 cases, 26%). Complications associated with the stoma construction developed in 34 cases, including wound infection in 16 cases (47%), abscess formation around the stoma in 11 cases (32%), stoma sinking in 3 cases (8.8%), fecal leakage in 2 cases (5.9%), and dermatitis around the stoma in 2 cases (5.9%). None of the patients died of complications. In conclusion, the principles of stoma site marking should be respected and care should be taken during emergency enterostomy to prevent surgical site infection, which was the most frequent complication in this study.

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© 2013 Japanese Society for Abdominal Emergency Medicine
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