Stoma-related early complications are associated with stoma management difficulty after open surgery with gastrointestinal stoma formation

Abstract

Purpose : To investigate the relationship between stoma-related early complications and stoma management difficulties after open surgery with gastrointestinal stoma formation.

Methods : The subjects were patients who underwent open surgery with gastrointestinal stoma formation between January, 2010 and September, 2014. During the 2 months after surgery, the relationships among the 3 following factors were retrospectively investigated : stoma-related early complications (≤14 days); stoma site conditions during the rehabilitation period (≤ 2 months); and stoma management difficulties evaluated with the Revised Classification of Stoma Management (RCSM, easy to manage in the order of A, B, and C groups).

Results : Of the 40 patients (median age 79 years ; male 26), 29 (72.5%) developed 56 early complications in total. The proportion of poor stoma site conditions was significantly higher with more severe early complications (no complication : 0% vs mild complication : 33.3% vs severe complication : 73.9%, P=0.0002). The proportions of A, B, C on the RCSM were 91%, 9%, and 0%, respectively, in the No complication group, compared with 45%, 31%, and 24% in the Complication group, indicating that early complications were significantly associated with stoma management difficulties (P=0.028).

Conclusion : Stoma-related early complications were significantly associated with stoma management difficulties in the rehabilitation period.