scholarly journals Differentiated approach to intestinal stoma formation in infants with necrotizing enterocolitis and gastrointestinal tract malformation, intestinal stoma complications.

2016 ◽  
Vol 6 (2(20)) ◽  
pp. 57-64
Author(s):  
I. Makedonsky ◽  
S. Yaremenko ◽  
L. Samovarov ◽  
A. Romanenko ◽  
Yu. Yaremenko
Keyword(s):  
Gastrointestinal Tract ◽  
Necrotizing Enterocolitis ◽  
Stoma Complications ◽  
Stoma Formation ◽  
Intestinal Stoma

Stoma Closure Improves Head Circumference Growth in Very Preterm Infants after Necrotizing Enterocolitis

2020 ◽  
Author(s):  
Karina Dyrvig Honoré ◽  
Malene Nygaard Johansen ◽  
Lars Rasmussen ◽  
Gitte Zachariassen
Keyword(s):  
Preterm Infants ◽  
Necrotizing Enterocolitis ◽  
Head Circumference ◽  
International Classification Of Diseases ◽  
University Hospital ◽  
Stoma Closure ◽  
Poor Growth ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Stoma Formation

Abstract Introduction Very preterm infants (VPIs) surgically treated for necrotizing enterocolitis (NEC) are at risk of growth retardation. The aim of this study was to demonstrate and compare growth during the first 6 years of life in VPIs with stoma after NEC surgery with VPIs without NEC surgery. Materials and Methods We included all VPIs surgically treated due to NEC at the Odense University Hospital from August 1, 2004, to July 31, 2008. Outcome on growth was compared with a group of VPIs without NEC. The VPIs with NEC were identified searching the local database using the International Classification of Diseases, 10th Revision diagnosis of NEC (DP77.9). Data on growth were collected from medical files and if not present, the parents reported the data. Results Nineteen VPIs, surgically treated due to NEC, survived to 6 years of age. Median gestational age was 283/7 weeks (245/7–313/7). Median age at NEC surgery and stoma formation was 2.3 weeks (0.1–6.3) and median age at stoma closure was 2.5 months corrected age (CA) (postmenstrual age 36 weeks to CA 6.7 months). Compared with the non-NEC group, VPIs with NEC and stoma demonstrated poor growth, especially in head circumference (HC) with no increase in growth velocity before the time of stoma closure between 2.5- and 3-month CAs. Conclusion Our findings demonstrate poor growth in VPIs after NEC surgery and improved HC growth after stoma closure.

scholarly journals Ostomy-Related Complications

2019 ◽  
Vol 32 (03) ◽  
pp. 176-182 ◽  
Author(s):  
Douglas Murken ◽  
Joshua Bleier
Keyword(s):  
Gastrointestinal Tract ◽  
Surgical Procedures ◽  
Parastomal Hernia ◽  
Significant Morbidity ◽  
Stoma Formation ◽  
Wide Range ◽  
Peristomal Skin ◽  
Stomal Stenosis

AbstractIleostomy or colostomy formation is an important component of many surgical procedures performed for a wide range of disorders of the gastrointestinal tract. Despite the frequency with which intestinal stomas are created, stoma-related complications remain common and are associated with significant morbidity as well as cost. Some of the most prevalent complications of stoma formation which will be detailed in this article include peristomal skin complications, retraction, stomal necrosis, stomal stenosis, prolapse, bleeding, dehydration from high ostomy output, and parastomal hernia. The authors will review these common complications, detail means to avoid or prevent them, and outline recommendations for management.

Patient-related factors influence the risk of developing intestinal stoma complications in early post-operative period

2015 ◽  
Vol 87 (10) ◽  
pp. E116-E120 ◽  
Author(s):  
Mohanraj Harilingam ◽  
Joseph Sebastian ◽  
Charlene Twum-Barima ◽  
Mohamed Boshnaq ◽  
Sudhakar Mangam ◽  
...  
Keyword(s):  
Related Factors ◽  
Stoma Complications ◽  
Post Operative Period ◽  
Intestinal Stoma

The Role of Probiotics in the Prevention of Necrotizing Enterocolitis

2019 ◽  
Vol 15 (2) ◽  
pp. 88-91 ◽  
Author(s):  
Ivana Trivić ◽  
Ana Savić Mlakar ◽  
Iva Hojsak
Keyword(s):  
Gastrointestinal Tract ◽  
Preterm Infants ◽  
Necrotizing Enterocolitis ◽  
Preventive Strategies ◽  
Life Threatening ◽  
Probiotic Strains ◽  
Considerable Benefit ◽  
Nutritional Strategies

Necrotizing enterocolitis (NEC) is a frequent and severe life-threatening disease affecting the gastrointestinal tract of preterm infants. Given that NEC occurs in a well-defined population of patients, there might be a considerable benefit in identifying specific pharmacological and nutritional preventive strategies, that could reduce the incidence of NEC. Amongst nutritional strategies emphasis has been put on the use of probiotics. Therefore, the aim of this review is to summarize currently available evidence on the role of probiotics in general, as well as the role of specific probiotic strains or their combinations, in the prevention of NEC.

GS08�RISK FACTORS AND QUALITY OF LIFE IN 137 PATIENTS WITH INTESTINAL STOMA COMPLICATIONS

2009 ◽  
Vol 79 ◽  
pp. A26-A26
Author(s):  
K. K. Richter ◽  
M. Krug ◽  
U. Settmacher ◽  
M. Pfeifer ◽  
M. Thompson-fawcett
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Stoma Complications ◽  
Intestinal Stoma

scholarly journals Study of intestinal stoma: our experience at Rajarajeswari Medical College and Hospital

2019 ◽  
Vol 6 (10) ◽  
pp. 3622
Author(s):  
Veena A. ◽  
Hariprasad T. R. ◽  
Gopal S.
Keyword(s):  
Loop Ileostomy ◽  
Medical College ◽  
Stoma Formation ◽  
Artificial Opening ◽  
End Colostomy ◽  
Enteric Perforation ◽  
Intestinal Stoma ◽  
Perianal Sepsis ◽  
Carcinoma Colon ◽  
Operative Findings

Background: Stoma is an artificial opening of intestinal or urinary tract to the abdominal wall. The purpose of the present study was to identify indications for commonly performed intestinal stomas and to study complications related to it.Methods: This is a retrospective descriptive observational study carried out in a surgical unit of Rajarajeswari Medical College and Hospital, Bangalore from August 2015 to August 2016. Data was collected by previous record files including age, gender, history of presenting illness, indication, type of stoma, type of surgery, appropriate operative findings and follow up of the cases. The results were collected, analysed and compared with other studies.Results: A total of 25 patients were evaluated age ranged between 20-70 years. Out of 25 patients 17 were admitted in emergency while 8 in out-patient department. The most common type of stoma made was loop ileostomy (44%) followed by end ileostomy (28%), end colostomy (16%) and loop colostomy (12%). Main indication for a stoma formation was enteric perforation (56%) followed by carcinoma colon and rectum (32%), perianal sepsis (21%), Koch’s abdomen (11%), penetrating injuries (11%). Of the various complications encountered with intestinal stoma, peristomal skin Excoriation (16%) was the most common complication observed followed by other complications as mentioned in study.Conclusions: In spite of enormous exposure of general surgeons towards stoma formation the complications are inevitable. Early detection of complication and its timely management is the keystone.

scholarly journals A clinico-observational study of intestinal stoma and their complications

2019 ◽  
Vol 6 (3) ◽  
pp. 691
Author(s):  
Shyam Bhutra ◽  
Amit Singh ◽  
Ramkishore Darwal ◽  
Piyush Jain ◽  
Vineet Kala
Keyword(s):  
High Morbidity ◽  
Ileal Perforation ◽  
Medical College ◽  
Stoma Formation ◽  
Surgical Expertise ◽  
Formation Type ◽  
Elective Setting ◽  
Intestinal Stoma ◽  
The Common

Background: The present study is designed to study the indications of intestinal stoma formation, type of stoma formation, complications of intestinal stoma made in patients under emergency or elective setting and postoperative care of the intestinal stomas.Methods: The study was carried out in Department of surgery at J. L. N. Medical College, Ajmer from January 2016 to September 2017. In this study only >12 years age patient were included. The data were collected prospectively and analysed.Results: It was observed that most patients were operated in emergency (90%) as compare to elective (10%) setting for the formation of intestinal stomas. The stoma was formed more in male (58%) as compared to female (42%). There were two peak age group 31-45 year and 45-60 years in which more stoma formation occur. The common indications for stoma were found to be ileal perforation with gangrenous ileum. The common stoma formed was ileostomy (64%) in compared to colostomy (34%). The loop stomas were formed in compared to end stoma and temporary stoma (84%) more formed compared to permanent stoma (16%). The most common complications were found to be skin excoriation (64%) as compared to other complications.Conclusions: Despite increasing surgical expertise, complications of intestinal stomas still occur frequently in all setups and result in high morbidity. Meticulous skin care with regular follow-up, early detection of complications with their timely management along with education and counselling can decrease morbidity.

scholarly journals Prospective Study of Clinical Profile and Early Complications of Ileostomy

2021 ◽  
Vol 10 (10) ◽  
pp. 694-699
Author(s):  
Nitesh Singh ◽  
Pramod Kumar Bhatia ◽  
Kirti Savyasacchi Goyal ◽  
Sameer Pundeer ◽  
Srinivas Reddy Kallem ◽  
...  
Keyword(s):  
Loop Ileostomy ◽  
Clinical Profile ◽  
High Rate ◽  
Common Complication ◽  
Early Complications ◽  
Early Postoperative Complications ◽  
Stoma Complications ◽  
Perforation Peritonitis ◽  
Intestinal Stoma ◽  
High Output

BACKGROUND Ileostomy is a lifesaving procedure in cases like perforation, peritonitis, typhoid fever, tuberculosis, and trauma. Ileostomy serves the purpose of diversion, decompression, and exteriorisation. Construction of ileostomy is still a common and frequently performed procedure, even though it is a major advancement in the field of surgery. This study intends to evaluate the clinical profile of ileostomy and assess early postoperative complications of ileostomy. METHODS A total number of 36 patients admitted in MMIMSR, Mullana (Ambala), managed and operated with ileostomy were followed up closely from the day of admission in the hospital to the day of discharge. Different parameters were studied. RESULTS The clinical profile, techniques, complications, indications of ileostomy were studied in detail and along with various early complications encountered with ileostomy formation. The most common complication was peristomal irritation in 33 patients (91.7 %), followed by skin excoriation in 24 patients (66.7 %), fistula in 21 patients (58.3 %), high output stoma in 17 patients (47.2 %), stomal retraction in 3 patients (8.3 %), abscess in 2 patients (5.6 %), necrosis in 1 patient (2.8 %), and stenosis in 1 patient (2.8 %). CONCLUSIONS Construction of ileostomy and its management was associated with high rate of complications. However, most patients tolerated the complications of ileostomy well and the overall compliance was satisfactory. Loop ileostomy was the most commonly performed stoma and was associated with high rate of complications. KEY WORDS Intestinal Stoma, Complications, Loop Ileostomy, End Ileostomy, Skin Excoriation, Fistula, High Output Ileostomy

Necrotizing enterocolitis

2018 ◽  
Author(s):  
John Puntis
Keyword(s):  
Birth Weight ◽  
Gastrointestinal Tract ◽  
Breast Milk ◽  
Parenteral Nutrition ◽  
Necrotizing Enterocolitis ◽  
Medical Management ◽  
Surgical Intervention ◽  
Degree Of Protection ◽  
Distended Abdomen ◽  
Bowel Rest

Necrotizing enterocolitis is a common and serous disease predominantly affecting premature newborns, with an incidence, morbidity, and mortality that has remained unchanged for several decades. Around 7% of infants between 500g and 1500g birth weight are affected, with the disease often manifesting with vomiting, bilious aspirates, distended abdomen, and blood in stools around 8–10 days of age. Medical management includes decompression of the gastrointestinal tract via a nasogastric tube, broad-spectrum antibiotics, and bowel ‘rest’ (total parenteral nutrition). Surgical intervention is required for intestinal perforation or ongoing deterioration despite medical management. The pathogenesis is multifactorial and includes genetic predisposition, gastrointestinal immaturity, imbalance in microvascular tone, abnormal intestinal microbiological colonization, and a highly immunoreactive intestinal mucosa. Breast milk feeds appear to confer some degree of protection.

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