A Prospective Study of Intestinal Stomas

Authors

Sukhnein Singh1 , P. K. Bhatia2 , Kapil Sindhu3. , Ashutosh Bawa1 , Nischal Shivaprakash1 , Shabool Nafees1 , Jatin Bedi1

Intestinal stoma, complications, end colostomy, loop ileostomy, loop colostomy, Parastomal hernia, stomal prolapse, loop-end ileostomy.

Background and Objectives: Intestinal stomas are commonly constructed in an emergency as well as

elective setting for a variety of indications. Historically associated with a high morbidity, evolution of skills

on the part of the surgeon has lead to better understanding of the indications, complications and management

of a stoma. This study aims to evaluate the above mentioned parameters and hence improve the outcome

of patients undergoing a stoma. Method 50 patients admitted in MMIMSR, Mullana (Ambala) and later

operated and managed with a stoma were closely followed up from the date of admission to the date of

discharge and the various parameters were studied. Results The indications, technique, complications and

its management were studied in detail by following patients in person or through phone and the results were

analyzed in detail. Interpretation and Conclusion Construction and management of stoma was associated

with a few complications. Most patients however tolerated the procedure well and the overall compliance

was satisfactory. Loop ileostomy was the commonly constructed stoma and the one associated with most

complications. Transverse loop colostomy was associated with no complications and was extremely well

tolerated.

Sukhnein Singh1 , P. K. Bhatia2 , Kapil Sindhu3. , Ashutosh Bawa1 , Nischal Shivaprakash1 , Shabool Nafees1 , Jatin Bedi1

1 Junior Resident, 2Professor, 3Assistant Professor, Dept. of Surgery, MMIMSR, Mullana Ambala