Department of Colorectal Surgery, Meander Medical Centre Amersfoort, Utrechtseweg 160, 3818 ES Amersfoort, the Netherlands.
Int J Colorectal Dis. 2012 Aug;27(8):1095-9. doi: 10.1007/s00384-012-1413-y. Epub 2012 Jan 31.
This study aims to provide an overview of all complications that may occur after construction of an ileostomy or colostomy (loop or end) in daily practice.
Between July 2007 and April 2008, all adult patients who underwent any type of intestinal stoma formation were asked to participate in this prospective cohort study. All relevant patient characteristics were gathered.Patients were evaluated for complications eight times in a1-year postoperative period. Enterostomal therapy nurses scored complications on specially designed forms.
One hundred patients were included; two patients were lost before initial follow-up (FU). During FU, 21% of the patients deceased, and 15% were lost, physically unable to visit the outpatient clinic or withdrew from FU. In 37% of the patients, bowel continuity was restored. Only 26% of the patients were able to complete FU. Overall, 82% of all the patients had one or more stoma-related complications. Most common complications were skin irritation (55%), fixation problems (46%) and leakage (40%). Superficial necrosis,bleeding and retraction occurred in 20%, 14% and 9% of patients, respectively. More stoma related complications were found in stoma's on inappropriate locations.
In this heterogenic patient population with formation of different stoma types, a high complication rate was detected.
本研究旨在概述在日常实践中，对回肠造口或结肠造口（环或端）进行构建后可能出现的所有并发症。
2007 年 7 月至 2008 年 4 月期间，所有接受任何类型肠造口术的成年患者均被要求参与这项前瞻性队列研究。收集了所有相关的患者特征。在术后 1 年的随访期间，患者被评估了 8 次并发症。造口治疗护士使用专门设计的表格对并发症进行评分。
共纳入 100 例患者，其中 2 例患者在初始随访前失访（FU）。在 FU 期间，21%的患者死亡，15%的患者因身体原因无法前往门诊或退出 FU。37%的患者恢复了肠道连续性。仅有 26%的患者能够完成 FU。总体而言，82%的患者出现了一种或多种与造口相关的并发症。最常见的并发症是皮肤刺激（55%）、固定问题（46%）和渗漏（40%）。分别有 20%、14%和 9%的患者出现了浅表性坏死、出血和回缩。在造口位置不当的患者中，发现了更多的造口相关并发症。
在这一具有不同造口类型的异质患者群体中，检测到了高并发症发生率。
