GS08RISK FACTORS AND QUALITY OF LIFE IN 137 PATIENTS WITH INTESTINAL STOMA COMPLICATIONS

• Published in: ANZ journal of surgery Vol. 79; no. s1; p. A26
• Main Authors: Richter, K. K., Krug, M., Settmacher, U., Pfeifer, M., Thompson-fawcett, M.
• Format: Journal Article
• Language: English
• Published: Melbourne, Australia Blackwell Publishing Asia 01.05.2009; Blackwell Publishing Ltd
• Subjects: Gastrointestinal surgery; Medical procedures; Quality of life; Risk factors
• ISSN: 1445-1433; 1445-2197
• DOI: 10.1111/j.1445-2197.2009.04917_8.x

Stoma formation is a standard procedure in gastrointestinal surgery; however, the incidence seems to remain high. Here, we performed a prospective study on 137 patients with ileostomy or colostomy in order to identify potential risk factors. 137 patients received stomas and were prospectively followed up four times after surgery. Early and late stoma complications, potential risk factors, and QOL were recorded using a modified SF-36 form. Results were subjected to statistical analysis and discussed with the view onto the current literature. 72 patients received a colostomy and 65 patients an ileostomy. There was a complication rate of 55.5% (n = 76). 53 patients had early, 44 patients had late, and some had both early and late complications. Early complications occurred less than two months after surgery and included necrosis (16.1%), abscess (13.9%), and dehiscence (10.9%). Late complications included parastomal hernia (11.7%), chronic peristomal skin alteration (8.8%), stenosis (6.6%), prolaps (3.6%), and retraction 0.7%). 15 patients with late stoma complications needed surgery. High body mass index, emergency procedure, and omitted preoperative stoma marking were associated with significant higher risks for developing stoma complications. The availability of a stoma nurse greatly influenced outcome and QOL. Stoma complications are not rare and the surgeon should pay special attention to details of the technique. QOL of stoma patients is greatly influenced by specially trained stoma nurses. The identified risk factors have to be considered in order to reduce the incidence of stoma complications in the future. [PUBLICATION ABSTRACT]