Various Complications in Ileostomy Construction

Abstract

Construction of a gastrointestinal stoma is a frequently performed surgical procedure. The rationale for a temporary loop ileostomy is to provide defunctioning in case of a potentionally dangerous anastomotic complication with an obvious risk for mortality. Although formaton of defunctioning loop Ileostomy is usually a straightforward procedure, there is an appreciable complication rate. Most of the complications seen after Ileostomy are due to advanced pathology and relative inexperience of the residents in emergency situation. To see the nature and rate of complications of Ileostomy construction, this prospective observational study was conducted from Jan 2001-Dec 2005 which includes 170 patients and data were collected from the Surgical unit IV Liaquat University Hospital Jamshoro Pakistan. The results obtained showed that the most common complication was skin excoriation (17.64%). Other complications included infection, electrolyte imbalance, retraction, prolapse, bleeding and Parastomal hernia. It is concluded that Ileostomy should be properly fashioned in order to decrease the morbidity and mortality.