DOI: http://dx.doi.org/10.18203/2349-2902.isj20194562

A clinical study of colostomies in infancy and childhood in a tertiary centre

Chinmoy Mallik, Sabuj Pal, Pradip Kumar Mohanta

Abstract


Background: The word stoma is derived from the Greek word stoma meaning mouth or opening. Intestinal stoma are surgically created opening that connect part of gastro-intestinal tract with the anterior abdominal wall. The use of various types of colostomies can be lifesaving. Since at our centre we regularly perform colostomies in treatment of various conditions in paediatric age group, this clinical study was undertaken.

Methods: This clinical study was conducted in the Department of General Surgery at College of Medicine and JNM Hospital, Nadia. The study was conducted during the period from August 2018 to July 2019. The patients aged day 1 to 12 years were admitted.

Results: In the one year study period, 33 cases of paediatric colostomies were performed. 17 (51.5%) were male and 16 (48.5%) were females. Majority of the patients at the time of colostomy were in the early neonatal period. A total of 22 (66.6%) cases underwent colostomy at our hospital and 11 (33.4%) patients had undergone colostomy elsewhere. Majority of the cases who had undergone colostomy were of sigmoid loop variety and 9 patients (27.3%) had transverse loop colostomy. A total of 12 patients (36.36%) suffered post colostomy major complications needing attention.

Conclusions: The child is a socio-psycho-biological unit and colostomy leads to substantial psychological trauma for the child and parents. Careful examination is the key to diagnosis and initial management. An appropriately indicated, properly constructed temporary stoma is frequently unavoidable and lifesaving.


Keywords


Colostomies, Anorectal malformations, Hirschsprung’s disease, Loop colostomy

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References


Chave HS, Senapati A. Intestinal stomas and their complications. Surg Int. 2000;24:162-8.

Gauderer MWL. Stomas of the small and large intestine. Pediatric Surgery. 1998;2:1349-59.

Bishop HC. Colostomy in the new born: Indications, techniques, complications and care. Am Jr Surg. 1961;101:642-8.

Mollitt DL, Malangoni MA, Ballantine TV, Grosfeld JL. Colostomy complications in children:An analysis of 146 cases. Arch Surg. 1980;115(4):455-8.

Scharli WF. The history of colostomy in children: Progress Pediatr Surg. 1986;20:188-98.

Sigmund EH. Divided loop colostomy that does not prolapsed. Am Jr Sum. 1984;147:250-2.

Peña A, Levitt MA. Anorectal anomalies. Newborn Surg. 1996: 289-312.

Mackiegan JM, Cataldo PA. Intestinal stomas: Principles, techniques and management. St. Louis, 1993: 25-32.

Fonkalsrud EW. Special aspects of ostomies in infancy and childhood. Curr Probl Surg. 1975;12:54.

Gauderer MWL, Stellato TA. Gastrectomies: Evaluation, techniques, indications and complications. Curr Probl Surg. 1986;23:661.

Numanoglu A, Millar AJW, Brown, RA. Stomas in infants and children:Part I. Continuing Medical Education. 2005;23(7):359-60.

Teitelbaum DH, Coran AG. Hirschsprung's disease and related neurovascular disorder of the intestine. Pediatr Surg. 1998;2:1381-424.

Mc Mahon RA, Cohen SJ, Eckstein. Colostomies in infancy and childhood. Arch Dis Child. 1963;3(8):114-7.

Ah Al Salem, Grant C, Khawaja S. Colostomy complications in infants and children. Int Surg. 1992;77(3):164-6.

Pena A. Anorectal malformations. Seminar Paediatr Surg. 1995;4:35-47.

Rintala RJ, Lindahl H. Is normal bowel function possible after repair of intermediate and high anorectal malformations? J Paediatr Surg. 1995;30:488-90.

Puri P. Hirschsprung's disease: Clinical Features. Berlin, Heidelberg: Springer; 1996: 370-371.