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

Authors

  • Chinmoy Mallik Department of General Surgery, College of Medicine and JNM Hospital, Kalyani, West Bengal, India
  • Sabuj Pal Department of General Surgery, College of Medicine and JNM Hospital, Kalyani, West Bengal, India
  • Pradip Kumar Mohanta Department of General Surgery, College of Medicine and JNM Hospital, Kalyani, West Bengal, India

DOI:

https://doi.org/10.18203/2349-2902.isj20194562

Keywords:

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

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.

Author Biographies

Chinmoy Mallik, Department of General Surgery, College of Medicine and JNM Hospital, Kalyani, West Bengal, India

RMO cum Clinical Tutor, Department of General Surgery

Sabuj Pal, Department of General Surgery, College of Medicine and JNM Hospital, Kalyani, West Bengal, India

Assistant Professor, Department of General Surgery

Pradip Kumar Mohanta, Department of General Surgery, College of Medicine and JNM Hospital, Kalyani, West Bengal, India

Associate Professor, Department of General Surgery

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Published

2019-10-24

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Original Research Articles