Published: 2019-12-26

Indications and complications of colostomy in newborn: our experience

Roshan Chanchlani, Dhirendra Shrivastava


Background: The aim of the present study was to evaluate the indications, complications and outcome of colostomy in newborn patients.

Methods: This is a descriptive, retrospective study carried out in the Department of Pediatric surgery, Gandhi Medical College Bhopal to evaluate acceptance and outcome of colostomy in newborn over a one year period from March 2018 to March 2019. All newborn with diagnosis of anorectal malformation, Hirshsprungs disease and other emergency conditions underwent transverse loop colostomy by expert and trained pediatric surgeon.

Results: Out of 40 patients operated complications of colostomy was seen in 18 (45%) patients. Most common complication was skin excoriation in 08 patients (20%), bleeding from stoma site in 02 (05%) cases. Stoma prolapse occurred in 02 (05%) patients. Wound infection, dehiscence, stomal stenosis and parastomal hernia was seen in one patient each 2 (2.5%). 2 (0.5%) patient died due to multiple congenital anomalies.

Conclusions: Colostomy in children is associated with significant morbidity in developing country. To minimize these problems, the pediatric surgeon should focus on the management and early closure of a colostomy.


Anorectal malformation, Colostomy, Hirshsprungs disease

Full Text:



Osifo OD, Osaigbovo EO, Obeta EC. Colostomy in children: indications and common problems in Benin city Nigeria. Pak J Med Sci. 2008;24:199-203.

Andivot T, Bail JP, Chio F. Complications of colostomies. Follow-up study of 500 colostomised patients. Ann Chir. 1996;50(3):252-7.

Mahmood SS, Abulhab RJ, Mohamed MJ. Where and why do we select the type and site of colostomy in children below two years. IJMS. 2015;13(2):137-41.

Nour S, Beck J, Stringer MD. Colostomy complications in infants and children. Ann R Coll Engl. 1996;78(6):526-30.

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

Chandramouli B, Srinivasan K, Jagdish S, Ananthakrishnan N. Morbidity and mortality of colostomy and its closure in children. J Pediatr Surg. 2004;39:596-9.

Millar AJ, Lakhoo K, Rode H, Ferreira MW, Brown RA, Cywes S. Bowel stomas in infants and children. A 5-year audit of 203 patients. S Afr J Surg 31(3):110-3.

Holschneider AM, Puri P. Hirschsprung’s disease and allied disorders. 3rd ed. Berlin, Germany: Springer-Verlag; 2008.

Duchesne JC, Wang YZ, Weintraub SL, Boyle M, Hunt JP. Stoma complications: a multivariate analysis. Am Surg. 2002;68(11):961–6.

Stothert JC, Brubacher L, Simonowitz DA. Complications of emergency stoma formation. Arch Surg. 1982;117:3.

Sheikh MA, Akhtar J, Ahmed S. Complications/problems of colostomy in infants and children. J Coll Physicians Surg Pak. 2006;16(8):509-13.

Pena A, Migotto-Krieger M, Levitt MA. Colostomy in anorectal malformations: a procedure with serious, but preventable complications. J Paediatr Surg. 2006;41(4):748-56.