Emergency intestinal stomas incidence and early complications


  • Bikash K. Sah Department of Surgery, Kasr al Ainy Hospital, Cairo, Egypt
  • George A. Nashed Department of Surgery, Kasr al Ainy Hospital, Cairo, Egypt
  • Ahmed N. Ahmed Department of Surgery, Kasr al Ainy Hospital, Cairo, Egypt
  • Mohamed M. Raslan Department of Surgery, Kasr al Ainy Hospital, Cairo, Egypt




Intestinal stoma, Stoma types, Stoma complications, Ileostomy, Colostomy, Peristomal skin complication


Background: An intestinal stoma is a frequently performed procedure with a high percentage of complications. Even though creating an intestinal stoma is a procedure that can save lives while treating various gastrointestinal conditions, its accompanying morbidity and mortality have been the topic of many studies. This study was carried out in order to better understand a variety of complications in various types of intestinal stomas.

Methods: A total of 60 patients with intestinal stoma construction in the general surgery emergency department at Kasr Al-Ainy emergency hospital Cairo, Egypt as an emergency procedure from December 2019 to May 2020 were included in this prospective cohort analysis. The inclusion criteria were all emergency cases undergoing intestinal stomas for treatment of either traumatic bowel injuries or acute abdominal surgical emergencies.

Results: With a mean age of 45.18 years, 60 patients in all were evaluated. Males were 65% and females were 35%. End ileostomy with mucous fistula (33.3%) and loop transverse colostomy (18.30%) were the two stomas that were constructed most frequently. Intestinal obstruction (41.7%) was the most often reported indication of stoma formation. Complications of the peristomal skin made up the majority of cases (61.90%).

Conclusions: This work significantly advances our understanding of stoma problems and their prevention to some extent through pre-operative soma site marking, good surgical technique, an experienced surgeon, a stoma therapy nurse, and patient education to enhance the care and quality of life for those who have stomas.


Taylor P. An introduction to stomas: reasons for their formation. Nursing times. 2005;101(29):63-4

Saunders RN, Hemingway D. Intestinal Stomas. Surg Int. 2005;71:44-7.

Ahmad Z, Sharma A, Saxena P, Choudhary A, Ahmed M. A clinical study of intestinal stomas: its indications and complications. Int J Res Med Sci. 2013;1(4):536-40.

Nastro P, Knowles CH, McGrath A, Heyman B, Porrett TR, Lunniss PJ. Complications of intestinal stomas. Br J Surg. 2010;97(12):1885-9.

Ahmad QA, Saeed MK, Muneera MJ, Ahmed MS, Khalid K. Indications and complications of intestinal stomas- a tertiary care hospital experience. Biomedica. 2010;26(11):144-7.

Ameh EA. Paediatric surgery: A comprehensive text for Africa. Seattle, WA. 2012;429-30

Chalya PL, Mabula JB, Kanumba ES, Giiti G, Chandika AB, Gilyoma JM. Experiences with childhood colostomy at a tertiary hospital in Mwanza, Tanzania. Tanzania J Health Res. 2011;13(3):224-35.

Ambe PC, Kurz NR, Nitschke C, Odeh SF, Möslein G, Zirngibl H. Intestinal Ostomy. Dtsch Arztebl Int. 2018;115(11):182-7.

Krishnaswamy J, Kumar S, Mukesh K, Rahman K. A clinical study of intestinal stomas in emergency laparotomy: its complications. Int Surg J. 2017;5(1):273-6.

Engida A, Ayelign T, Mahteme B, Aida T, Abreham B. Types and Indications of Colostomy and Determinants of Outcomes of Patients After Surgery. Ethiop J Health Sci. 2016;26(2):117-20.

Rajput A, Samad A, Khanzada TW. Temporary loop ileostomy: prospective study of indications and complications. Rawal Med J. 2007;32(2):159-62.

Ali SA, Memon M, Ahuja P, Soomro AG, Tahir SM, Shaikh NA. A prospective audit of post-operative complications of construction of loop ileostomy. Med Channel. 2010;16(1):175-78.

Jain S, McGory ML, Ko CY, Sverdlik A, Tomlinson JS, Wendel CS et al. Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy. Am J Surg. 2007;194(6):774-9.

Chaudhary P, Nabi I, Ranjan G, Tiwari AK, Kumar S, Kapur A et al. Prospective analysis of indications and early complications of emergency temporary loop ileostomies for perforation peritonitis. Ann Gastroenterol. 2015;28(1):135-40.

Bosshardt TL. Outcomes of ostomy procedures in patients aged 70 years and older. Arch Surg. 2003;138(10):1077-82.

Massenga A, Chibwae A, Nuri AA, Bugimbi M, Munisi YK, Mfinanga R et al. Indications for and complications of intestinal stomas in the children and adults at a tertiary care hospital in a resource-limited setting: a Tanzanian experience. BMC Gastroenterol. 2019;19(1):157.

Veena A, Hariprasad TR, Gopal S. Study of intestinal stoma: our experience at Rajarajeswari Medical College and Hospital. Int Surg J. 2019;6(10):3622-5.

Shah JN, Subedi N, Maharjan S. Stoma Reversal, a hospital based study of 32 cases. Internet J Surg. 2009;22(1).

Kapoor S, Kaura KS, Vij M. Complications of Intestinal Stomas-A Study of 50 Cases, In XXI National Conference Indian Asso Surg Gastroenterol. 2011.

Pearl RK, Prasad ML, Orsay CP, Abcarian H, Tan AB, Melzl MT. Early local complications from intestinal stomas. Arch Surg. 1985;120(10):1145-7.






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