Title: To Study Indication of Ileostomy/Colostomy at Medical College, Hospital Bikaner Rajasthan

Authors: Jitendra Kumar Gupta, Ashok Parmar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i5.86

Abstract

Introduction: A Ileostomy/Colostomy is a lifesaving surgery that enables a person to enjoy a full range of activities, including traveling, sports, family life and work, even though they have a stoma and may wear a pouching system.

Material and Method: prospective & retrospective hospital based study. From August 2015 to July 2016. 50 patients reporting to the General Surgery dept. within study duration and eligible as per inclusion criteria will be included in the study.

Results: In present study, Mean age 48.16 years. The main cause for stoma were cancer 54%, Perforation (any medical cause) 28% and Emergency Diversion 18%.

Conclusion: The main indication for ileostomy/colostomy were cancer, Perforation (any medical cause)  and Emergency Diversion (traumatic and other).

Keywords: Colostomy, Ileostomy, Indications.

References

1.      Stredman’s Medical Dictionary. 27th ed. Baltimore: Lippincott Williams & Wilkins; 2000.

2.      Kaidar-Person O, Person B, Wexner SD. Complications of construction and closure of temporary loop ileostomy. J Am Coll Surg. 2005;201:759– 73, doi: 10.1016/j.jamcollsurg.2005.06.002.

3.      Brooke BN. The management of an ileostomy including its complications. Dis Colon Rectum. 1993;36:512–6, doi: 10.1007/BF02050020.

4.      Turnbull RB Jr, Weakley FL. Atlas of intestinal stomas. St Louis: Mosby; 1967:32–9.

5.      Schackelford RT, Zuidema GD. Surgery of the alimentary tract. 2nd ed. Philadelphia: WB Saunders 1978; 3: 191-288.

6.      Memon AS, Memon JM, Malik A, Soomro AG. Pattern of acute intestinal obstruction. Pak J Surg 1995; 11: 91-3.

7.      Brand M I, Dujovny N. Preoperative considerations and creation of normal ostomies. Clin Colon Rectal Surg 2008; 21 (1): 5-16.

8.      Singh M, Owen A, Gull S, Morabito A, Bianchi A. Surgery for intestinal perfora-tion in preterm neonates: anastomosis vs stoma. J Pediatr Surg 2006;41:725-9.

9.      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;1:536-40.

10.  Martin ST, Vogel JD. Intestinal stomas: indications, management, and complications. Adv Surg 2012;46:19-49.

11.  Safirullah, Mumtaz N, Jan MA, Ahmed S. Compli cations of intestinal stomas. J Postgrad Med Inst 2005;19(4):407-11

12.  Aziz A, Sheikh I, Jawaid M, Alam SA, Saleem M. Indications and complications of loop ileostomy. J Surg Pak 2009; 14 (3): 128-31.

Corresponding Author

Jitendra Kumar Gupta

Resident Doctor, Department Of General Surgery

Sardar Patel Medical College & Agh, Bikaner, Rajasthan