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Indications And Complications Of Intestinal Stomas: A Tertiary Care Hospital Experience

Rohan Khandelwal , Rohan Khandelwal , Akriti Sinha , Anuradha Mehta , Krishna Adit Agarwal , Avantika Singh

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New Indian Journal of Surgery 2(4):p 337-337, October-December 2011. | DOI:

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Abstract

 An Ostomy is a surgically created opening to discharge waste from the digestive or urinary tract. A stoma is the actual end of the small or large bowel or ureter that can be seen protruding through the abdominal wall. Formation of an intestinal stoma is frequently a component of surgical intervention for diseases of the small bowel and the colon. The most common intestinal stomas are the ileostomies (end and loop) and the colostomies (end and loop). Although great advances have been made with regard to stoma formation and management, both early and late complications are common. Various Indications for which intestinal stomas are formed: Ulcerative Colitis, Bowel obstruction, Cancer of colon & rectum,Crohn’s disease, Congenital Bowel defects, Uncontrolled bleeding from large intestine, Injury to the intestinal tract, IBD, Ischemic Bowel disease, Carcinoma Urinary Bladder and Spinal cord injury. Typhoid and tuberculosis being the frequent causes of acute enteric perforations, remains a public health problem in our part of world.Despite Extensive Surgical expertise, complications after stoma creation still occur and often cause social isolation and a significant reduction in the quality of life. Though the formation of a stoma is one of the easiest procedures for a practicing surgeon, complications such as leakage, prolapse, parastomal hernia, retraction and stenosis still occur frequently.Aims and Objectives: To identify common indications and complications associated with intestinal stoma in a tertiary care set-up

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