Publication:
Is stoma care effective in terms of morbidity in complicated ileostomies?

dc.contributor.buuauthorDÜNDAR, HALİT ZİYA
dc.contributor.buuauthorSarkut, Pınar
dc.contributor.buuauthorDündar, Halit Ziya
dc.contributor.buuauthorTirnova, İsmail
dc.contributor.buuauthorÖztürk, Ersin
dc.contributor.buuauthorYılmazlar, Tuncay
dc.contributor.buuauthorYILMAZLAR, AHMET TUNCAY
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı.
dc.contributor.orcid0000-0003-4488-1607
dc.contributor.orcid0000-0001-8593-5101
dc.contributor.researcheridISB-9235-2023
dc.date.accessioned2024-09-24T05:57:38Z
dc.date.available2024-09-24T05:57:38Z
dc.date.issued2015-01-01
dc.description.abstractBackground: Performing transient or permanent ileostomy is one of the common procedures involved in colorectal surgery. Complication rates up to 40% have been reported in ileostomies. In this report, the effect of specific stoma care unit on ileostomy and its complications were investigated.Methods: A total of 141 patients, who were operated and underwent ileostomy, due to different causes, at Department of General Surgery, Uludag University, Bursa, Turkey, between 2003 and 2006, were examined, retrospectively. Patient records were examined in terms of age, sex, surgery indications, urgent/elective state, benign/malign origin, ileostomy type, complications and stoma care, and education. chi(2) test was used to compare the categorical data.Results: Among the patients, 95 (67%) were male and 46 (33%) were female. The mean age was 47 years (17-67). Some of the subjects (49%) were operated urgently and some (51%) were under elective conditions. The ileostomy types used included the following: end ileostomy (43%), loop ileostomy (46%), and double-barrel ileostomy (11%). Permanent ileostomy was performed in 23 patients and transient ileostomy was performed in 118 patients. The patients were operated because of either benign (48%) or malign (52%) causes. Complications developed in 37 (26%) patients. The rate of development of complication was markedly higher in ileostomies performed under urgent conditions (61% vs 39%) (P<,0.001). The complications included mucocutaneous separation (12 patients), maceration in the peristomal skin (ten patients), retraction (five patients), necrosis (three patients), prolapsus (three patients), and other metabolic complications (four patients). The complications were treated with care (68%) and surgical revision (32%).Conclusion: The rate of ileostomy was found to be higher in the male patients compared to female patients. The risk of development of complications was found to be higher in ileostomies performed under urgent conditions. The most common complication observed was mucocutaneous separation. Ileostomy complications can be treated conservatively with professional care and education.
dc.identifier.doi10.2147/IJGM.S79224
dc.identifier.endpage246
dc.identifier.issn1178-7074
dc.identifier.startpage243
dc.identifier.urihttps://doi.org/10.2147/IJGM.S79224
dc.identifier.urihttps://hdl.handle.net/11452/45088
dc.identifier.volume8
dc.identifier.wos000213882600037
dc.indexed.wosWOS.ESCI
dc.language.isoen
dc.publisherDove Medical Press Ltd
dc.relation.journalInternational Journal Of General Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectIleostomy
dc.subjectStoma care
dc.subjectComplications
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectMedicine, general & internal
dc.subjectGeneral & internal medicine
dc.titleIs stoma care effective in terms of morbidity in complicated ileostomies?
dc.typeArticle
dspace.entity.typePublication
relation.isAuthorOfPublication389d770a-876f-404b-b17b-395dbdd9fd62
relation.isAuthorOfPublicationbc7af80e-28da-4133-b35f-891a748753cb
relation.isAuthorOfPublication.latestForDiscoverybc7af80e-28da-4133-b35f-891a748753cb

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