Enterostomy-related complications in Hirschsprung's disease in a single cohort.
Minerva Pediatr (Torino)
; 75(5): 711-718, 2023 Oct.
Article
en En
| MEDLINE
| ID: mdl-31692311
ABSTRACT
BACKGROUND:
Hirschsprung's disease (HSCR) is a frequent cause of intestinal obstruction in children and may require an enterostomy. The study aimed to describe the most common enterostomy-related complications in a series of patients treated in a single center.METHODS:
A series of consecutive HSCR patients treated or followed-up at our institution between January 1993 and December 2016 were included. Data about HSCR type, enterostomy site, duration and complications of the stoma were recorded.RESULTS:
Three hundred one patients with HSCR were followed-up. Sixty-one had ultralong forms (TCSA/TIA), 21 had long forms (L-HSCR) and 219 had classic short forms (S-HSCR). One hundred thirty-seven patients required a stoma (100% of patients with TCSA/TIA, 66.7% with L-HSCR and 28.3% with S-HSCR). We observed 64 stoma-related complications 36 major complications and 28 minor complications. Major complications occurred more often in long forms (P=0.037). The presence of an ileostomy was statistically associated with an increased rate of complications compared to colostomy. The longer the stoma was in site, the higher the complication rate was.CONCLUSIONS:
Long and ultra-long forms are associated with a longer duration of the stoma and to a major risk of stoma-related complications.
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Banco de datos:
MEDLINE
Tipo de estudio:
Risk_factors_studies
Idioma:
En
Año:
2023
Tipo del documento:
Article