Yasmeen Bhatti, Imamuddin Baloch, Ghulam Shabir Shaikh, Rajib Ali Deenari, Sameena Naz.
Frequency of complications of ileostomy: experience of 180 cases at Chandka Medical College Hospital Larkana.
Rawal Med J Jan ;35(2):198-200.

Objective: To evaluate the frequency of complications of ileostomy. Patients and Methods: This descriptive study was conducted on 180 patients at surgical units of Chandka Medical College Hospital, Larkana from August 2004 to February 2008. Patients of ileostomies performed for various pathologies including enteric perforation, intestinal obstruction, abdominal tuberculosis and abdominal trauma were enrolled. Preoperative preparation, investigations, operative findings and post operative complications were noted. Results: A total of 180 patients were evaluated. Age ranged between 12-65 years (mean 29+13.31years). Male to female ratio was 1:1.22. 93(51.6%) patients were of enteric perforation followed by 49(27.2%) of intestinal obstruction, 20 (11.1%) of abdominal tuberculosis and 18(10%) of abdominal trauma. 72 (40%) patients developed variable complications; of which 38(21.1%) developed skin excoriation, 12(6.6%) retraction, 8(4.4%) stenosis, 8(4.4%) stomal prolapse, 3(1.6%) peristomal sepsis, 2(1.1%) ischemia and one(0.5%) bleeding. Mortality rate was zero. Conclusions: Complications of ileostomy are common and most of them are manageable conservatively. (Rawal Med J 2010;35:198-200).

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