Abstract
The common complications of peristomal ischemia, retraction, and stenosis are clinical manifestations of differing degrees of the same pathologic entities of ischemia and tension. Specific technical considerations can and should be made at the time of ostomy creation to reduce their incidence and the often substantial patient morbidity associated with them. Once present, the specific clinical scenario dictates the timing and nature of their surgical correction.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41:1562–72.
Londono-Schimmer EE, Leong APK, Phillips RKS. Life table analysis of stomal complications following colostomy. Dis Colon Rectum. 1994;37:916–20.
Mealy K, O’Brion E, Donohue J, Tanner A, Keane FB. Reversible colostomy—what is the outcome. Dis Colon Rectum. 1996;39:1227–31.
Shabbir J, Britton DC. Stoma complications: a literature review. Colorectal Dis. 2010;12:958–64.
Leong AP, Londono-Schimmer EE, Phillips RK. Life table analysis of stomal complications following ileostomy. Br J Surg. 1994;81:727–9.
Parmar KL, Zammit M, Smith A, Kenyon D, Lees NP. A prospective audit of early stoma complications in colorectal cancer treatment throughout the Greater Manchester and Cheshire colorectal cancer network. Colorectal Dis. 2011;13:935–8.
Park JJ, Del Pino A, Orsay CP, Nelson RL, Pearl RK, Cintron JR, Abcarian H. Stoma complications: the Cook County experience. Dis Colon Rectum. 1999;42:1575–80.
Edwards DP, Leppington-Clarke A, Sexton R, Heald RJ, Moran BJ. Stoma-related complications are more frequent after transverse colostomy than loop ileostomy: a prospective randomized trial. Br J Surg. 2001;88(3):360–3.
Duchesne JC, Wang YZ, Weintraub SL, Boyle M, Hunt JP. Stoma complications: a multivariate analysis. Am Surg. 2002;68(11):961–6.
Arumugam PJ, Bevan L, Macdonald L, Watkins AJ, Morgan AR, Beynon J, Carr ND. A prospective audit of stomas-analysis of risk factors and complications and their management. Colorectal Dis. 2003;5:49–52.
Robertson I, Eung E, Hughes D, Spires M, Donnelly L, Mackenzie I. Prospective analysis of stoma related complications. Colorectal Dis. 2005;7:279–85.
Carlsen E, Bergan A. Technical aspects and complications of end ileostomies. W J Surg. 1995;19:632–6.
Hebert JC. A simple method for preventing retraction of an end colostomy. Dis Colon Rectum. 1988;31:328–9.
Hussain SG, Cataldo TE. Late stomal complications. Clin Colon Rectal Surg. 2008;21(1):31–40.
Kim JT, Kumar RR. Reoperation for stoma-related complications. Clin Colon Rectal Surg. 2006;19(4):207–12.
Beraldo S, Titley G, Allan A. Use of w-plasty in stenotic stoma: a new solution for an old problem. Colorectal Dis. 2006;8:715–6.
Efron JE. Ostomies and stomal therapy. 2004. ASCRS core subjects. http://www:fascrs.org.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Foley, E. (2015). Stoma Retraction/Ischemia/Stenosis. In: Pawlik, T., Maithel, S., Merchant, N. (eds) Gastrointestinal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2223-9_42
Download citation
DOI: https://doi.org/10.1007/978-1-4939-2223-9_42
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-2222-2
Online ISBN: 978-1-4939-2223-9
eBook Packages: MedicineMedicine (R0)