Skip to main content

Stoma Retraction/Ischemia/Stenosis

  • Chapter
  • First Online:
Gastrointestinal Surgery
  • 2414 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41:1562–72.

    Article  CAS  PubMed  Google Scholar 

  2. Londono-Schimmer EE, Leong APK, Phillips RKS. Life table analysis of stomal complications following colostomy. Dis Colon Rectum. 1994;37:916–20.

    Article  CAS  PubMed  Google Scholar 

  3. Mealy K, O’Brion E, Donohue J, Tanner A, Keane FB. Reversible colostomy—what is the outcome. Dis Colon Rectum. 1996;39:1227–31.

    Article  CAS  PubMed  Google Scholar 

  4. Shabbir J, Britton DC. Stoma complications: a literature review. Colorectal Dis. 2010;12:958–64.

    Article  CAS  PubMed  Google Scholar 

  5. Leong AP, Londono-Schimmer EE, Phillips RK. Life table analysis of stomal complications following ileostomy. Br J Surg. 1994;81:727–9.

    Article  CAS  PubMed  Google Scholar 

  6. 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.

    Article  CAS  PubMed  Google Scholar 

  7. 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.

    Article  CAS  PubMed  Google Scholar 

  8. 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.

    Article  CAS  PubMed  Google Scholar 

  9. Duchesne JC, Wang YZ, Weintraub SL, Boyle M, Hunt JP. Stoma complications: a multivariate analysis. Am Surg. 2002;68(11):961–6.

    PubMed  Google Scholar 

  10. 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.

    Article  CAS  PubMed  Google Scholar 

  11. Robertson I, Eung E, Hughes D, Spires M, Donnelly L, Mackenzie I. Prospective analysis of stoma related complications. Colorectal Dis. 2005;7:279–85.

    Article  CAS  PubMed  Google Scholar 

  12. Carlsen E, Bergan A. Technical aspects and complications of end ileostomies. W J Surg. 1995;19:632–6.

    Article  CAS  Google Scholar 

  13. Hebert JC. A simple method for preventing retraction of an end colostomy. Dis Colon Rectum. 1988;31:328–9.

    Article  CAS  PubMed  Google Scholar 

  14. Hussain SG, Cataldo TE. Late stomal complications. Clin Colon Rectal Surg. 2008;21(1):31–40.

    Article  Google Scholar 

  15. Kim JT, Kumar RR. Reoperation for stoma-related complications. Clin Colon Rectal Surg. 2006;19(4):207–12.

    Article  PubMed Central  PubMed  Google Scholar 

  16. 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.

    Article  CAS  PubMed  Google Scholar 

  17. Efron JE. Ostomies and stomal therapy. 2004. ASCRS core subjects. http://www:fascrs.org.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eugene F. Foley MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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)

Publish with us

Policies and ethics