![[ Visit WOCN Website ]](images/header_bg.jpg)
Intestinal Stoma related complications
Purpose
The purposes of this study were describing the types, frequency, and associating factors of fecal diversion related complications.
Methods
Between January 2008 and September 2009, 496 patients who underwent various stoma operations as both temporary and permanent procedures in Asan Medical center were included in this study.
This prospective study was utilized to describe stoma related complications seen by WOC nurse. After discharge, ongoing care was performed at the ostomy nurses’ clinic within first 2 or 3 postoperative weeks, and then evaluated skin and pouching system every 2 or 3 month.
Results
There were 329 males and 167 females. The types of ostomies seen were 257 colostomies, 236 ileostomies, and 3 jejunostomies. The total number of complications is 42 patients (8.5%) out of 496 patients. Peristomal complications include irritant contact dermatitis(29), hyperplasia(3), peristomal varices(1), and parastomal hernia(2). Stomal complications were mucocutaneous separation(3), prolapsed stoma(2), retracted stoma(1), and stenosis(2). Irritation dermatitis was the most common type of peristomal skin complication (29 patients; 22 ileostomates and 7 colostomates) and was caused by stool leakage(14) or usage of inappropriate pouching system(13), or mechanical trauma(2). Irritant contact dermatitis and mucocutaneous separation occurred from early post-op period. Stenosis, hyperplasia, and parastomal hernia were late complications, occurred over 10 months after ostomy surgery. Stool leakage onto the skin was caused by either changed abdominal contour or collapsed pouch. Another problems were arose by use of inappropriate pouching system i.e. too large cut hole(9) or too small cut hole on wafer flange(4). Mechanical trauma was caused by frequent change of the plate(2).
Conclusion
The WOC nurse must be able to effectively manage difficult pouching situations, and also nursing interventions include development of secure pouching system, instruction in self-care, and counseling to support positive integration of the ostomy into the patient's self-concept and lifestyle.
Purpose
The purposes of this study were describing the types, frequency, and associating factors of fecal diversion related complications.
Methods
Between January 2008 and September 2009, 496 patients who underwent various stoma operations as both temporary and permanent procedures in Asan Medical center were included in this study.
This prospective study was utilized to describe stoma related complications seen by WOC nurse. After discharge, ongoing care was performed at the ostomy nurses’ clinic within first 2 or 3 postoperative weeks, and then evaluated skin and pouching system every 2 or 3 month.
Results
There were 329 males and 167 females. The types of ostomies seen were 257 colostomies, 236 ileostomies, and 3 jejunostomies. The total number of complications is 42 patients (8.5%) out of 496 patients. Peristomal complications include irritant contact dermatitis(29), hyperplasia(3), peristomal varices(1), and parastomal hernia(2). Stomal complications were mucocutaneous separation(3), prolapsed stoma(2), retracted stoma(1), and stenosis(2). Irritation dermatitis was the most common type of peristomal skin complication (29 patients; 22 ileostomates and 7 colostomates) and was caused by stool leakage(14) or usage of inappropriate pouching system(13), or mechanical trauma(2). Irritant contact dermatitis and mucocutaneous separation occurred from early post-op period. Stenosis, hyperplasia, and parastomal hernia were late complications, occurred over 10 months after ostomy surgery. Stool leakage onto the skin was caused by either changed abdominal contour or collapsed pouch. Another problems were arose by use of inappropriate pouching system i.e. too large cut hole(9) or too small cut hole on wafer flange(4). Mechanical trauma was caused by frequent change of the plate(2).
Conclusion
The WOC nurse must be able to effectively manage difficult pouching situations, and also nursing interventions include development of secure pouching system, instruction in self-care, and counseling to support positive integration of the ostomy into the patient's self-concept and lifestyle.