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Poster Display - 112
Frequency of enterostomy complications in pediatric Age - Single Centre Experience
Ivona Djordjevic, Ana Kostic, Nikola Vacic, Radomir Stankovic
Clinic for Pediatric surgery, Orthopedics and Traumatology, University Clinical center Niš, Serbia
Introduction.A large number of congenital, perinatal, and infant diseases as part of the "staging" procedure involve the creation of an enterostomy (jejunostomy, ileostomy, cecostomy, or colostomy) used for the derivation of intestinal contents for a shorter or longer period. The most common complications associated with creating a stoma are: stenosis, prolapse, stoma retraction, wound dehiscence, enterocutaneous fistulas, and peristomal skin irritation.
The aim. The study aimed to present the experience of one centre and highlight the most common complications associated with the creation, functioning, and care of intestinal stomata.
Materials and methods: A retrospective analysis was conducted over 3 years (from January 1, 2021, to December 31, 2024). Data were collected from medical records and operative protocols. Results: During the three years, a total of 53 patients with created stomas were treated (32 boys and 21 girls) aged from 1 day to 4 months (average 4.12±2.13 days), with a body weight of 1390 to 6350 grams (2235±1215 grams). During this period, there were a total of 27 (50.94%) patients with complications, specifically: 16 (30.18%) with significant peristomal skin irritation, 5 (9.43%) with stoma retraction, 3 (5.66%) with prolapse, 2 (3.77%) with stenosis, and 1 (1.88%) with stoma dehiscence and intraluminal content prolapse. As many as 8 (15.09%) patients required reintervention for various complications. In the further course and follow-up of the patients, there were no complications until the closure of the enterostomy.
Conclusion: Surgeons must be aware of the high rate of morbidity and complications associated with the creation of enterostomies, all in the interest of taking appropriate measures during the intraoperative and postoperative course to avoid them. The aim of this study was to highlight the most common types of complications and to suggest strategies for their prevention.