Indications, Types and Postoperative Outcomes of Colostomy in Adults at the Delta State University Teaching Hospital, Oghara. Nigeria
Keywords:
Colostomy, Indications, Types, Complications, MortalityAbstract
Introduction: In order to either decompress an obstructed colon or divert feces, colostomies are among the most frequently performed life-saving surgeries in the world. The indications are diverse, ranging from trauma to malignancy. Associated with the procedure are peculiar complications that may occur.
Objectives: This study aimed to identify the common indications, types, and outcomes of colostomies carried out at the Delta State University Teaching Hospital.
Methods: A three-year prospective cohort research study was conducted at the Delta State University Teaching Hospital in Oghara between January 2021 and December 2023.
Results: In the course of three years, 19 patients had colostomies. Fifteen (65.2%) of these were males. The age ranged from 26 – 70 years with a mean of 48±14.7 years. There were 13 males and 6 females giving a male:female ratio of 2.2:1.
Majority of the colostomies were done to relieve obstruction or protect anastomosis from colorectal malignancies, 13 (68.4%). Devine colostomy was the most often performed type of colostomy, 17 (89.5%). The most common comorbid condition was hypertension. Six complications in total were observed, consisting of three surgical site infections, including paracolostomy infections, 3(15.8%), and three stoma-related complications, 3(15.8%). The mortality rate was 6 (31.6%).
Conclusion: Colostomy is mainly done in our environment as a palliative procedure. The main indication is colorectal malignancy. Surgical site infection, including para-colostomy infections, are notable complications. The mortality rate from underlying disease is still high due to delay in patient presentation. Concomitant cardiovascular disease appears to increase the mortality rate.
Keywords: Colostomy, Indications, Types, Complications, Mortality
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