RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00000049.xml
PDF herunterladen
Clin Colon Rectal Surg 2024; 37(06): 387-397
DOI: 10.1055/s-0043-1777453
DOI: 10.1055/s-0043-1777453
Review Article
Stoma Complications
Funding Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number KL2TR003143. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Abstract
Stoma-related complications are among the most common sources of perioperative morbidity in colorectal surgery. Complications can occur intraoperatively, in the immediate postoperative period, or even months to years after stoma creation. Although some will require urgent surgical intervention, most are treated nonoperatively with a combination of education, appliance adjustment, and behavioral intervention. Optimal management of stoma complications nearly always requires a multidisciplinary team approach, including surgeons, enterostomal therapists, and other allied health professionals, depending on the specific situation. Patients with a functional stoma should be expected to be able to do anything that patients without a stoma can do with minimal exceptions. The treatment of stoma complications therefore centers on improving stoma function and maximizing quality of life. Although timely and comprehensive intervention will result in the resolution of most stoma complications, there is no substitute for preoperative planning and meticulous stoma creation.
Publikationsverlauf
Artikel online veröffentlicht:
13. Dezember 2023
© 2023. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Damle RN, Cherng NB, Flahive JM. et al. Clinical and financial impact of hospital readmissions after colorectal resection: predictors, outcomes, and costs. Dis Colon Rectum 2014; 57 (12) 1421-1429
- 2 Michaels AD, Mullen MG, Guidry CA. et al. Unplanned reoperation following colorectal surgery: indications and operations. J Gastrointest Surg 2017; 21 (09) 1480-1485
- 3 Wick EC, Shore AD, Hirose K. et al. Readmission rates and cost following colorectal surgery. Dis Colon Rectum 2011; 54 (12) 1475-1479
- 4 World Health Organization. Obesity and Overweight. 2021 . Accessed October 10, 2023 at: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
- 5 Meagher AP, Owen G, Gett R. Multimedia article. An improved technique for end stoma creation in obese patients. Dis Colon Rectum 2009; 52 (03) 531-533
- 6 Meguid MM, McIvor A, Xenos L. Creation of a neoabdominal wall to facilitate emergency placement of a terminal ileostomy in a morbidly obese patient. Am J Surg 1997; 173 (04) 298-300
- 7 Whitehead A, Seah A, Cataldo P. Technical tips for difficult stomas. In: Steele SR, Maykel JA, Champagne BJ, Orangio GR. eds. Complexities in Colorectal Surgery: Decision-Making and Management. New York, NY:: Springer;; 2014: 147-156
- 8 Maglio A, Malvone AP, Scaduto V, Brambilla D, Denti FC. The frequency of early stomal, peristomal and skin complications. Br J Nurs 2021; 30 (22) 1272-1276
- 9 Pearl RK, Prasad ML, Orsay CP, Abcarian H, Tan AB, Melzl MT. Early local complications from intestinal stomas. Arch Surg 1985; 120 (10) 1145-1147
- 10 Park JJ, Del Pino A, Orsay CP. et al. Stoma complications: the Cook County Hospital experience. Dis Colon Rectum 1999; 42 (12) 1575-1580
- 11 Parmar KL, Zammit M, Smith A, Kenyon D, Lees NP. Greater Manchester and Cheshire Colorectal Cancer Network. A prospective audit of early stoma complications in colorectal cancer treatment throughout the Greater Manchester and Cheshire colorectal cancer network. Colorectal Dis 2011; 13 (08) 935-938
- 12 Pearson R, Knight SR, Ng JCK, Robertson I, McKenzie C, Macdonald AM. Stoma-related complications following ostomy surgery in 3 acute care hospitals: a cohort study. J Wound Ostomy Continence Nurs 2020; 47 (01) 32-38
- 13 Steinhagen E, Colwell J, Cannon LM. Intestinal stomas-postoperative stoma care and peristomal skin complications. Clin Colon Rectal Surg 2017; 30 (03) 184-192
- 14 Salvadalena G, Hendren S, McKenna L. et al. WOCN Society and ASCRS position statement on preoperative stoma site marking for patients undergoing colostomy or ileostomy surgery. J Wound Ostomy Continence Nurs 2015; 42 (03) 249-252
- 15 Malik T, Lee MJ, Harikrishnan AB. The incidence of stoma related morbidity - a systematic review of randomised controlled trials. Ann R Coll Surg Engl 2018; 100 (07) 501-508
- 16 Vogel I, Shinkwin M, van der Storm SL. et al. Overall readmissions and readmissions related to dehydration after creation of an ileostomy: a systematic review and meta-analysis. Tech Coloproctol 2022; 26 (05) 333-349
- 17 Dawes AJ, Sacks GD, Russell MM. et al. Preventable readmissions to surgical services: lessons learned and targets for improvement. J Am Coll Surg 2014; 219 (03) 382-389
- 18 Baker ML, Williams RN, Nightingale JMD. Causes and management of a high-output stoma. Colorectal Dis 2011; 13 (02) 191-197
- 19 Nightingale JMD. How to manage a high-output stoma. Frontline Gastroenterol 2021; 13 (02) 140-151
- 20 Tsujinaka S, Suzuki H, Miura T, Sato Y, Shibata C. Obstructive and secretory complications of diverting ileostomy. World J Gastroenterol 2022; 28 (47) 6732-6742
- 21 Graven-Nielsen CS, Knoph CS, Okdahl T. et al. Opioids in the treatment of chronic idiopathic diarrhea in humans: a systematic review and treatment guideline. J Clin Med 2023; 12 (07) 2488
- 22 Bugaev N, Bhattacharya B, Chiu WC. et al. Antimotility agents for the treatment of acute noninfectious diarrhea in critically ill patients: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 2019; 87 (04) 915-921
- 23 Robertson I, Leung E, Hughes D. et al. Prospective analysis of stoma-related complications. Colorectal Dis 2005; 7 (03) 279-285
- 24 Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum 1998; 41 (12) 1562-1572
- 25 Mohan HM, Pasquali A, O'Neill B, Collins D, Winter DC. Stoma rods in abdominal surgery: a systematic review and metaanalyses. Tech Coloproctol 2019; 23 (03) 201-206
- 26 Colwell JC, Stoia Davis J, Emodi K. et al. Use of a convex pouching system in the postoperative period: a national consensus. J Wound Ostomy Continence Nurs 2022; 49 (03) 240-246
- 27 Kim JT, Kumar RR. Reoperation for stoma-related complications. Clin Colon Rectal Surg 2006; 19 (04) 207-212
- 28 Śmietański M, Szczepkowski M, Alexandre JA. et al. European Hernia Society classification of parastomal hernias. Hernia 2014; 18 (01) 1-6
- 29 Antoniou SA, Agresta F, Garcia Alamino JM. et al. European Hernia Society guidelines on prevention and treatment of parastomal hernias. Hernia 2018; 22 (01) 183-198
- 30 Carne PWG, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg 2003; 90 (07) 784-793
- 31 Temple B, Farley T, Popik K, Ewanyshyn C, Beyer E, Dufault B. Prevalence of parastomal hernia and factors associated with its development. J Wound Ostomy Continence Nurs 2016; 43 (05) 489-493
- 32 Zelga P, Kluska P, Zelga M, Piasecka-Zelga J, Dziki A. Patient-related factors associated with stoma and peristomal complications following fecal ostomy surgery: a scoping review. J Wound Ostomy Continence Nurs 2021; 48 (05) 415-430
- 33 Liu L, Zheng L, Zhang M, Hu J, Lu Y, Wang D. Incidence and risk factors for parastomal hernia with a permanent colostomy. J Surg Oncol 2022; 126 (03) 535-543
- 34 Correa Marinez A, Bock D, Erestam S. et al. Methods of colostomy construction: no effect on parastomal hernia rate: results from Stoma-Const—a randomized controlled trial. Ann Surg 2021; 273 (04) 640-647
- 35 Ringblom C, Odensten C, Strigård K, Gunnarsson U, Näsvall P. No reduction in parastomal hernia rate 3 years after stoma construction with prophylactic mesh: three-year follow-up results from STOMAMESH: a multicenter double-blind randomized controlled trial. Ann Surg 2023; 277 (01) 38-42
- 36 Brandsma HT, Hansson BM, Aufenacker TJ. et al; Dutch Prevent Study Group. Prophylactic mesh placement during formation of an end-colostomy: long-term randomized controlled trial on effectiveness and safety. Ann Surg 2023; 278 (03) e440-e446
- 37 Hotouras A, Murphy J, Power N, Williams NS, Chan CL. Radiological incidence of parastomal herniation in cancer patients with permanent colostomy: what is the ideal size of the surgical aperture?. Int J Surg 2013; 11 (05) 425-427
- 38 Niu N, Du S, Yang D. et al. Risk factors for the development of a parastomal hernia in patients with enterostomy: a systematic review and meta-analysis. Int J Colorectal Dis 2022; 37 (03) 507-519
- 39 Pennings JP, Kwee TC, Hofman S. et al. Clinical and radiologic predictors of parastomal hernia development after end colostomy. AJR Am J Roentgenol 2021; 216 (01) 94-103
- 40 Helgstrand F, Rosenberg J, Kehlet H, Jorgensen LN, Wara P, Bisgaard T. Risk of morbidity, mortality, and recurrence after parastomal hernia repair: a nationwide study. Dis Colon Rectum 2013; 56 (11) 1265-1272
- 41 Miller AS, Boyce K, Box B. et al. The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery. Colorectal Dis 2021; 23 (02) 476-547
- 42 de Smet GHJ, Lambrichts DPV, van den Hoek S. et al. Comparison of different modalities for the diagnosis of parastomal hernia: a systematic review. Int J Colorectal Dis 2020; 35 (02) 199-212
- 43 Hansson BME, Slater NJ, van der Velden AS. et al. Surgical techniques for parastomal hernia repair: a systematic review of the literature. Ann Surg 2012; 255 (04) 685-695
- 44 Mazzola Poli de Figueiredo S, Rodrigues ACLF, de Araújo SW. et al. Keyhole versus Sugarbaker mesh configuration in parastomal hernia repair: a systematic review and meta-analysis. Surg Laparosc Endosc Percutan Tech 2023; 33 (05) 556-564
- 45 Fleming AM, Phillips AL, Drake JA. et al. Sugarbaker versus keyhole repair for parastomal hernia: a systematic review and meta-analysis of comparative studies. J Gastrointest Surg 2023; 27 (03) 573-584
- 46 Mäkäräinen-Uhlbäck E, Vironen J, Falenius V. et al. Parastomal hernia: a retrospective nationwide cohort study comparing different techniques with long-term follow-up. World J Surg 2021; 45 (06) 1742-1749
- 47 Rubin MS, Schoetz Jr DJ, Matthews JB. Parastomal hernia. Is stoma relocation superior to fascial repair?. Arch Surg 1994; 129 (04) 413-418 , discussion 418–419
- 48 Hardt J, Meerpohl JJ, Metzendorf MI, Kienle P, Post S, Herrle F. Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation. Cochrane Database Syst Rev 2019; 4 (04) CD009487
- 49 Hamada M, Ozaki K, Muraoka G, Kawakita N, Nishioka Y. Permanent end-sigmoid colostomy through the extraperitoneal route prevents parastomal hernia after laparoscopic abdominoperineal resection. Dis Colon Rectum 2012; 55 (09) 963-969
- 50 Lian L, Wu XR, He XS. et al. Extraperitoneal vs. intraperitoneal route for permanent colostomy: a meta-analysis of 1,071 patients. Int J Colorectal Dis 2012; 27 (01) 59-64
- 51 Kroese LF, de Smet GHJ, Jeekel J, Kleinrensink GJ, Lange JF. Systematic review and meta-analysis of extraperitoneal versus transperitoneal colostomy for preventing parastomal hernia. Dis Colon Rectum 2016; 59 (07) 688-695
- 52 Jänes A, Cengiz Y, Israelsson LA. Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia. Br J Surg 2004; 91 (03) 280-282
- 53 Jänes A, Cengiz Y, Israelsson LA. Preventing parastomal hernia with a prosthetic mesh: a 5-year follow-up of a randomized study. World J Surg 2009; 33 (01) 118-121 , discussion 122–123
- 54 Serra-Aracil X, Bombardo-Junca J, Moreno-Matias J. et al. Randomized, controlled, prospective trial of the use of a mesh to prevent parastomal hernia. Ann Surg 2009; 249 (04) 583-587
- 55 Vierimaa M, Klintrup K, Biancari F. et al. Prospective, randomized study on the use of a prosthetic mesh for prevention of parastomal hernia of permanent colostomy. Dis Colon Rectum 2015; 58 (10) 943-949
- 56 López-Cano M, Serra-Aracil X, Mora L. et al. Preventing parastomal hernia using a modified Sugarbaker technique with composite mesh during laparoscopic abdominoperineal resection: a randomized controlled trial. Ann Surg 2016; 264 (06) 923-928
- 57 Brandsma HT, Hansson BME, Aufenacker TJ. et al; Dutch Prevent Study group. Prophylactic mesh placement during formation of an end-colostomy reduces the rate of parastomal hernia: short-term results of the Dutch PREVENT-trial. Ann Surg 2017; 265 (04) 663-669
- 58 Prudhomme M, Rullier E, Lakkis Z. et al; GRECCAR research group. End Colostomy with or without Mesh to Prevent a Parastomal Hernia (GRECCAR 7): a prospective, randomized, double blinded, multicentre trial. Ann Surg 2021; 274 (06) 928-934
- 59 Odensten C, Strigård K, Rutegård J. et al. Use of prophylactic mesh when creating a colostomy does not prevent parastomal hernia: a randomized controlled trial-STOMAMESH. Ann Surg 2019; 269 (03) 427-431
- 60 Maeda K, Maruta M, Utsumi T, Sato H, Masumori K, Aoyama H. Pathophysiology and prevention of loop stomal prolapse in the transverse colon. Tech Coloproctol 2003; 7 (02) 108-111
- 61 Chandler JG, Evans BP. Colostomy prolapse. Surgery 1978; 84 (05) 577-582
- 62 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 clinical trial. Br J Surg 2001; 88 (03) 360-363
- 63 Garoufalia Z, Mavrantonis S, Emile SH. et al. Surgical treatment of stomal prolapse: a systematic review and meta-analysis of the literature. Colorectal Dis 2023; 25 (06) 1128-1134
- 64 Maeda K. Prolapse of intestinal stoma. Ann Coloproctol 2022; 38 (05) 335-342
- 65 Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum 1994; 37 (09) 916-920