Colostomy for anorectal anomalies: high incidence of complications

Journal of Pediatric Surgery
N PatwardhanA Pierro

Abstract

The aim of this study was to characterize the type and incidence of complications related to colostomy formation in newborn infants with anorectal anomalies. The authors reviewed a 5-year (1994 to 1999) experience of a single institution in the management of neonates with high and intermediate anorectal anomalies who required colostomy at birth. Patients with colostomy still in place have been excluded from the study to maximize the chances of detecting colostomy-related complications. There were 80 neonates with anorectal malformations, of whom, 49 (31 boys and 18 girls) were included in the study. The site of colostomy was sigmoid colon (n = 32), transverse colon (n = 7), and descending colon (n = 10). Thirty-nine colostomies were loop, and the remaining 7 were divided. The median birth weight was 2.96 kg (range, 1.46 to 3.88). The age at colostomy formation was 2 days (range, 1 to 210). Mechanical complications related to colostomy formation were observed in 16 infants (32%) with 3 infants having more than 1 mechanical complication. These included prolapse in 8 (50%), intestinal obstruction (adhesions, intussusception, and volvulus) in 7 (44%), and skin dehiscence in 3 (19%). One neonate had necrotizing enterocolitis (NEC) a...Continue Reading

Citations

Nov 21, 2007·Journal of Pediatric Surgery·Laura R VickSaleem Islam
Apr 18, 2017·Journal of Indian Association of Pediatric Surgeons·Prema MenonMonika Bawa
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