Journal Article

Investigating colostomy-related morbidity in children following stoma formation and closure in a tertiary hospital, Abha, Saudi Arabia: a retrospective cohort study 2024

AlQahtani, Saeed Jarallah S, Mustafa Ahmed, Ghassan E., Abudasir, Abdulaziz Mohammed M, Alyahya, Yasir Abduallah M, Asiri, Hatem Mostafa Mohammed, Alshahrani, Khalid Talab Salem, Alshahrani, Ali Abdullah S, abudasir, Anas Mohammed, Alqahtani, Meshari Saad M, Alamer, Rahaf Ahmed, Alghamdi, Hashim Ali

2024

Overview

Background Overall, stoma-related morbidity affects a reported 20–38% of pediatric patients. However, determining the true incidence of major stoma-related morbidity is challenging due to limited cohort sizes in existing studies. Thus, the aim of this study was to investigate colostomy related morbidity among children both after stoma formation and stoma closure. Methodology This is a retrospective cohort hospital-based study, conducted in an Abha maternity and children hospital, between August 1, 2018, and August 1, 2023, among 126 pediatric patients (aged 0–12 years) who underwent colostomy formation and subsequent closure during the study period. Data were collected from medical records. Data was analyzed using Statistical Package for Social Sciences (SPSS) v.26. Results This study included a total of 126 children who underwent colostomy. ( N  = 37, 29.4%) of cases included in this study were emergency cases, while ( N  = 89, 70.6%) were elective. A variety of antibiotics were used for surgical prophylaxis, metronidazole (77%) and cefuroxime (62.7%) were the most prevalent. Oral feeding was started after 5–6 days in more than one third of cases (39.7%). Wound infection ( N  = 15, 11.9%) was the most reported post-operative complication, followed with bowel obstruction ( N  = 6, 4.8%). Emergency cases had a longer duration of hospital stay than elective cases; this difference was statistically significant ( P  = .04). Conclusions Majority of patients reported no stoma related complications, while among those who reported complications, wound infection was the most reported complication, followed by bowel obstruction.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Abha / Analysis / Antibiotics / Care and treatment / Child / Child, Preschool / Children / Cohort analysis / Colostomy / Colostomy - adverse effects / Colostomy - statistics & numerical data / Complications and side effects / Data analysis / Diagnosis / Female / Gastrointestinal diseases / Health aspects / Hernias / Hospitals / Humans / Infant / Infant, Newborn / Infections / Internal Medicine / Intestinal obstruction / Length of stay / Male / Medical records / Medicine / Medicine & Public Health / Metronidazole / Morbidity / Ostomy / Pediatrics / Population / Postoperative Complications - epidemiology / Postoperative Complications - etiology / Retrospective Studies / Sample size / Saudi Arabia / Saudi Arabia - epidemiology / Stoma closure / Surgery / Surgical anastomosis / Surgical stomas / Surgical Stomas - adverse effects / Tertiary Care Centers