Ileostomy: Early and Late Complications

Abstract: Introduction Ileostomy formation is performed for multiple purposes related to intestinal pathology, such as obstructive malignant or benign tumors, inflammatory bowel diseases, intestinal ischemia, and, for the most part, as a protective stoma in high-risk anastomosis. The creation of this surgical opening, despite being considered a simple procedure, is undoubtedly followed by complications in certain cases. Materials and Methods We conducted an electronic literature search in the MEDLINE database using the PubMed search engine. A total of 43 articles were included in the present review. Results/Discussion Over the course of the present work, we were able to explore different types of complications that can arise in patients with an ileostomy. High-output stomas were found to be associated with dehydration and electrolyte imbalance. Skin-related morbidity was shown to be present in a great percentage of patients. More severe complications, such as peristomal pyoderma gangrenosum and necrosis, are less frequent and require urgent management. Several risk factors were identified in cases of retraction, obstruction, prolapse, and parastomal herniation. Conclusion Even though ileostomies may present numerous benefits in certain patients, they are also associated with many complications, which should be avoided and quickly managed, because they can severely affect the quality of life of the patients. Surveillance and follow-up by a multidisciplinary team is strongly advisable, bearing in mind that a good performance on the part of the responsible surgeon is also a key factor.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Ileostomy: Early and Late Complications ; volume:44 ; number:01 ; year:2024 ; pages:e80-e86
Journal of coloproctology ; 44, Heft 01 (2024), e80-e86

Beteiligte Personen und Organisationen
Santos, Francisco Duarte Cerqueira Gomes Girão
Barbosa, Laura Elisabete Ribeiro
Teixeira, João Paulo Meireles de Araújo

DOI
10.1055/s-0044-1779603
URN
urn:nbn:de:101:1-2404251205539.175215994809
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:54 MESZ

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Beteiligte

  • Santos, Francisco Duarte Cerqueira Gomes Girão
  • Barbosa, Laura Elisabete Ribeiro
  • Teixeira, João Paulo Meireles de Araújo

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