Incidence of Complications of Colostomy in Children with Hirschsprung Disease and Anorectal Malformation

Complications of Colostomy in Children

Authors

  • Naveed Haider Department of Pediatric Surgery D.G Khan Medical College and DHQ Teaching Hospital Dera Ghazi Khan, Pakistan
  • Muhammad Rauf Department of Health, Basic Health Unit District Layyah, Pakistan
  • Muhammad Sulman Butt Rural Health Center, Punjab Health Facilities Management Company, Kasur, Pakistan
  • Ferheen Shahbaz Department of Public Health, University of The Punjab, Lahore, Pakistan
  • Muhammad Bilal Afzal Department of Public Health, University of The Punjab, Lahore, Pakistan
  • Saif Ullah Department of Public Health, University of The Punjab, Lahore, Pakistan
  • Javeria Saleem Department of Public Health, University of The Punjab, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i07.431

Keywords:

Colostomy, Children, Anorectal Malformation, Complications

Abstract

Colostomy formation, A surgery used in the management of Hirschsprung's disease, and anorectal malformations. colostomy complications were represented both in children with Hirschsprung's disease and in those with anorectal malformation Objective: To estimate the incidence rate of major complications after colostomy formation surgery. Methods: A prospective longitudinal descriptive study was performed to calculate the incidence rates of complications following the surgical intervention of colostomy formation.  All 200 cases of consecutive young children (age 2 days to 60 days) who received a colostomy between (date January 2017 to January 2020) were included. The incidence of major colostomy-related complications was calculated. This was analyzed for colostomy formation. Non-colostomy-related complications were not included in study. Results: 200 young children were included. And a follow-up of 6 months of this study to review the complications of colostomy formation in infants and children with Hirschsprung's disease or an anorectal malformation. 80% experienced colostomy-related complications, colostomy prolapse (35% in HD more with a transverse colostomy, 20% in Anorectal malformation), colostomy stenosis (15% in HD, 35% in Anorectal malformation), Skin excoriation (40% in HD, 25% in Anorectal malformation), Revision of colostomy (15% in HD, 12% in Anorectal malformation), colostomy bleeding almost same in both conditions 30%, Parastomal herniation, 5% in both conditions, colostomy wound infection were also recorded, Same in both conditions 5%. Conclusions: Consider the risks associated with a colostomy formation before undergoing surgery in both Hirschsprung's disease and anorectal malformation. complications can be excluded with careful surgery and proper nursing care.

References

Hondel DV, Sloots C, Meeussen C, Wijnen R. To split or not to split: colostomy complications for anorectal malformations or hirschsprung disease: a single center experience and a systematic review of the literature. European Journal of Pediatric Surgery. 2014 Feb; 24(01): 061-9. doi: 10.1055/s-0033-1351663

Moore AN. The birth of colostomy. Australian and New Zealand Journal of Surgery. 1976 Aug; 46(3): 281-5. doi: 10.1111/j.1445-2197.1976.tb03333.x

Peña A, Migotto-Krieger M, Levitt MA. Colostomy in anorectal malformations: a procedure with serious but preventable complications. Journal of pediatric surgery. 2006 Apr; 41(4): 748-56.

doi: 10.1016/j.jpedsurg.2005.12.021

Holschneider A, Hutson J, Peña A, Beket E, Chatterjee S, Coran A, et al. Preliminary report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations. Journal of pediatric surgery. 2005 Oct; 40(10): 1521-6. doi: 10.1016/j.jpedsurg.2005.08.002

Downs SH and Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology & Community Health. 1998 Jun; 52(6): 377-84. doi: 10.1136/jech.52.6.377

Çiğdem MK, Onen A, Duran H, Öztürk H, Otçu S. The mechanical complications of colostomy in infants and children: analysis of 473 cases of a single center. Pediatric surgery international. 2006 Aug; 22(8): 671-6. doi: 10.1007/s00383-006-1718-4

Demirogullari B, Yilmaz Y, Yildiz GE, Ozen IO, Karabulut R, Turkyilmaz Z, et al. Ostomy complicatıons in patients with anorectal malformations. Pediatric surgery international. 2011 Oct; 27(10): 1075-8. doi: 10.1007/s00383-011-2955-8

Van den HD, Sloots C, Meeussen C, Wijnen R. To split or not to split: colostomy complications for anorectal malformations or hirschsprung disease: a single center experience and a systematic review of the literature. European Journal of Pediatric Surgery. 2014 Feb; 24(01): 061-9. doi: 10.1055/s-0033-1351663

Nour S, Beck J, Stringer MD. Colostomy complications in infants and children. Annals of the Royal College of Surgeons of England. 1996 Nov; 78(6): 526.

Patwardham, Ekenze SO, Agugua-Obianyo NE, Amah CC. Colostomy for large bowel anomalies in children: a case controlled study. International Journal of Surgery. 2007 Aug; 5(4): 273-7. doi: 10.1016/j.ijsu.2007.01.008

Temple SJ, Shawyer A, Langer JC. Is daily dilatation by parents necessary after surgery for Hirschsprung disease and anorectal malformations?. Journal of Pediatric Surgery. 2012 Jan; 47(1): 209-12. doi: 10.1016/j.jpedsurg.2011.10.048

Liechty ST, Barnhart DC, Huber JT, Zobell S, Rollins MD. The morbidity of a divided stoma compared to a loop colostomy in patients with anorectal malformation. Journal of Pediatric Surgery. 2016 Jan; 51(1): 107-10. doi: 10.1016/j.jpedsurg.2015.10.025

Youssef F, Arbash G, Puligandla PS, Baird RJ. Loop versus divided colostomy for the management of anorectal malformations: a systematic review and meta-analysis. Journal of pediatric surgery. 2017 May; 52(5): 783-90. doi: 10.1016/j.jpedsurg.2017.01.044

Sheikh MA, Akhtar J, Ahmed S. Complications/problems of colostomy in infants and children. Journal of College of Physicians and Surgeons Pakistan. 2006 Aug; 16(8): 509-13.

Uba AF and Chirdan LB. Colostomy complications in children. Annals of African medicine. 2003; 2(1): 9-12.

Yang L, Tang ST, Li S, Aubdoollah TH, Cao GQ, Lei HY, et al. Two-stage laparoscopic approaches for high anorectal malformation: transumbilical colostomy and anorectoplasty. Journal of pediatric surgery. 2014 Nov; 49(11): 1631-4. doi: 10.1016/j.jpedsurg.2014.05.014

Rintala RJ, Pakarinen MP. Outcome of anorectal malformations and Hirschsprung's disease beyond childhood. InSeminars in pediatric surgery. 2010 May; 19(2): 160-167. doi: 10.1053/j.sempedsurg.2009.11.021

Mullassery D, Iacona R, Cross K, Blackburn S, Kiely E, Eaton S, Curry J, De Coppi et al. Loop colostomies are safe in anorectal malformations. Journal of Pediatric Surgery. 2018 Nov; 53(11): 2170-3. doi: 10.1016/j.jpedsurg.2018.05.022

Abdur-Rahman LO, Shawyer A, Vizcarra R, Bailey K, Cameron BH. Do geography and resources influence the need for colostomy in Hirschsprung's disease and anorectal malformations? A Canadian association of paediatric surgeons: Association of paediatric surgeons of Nigeria survey. African Journal of Paediatric Surgery. 2014 Apr; 11(2): 150. doi: 10.4103/0189-6725.132813

Liu G, Yuan J, Geng J, Wang C, Li T. The treatment of high and intermediate anorectal malformations: one stage or three procedures?. Journal of pediatric surgery. 2004 Oct; 39(10): 1466-71. doi: 10.1016/j.jpedsurg.2004.06.021

Eltayeb AA. Association of Hirschsprung's disease with anorectal malformations: the early alarming signs for diagnosis and comorbidity related to this association. Journal of pediatric surgery. 2020 Sep; 55(9): 1981-3. doi: 10.1016/j.jpedsurg.2014.04.007

Ng WT, Book KS, Wong MK, Cheng PW, Cheung CH. Prevention of colostomy prolapse by peritoneal tethering. Journal of the American College of Surgeons. 1997; 184(3): 313-5.

Golladay ES, Bernay F, Wagner CW. Prevention of prolapse in pediatric enterostomas with purse string technique. Journal of Pediatric Surgery. 1990 Sep; 25(9): 990-1. doi: 10.1016/0022-3468(90)90244-4

Hamada Y, Takada K, Nakamura Y, Sato M, Kwon AH. Temporary umbilical loop colostomy for anorectal malformations. Pediatric surgery international. 2012 Nov; 28(11): 1133-6. doi: 10.1007/s00383-012-3177-4

Downloads

Published

2022-12-31
CITATION
DOI: 10.54393/pjhs.v3i07.431
Published: 2022-12-31

How to Cite

Haider, N. ., Rauf, M. ., Sulman Butt, M. ., Shahbaz, F. ., Bilal Afzal, M. ., Ullah, S. ., & Saleem, J. . (2022). Incidence of Complications of Colostomy in Children with Hirschsprung Disease and Anorectal Malformation: Complications of Colostomy in Children. Pakistan Journal of Health Sciences, 3(07), 156–160. https://doi.org/10.54393/pjhs.v3i07.431

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)

1 2 > >>