ABSTRACT
OBJECTIVE: To evaluate the morbidity and mortality of operations for closure of loop colostomies and ileostomies. METHODS: We analyzed epidemiological data, postoperative complications, morbidity and mortality of patients who underwent operations for closure of loop colostomies and ileostomies. We excluded patients whose data could not be obtained from the files and operations that required laparotomy for closure. RESULTS: 88 patients were operated on, five being excluded. We evaluated the data of 83 patients, 56 patients with colostomies (group C) and 27 with ileostomies (group I). Males predominated in both groups (C = 71.9% and I = 57.7%). In group C the most common indication for making the stoma was abdominal trauma (43.9%) and in group I it was protecting a colorectal anastomosis (57.6%). The rate of anastomotic dehiscence in group C was 3.5% and in group I 19.2%. Morbidity was higher in group I than in group C (30.7% vs. 12.2%). There was one death in group I. CONCLUSION: The study suggests that morbidity associated with stoma closure is high, being higher in patients with loop ileostomy.
Subject(s)
Colostomy/adverse effects , Ileostomy/adverse effects , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Postoperative Complications/epidemiology , Postoperative Complications/mortality , Reoperation , Retrospective Studies , Young AdultABSTRACT
OBJETIVO: Avaliar a morbimortalidade de operações realizadas para fechamento de colostomias e ileostomias em alça. MÉTODOS: Foram analisados os dados epidemiológicos, complicações pós-operatórias, morbidade e mortalidade de pacientes que se submeteram à operações para fechamento de colostomias e ileostomias em alça. Foram excluídos os pacientes cujos dados não puderam ser obtidos nos prontuários e os que operações para fechamento requereram laparotomia mediana. RESULTADOS: Foram operados 88 pacientes, sendo cinco excluídos. Foram avaliados os dados de 83 pacientes, 56 pacientes com colostomias (grupo C) e 27 com ileostomias (grupo I). O sexo masculino predominou em ambos os grupos (grupo C = 71,9% e grupo I = 57,7%). No grupo C a indicação mais comum para a confecção do estoma foi trauma abdominal (43,9%) e no grupo I foi proteção de anastomose colorretal (57,6%). A taxa de deiscência de anastomose no grupo C foi 3,5% e no grupo I foi 19,2 %. A morbidade no grupo I foi maior do que no grupo C (30,7% X 12,2%). Ocorreu um óbito no grupo I. CONCLUSÃO: O estudo sugere que taxas de morbidade associadas ao fechamento do estoma são altas e foram maiores no grupo de pacientes com ileostomia em alça.
OBJECTIVE: To evaluate the morbidity and mortality of operations for closure of loop colostomies and ileostomies. METHODS: We analyzed epidemiological data, postoperative complications, morbidity and mortality of patients who underwent operations for closure of loop colostomies and ileostomies. We excluded patients whose data could not be obtained from the files and operations that required laparotomy for closure. RESULTS: 88 patients were operated on, five being excluded. We evaluated the data of 83 patients, 56 patients with colostomies (group C) and 27 with ileostomies (group I). Males predominated in both groups (C = 71.9% and I = 57.7%). In group C the most common indication for making the stoma was abdominal trauma (43.9%) and in group I it was protecting a colorectal anastomosis (57.6%). The rate of anastomotic dehiscence in group C was 3.5% and in group I 19.2%. Morbidity was higher in group I than in group C (30.7% vs. 12.2%). There was one death in group I. CONCLUSION: The study suggests that morbidity associated with stoma closure is high, being higher in patients with loop ileostomy.
