Harris DA, Egbeare D, Jones S, Benjamin H, Woodward A, Foster ME, et al.
Annals of the Royal College of Surgeons of England. Date of publication 2005 Nov 1;volume 87(6):427-31.
1. Ann R Coll Surg Engl. 2005 Nov;87(6):427-31.
Complications and mortality following stoma formation.
Harris DA(1), Egbeare D, Jones S, Benjamin H, Woodward A, Foster ME.
Author information:
(1)Department of Surgery, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant,
Mid-Glamorgan, UK.
INTRODUCTION: As stoma formation is thought to be declining, we performed a study
to evaluate the rate of stoma formation and the impact on stoma complication
rates, together with risk factors for complications.
PATIENTS AND METHODS: Stoma incidence, individual complications and mortality
rates were retrieved from a stoma nurse database of 345 stomas created over an
8-year period.
RESULTS: Stoma formation increased over the study period, although the incidence
of complications declined. Stoma complications were more frequently seen in
emergency surgery. A significant association between stoma complications and
mortality was identified.
CONCLUSIONS: Age of patient, urgency of surgery and diagnosis were associated
with high levels of morbidity and mortality. Stomas are often formed in frail
patients unsuitable for anastomosis formation, which may explain the high
mortality in ostomy patients.
DOI: 10.1308/003588405X60713
PMCID: PMC1964139
PMID: 16263009 [Indexed for MEDLINE]
