A clinical profile of intestinal stomas in tertiary care centre in north India.

Background: Intestinal stoma is an opening for fecal diversion. The purpose of the present study was to identify indications for commonly performed intestinal stomas and to study complications related to it. Methods: This is a retrospective study was carried out in surgical unit of Guru Gobind singh medical college, Faridkot from April 2019 to March 2021. All patients were admitted through emergency and OPD basis and underwent surgery for various reasons and were followed up to note any complication which resulted in the creation of intestinal stomas. The results were collected, analyzed and compared with other studies. Results: Out of 100 patients, 73were males and 27 were females. The mean age was 39.4 years with a range of 16-75 years. 96 stomas were made in emergency and only 4 in routine. There were 72 cases of ileostomy. Out of these, 64 (84%) were loop ileostomy. The most common type of stoma made was loop ileostomy (64%) followed by sigmoid colostomy (14%). Main indication for a stoma formation was enteric perforation (40%) followed by Koch’s abdomen (16%). Of the various complications encountered with intestinal stoma, peristomal excoriation (32%). Conclusions: Inspite of vast exposure of general surgeons towards stoma formation the complications are inevitable. Early detection of complication and its timely management is the keystone. [ABSTRACT FROM AUTHOR]