Early postoperative complications after emergent gastrointestinal stoma formation and their risk factors

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  • 緊急手術における消化管ストーマ造設後のストーマ早期合併症についての検討

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Abstract

<p>Purpose: The present study aimed to identify risk factors for early postoperative stoma complications (EPSCs) after emergent surgery, as well as to investigate current methods of gastrointestinal stoma formation and its management by surgeons at our hospital.</p><p>Methods: The subjects were patients who had a gastrointestinal stoma created during emergent surgery between July 2010 and June 2015. The EPSCs were retrospectively reviewed, and their risk factors were identified by multivariate analysis. A questionnaire survey of surgeons at our hospital was performed regarding their current methods of gastrointestinal stoma formation and its management.</p><p>Results: A total of 206 patients (mean age 71.8 years, 108 males) were reviewed. EPSCs occurred in 80 patients (38.8%), consisting of 59 (28.6%) cases of mucocutaneous separation of the stoma and 21 (10.2%) cases of stomal necrosis. Hypertension and operation by senior residents with less than 6 years of surgical experience were identified as independent risk factors for EPSCs. The questionnaire survey indicated that the methods of forming the abdominal wall tunnel and approaches for removing stitches after stoma formation varied among the surgeons.</p><p>Conclusions: To prevent EPSCs after emergent surgery at our hospital, it might be necessary to control hypertension and standardize both the methods of gastrointestinal stoma formation and the instructions given by surgeons to the senior residents.</p>

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