TITLE:
Intestinal Stoma Prolapse and Surgical Treatments of This Condition in Children: A Systematic Review and a Retrospective Study
AUTHORS:
Prince Johnson
KEYWORDS:
Stoma, Children, Neonates, Stoma Complications, Stoma Prolapse, Surgical Management
JOURNAL NAME:
Surgical Science,
Vol.7 No.9,
September
20,
2016
ABSTRACT: Background:
An intestinal stoma is a surgical opening of the intestine, mostly sutured to
the anterior abdominal wall. Stoma prolapse is one of the common complications
of stoma. A significant number of stoma prolapse patients require surgical
correction. Aim: The first part of this thesis is a literature review of
intestinal stoma prolapse and its surgical treatments. The second part is an
evaluation of the effect of surgical treatments of this condition on children
at OUS-R. Methods: Literature—A
literature search was performed. Fifty-seven English-language studies were
selected. Methods: Patients evaluation: Design, Setting, and Participants—A retrospective review of pediatric patients (—Incidence of intestinal stoma prolapse for children
varies from 8.1% to 25.6%. Many proposed surgical repair procedures for stoma
prolapse are available and vary from
being ineffective to 100% effective. Results: Patients evaluation at OUS-R—From 2001 to 2013, 14 of the 304 children with stoma
(4.6%), experienced stoma prolapse. Nine stoma prolapse were surgically
corrected: Median age at stoma formation for the 9 patients was 1.7 years.
Surgical procedures and success rate: Median 2, range 1 - 9
operations/person; varies from being ineffective to 50% effective. Conclusion: Limited
data suggests stoma prolapse repair is a surgical challenge. Thus, preferably
when possible, closure of the stoma would be most suitable. Incidence of stoma
prolapse in our series of pediatric patients at Oslo University Hospital is
lower than most published incidence in the pediatric medical literature.