MEHMET SABRİ ÇİFTÇİ, MEHMET ZEKİ BULDANLI, BURAK UÇANER, OĞUZ HANÇERLİOĞULLARI
Turkish Journal of Colorectal Disease - 2023;33(2):48-54
Aim: The creation of permanent and temporary stomas holds a prominent place in emergency gastrointestinal surgical practice. This study aimed to evaluate the complications that developed after stomas were created in emergency cases for diversion or decompression and the factors that could be associated with these complications. Method: Patients above the age of 18 for whom emergency stoma-creation surgery was indicated and who were operated on consecutively in a single tertiary hospital were included in this retrospective cohort study. Preoperative, perioperative, and early-period postoperative results and outcomes were analyzed accordingly. Results: This study involved a total of 112 patients, and the findings showed a complication rate of 27.7%. The mean age of the patients was 62.8±15.2. The male/female ratio was 2.2:1. Patients with complications were found to be older (p=0.003), and a significant difference was observed in the American Society of Anesthesiologists scores (p=0.011). The complication rate was higher in open surgeries (p=0.035). The length of hospital stay was observed to be longer in patients with complications (p<0.001), and perioperative hemodynamic instability was more frequent in patients with complications (p=0.001). Conclusion: Stoma creation in emergency gastrointestinal surgical cases can be lifesaving but can also lead to complications. This risk increases significantly in patients with advanced age, major comorbidities, and hemodynamic instability. This can lead to prolonged hospitalization and the need for intensive care unit admissions in this population, which may impose heavy burdens on patients and the healthcare system.
