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Review
. 2023 Dec 13;37(6):387-397.
doi: 10.1055/s-0043-1777453. eCollection 2024 Nov.

Stoma Complications

Aaron J Dawes  1   2 , John V Gahagan  1
Affiliations
Review

Stoma Complications

Aaron J Dawes et al. Clin Colon Rectal Surg. .

Abstract

Stoma-related complications are among the most common sources of perioperative morbidity in colorectal surgery. Complications can occur intraoperatively, in the immediate postoperative period, or even months to years after stoma creation. Although some will require urgent surgical intervention, most are treated nonoperatively with a combination of education, appliance adjustment, and behavioral intervention. Optimal management of stoma complications nearly always requires a multidisciplinary team approach, including surgeons, enterostomal therapists, and other allied health professionals, depending on the specific situation. Patients with a functional stoma should be expected to be able to do anything that patients without a stoma can do with minimal exceptions. The treatment of stoma complications therefore centers on improving stoma function and maximizing quality of life. Although timely and comprehensive intervention will result in the resolution of most stoma complications, there is no substitute for preoperative planning and meticulous stoma creation.

Keywords: colorectal surgery; stoma; surgical complications.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Stomal ischemia with sloughing.
Fig. 2
Fig. 2
Peristomal skin breakdown.
Fig. 3
Fig. 3
Circumferential mucocutaneous dehiscence.
Fig. 4
Fig. 4
Stomal retraction with mucocutaneous dehiscence.
Fig. 5
Fig. 5
Parastomal hernia with peristomal skin breakdown from leakage.
Fig. 6
Fig. 6
Stoma prolapse.
Fig. 7
Fig. 7
Stoma prolapse with evidence of ischemia.
See this image and copyright information in PMC

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