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Childhood Colostomy and Its Complications in Aba, Nigeria

Received: 17 March 2018     Accepted: 17 May 2018     Published: 19 June 2018
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Abstract

Background: Colostomy in paediatric surgical practise is still important for decompression in colonic bowel obstruction, trauma to the colon and perineum in children. Objective: To determine the indications and complications arising from childhood colostomy in Aba, Nigeria. Methods: Proforma was opened for consecutive children that had colostomy at the Abia State University Teaching Hospital Aba from October 2016 to November 2017. Data collected include demography, indication for colostomy, Type of colostomy, complications arising from the procedure and outcome. SPSS version 17 was used to asses for proportions and percentages. Results: Thirty children had colostomy during the 14 months period. There were 20 males and 10 females (male to female 2:1). Their ages ranges from 2 days to 2 years [Mean 6.5months]. The main indications for colostomy were high anorectal malformation in 15patients (50%), Hirschsprung’s disease 10 patients (33%) and perineal trauma in 5 patients (17%). Complication occurred in 10 patients (33%). The most common complications were skin excoriations in 7 patients, surgical site infection and stoma bleeding. Four patients died following severe co-morbidities. Conclusion: Colostomy is still needed for decompression in childhood colonic intestinal obstruction. However, morbidity is still high due to lack of stoma bags and stoma care nurses.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 4, Issue 3)
DOI 10.11648/j.ijcems.20180403.11
Page(s) 32-34
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Childhood, Colostomy, Complications, Outcome

References
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[3] Stacy R, Kim E, Rishma A. Ostomy care and management. A systemic review. J Wound Ostomy Continence Nurs. 2013; 40{5}489-500.
[4] Ekenze SO, Obianyo NE, Amah CC. Colostomy for large bowel anomalies in children: a case controlled study. Int J Surg 2007; 5, 273-277.
[5] Amir AM, Ibrahim SE, Yasir OM. Colostomy in infancy and childhood in Sudan. Saudi. J. Med. Pharm Sci. 2016; 11:307-311.
[6] Sowande OA, Adejuyigbe O, Ogundoyin OO. Complications of Colostomy in Infants and Children. Nig J Surg. 1999; 6:19-22
[7] Dode CO, Gbobo LI. Childhood colostomy and its complications in Lagos. East Central Afri J Surg. 2001; 6:25-29.
[8] Nasir AA, Jabo BA, Mshelbwala PM, Anumah MA, Ameh EA. Morbidity of colostomy closure in children. Afr J Paediatr surg. 2007; 4:37-40.
[9] Ugwu JO, Ekwunife OH, Okoli CN, Modekwe VI, Osuigwe AN. Outcome of colostomies in children, J. Paedi. care. Inol 2017; 2: 3-6.
[10] Price CE, Cox S, Rode H. The use of diverting colostomies in paediatric peri-anal burns. S Afr J Surg 2013; 3: 102-105.
[11] Engida A, Ayelign T, Maliteme B. Types and indications of colostomy and determinants of outcome after surgery. Ethiop J Health Sci. 2016; 26:117-120.
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  • APA Style

    Ekpemo Samuel Chidi, Eleweke Ndubuisi, Chapp-Jumbo Assumpta. (2018). Childhood Colostomy and Its Complications in Aba, Nigeria. International Journal of Clinical and Experimental Medical Sciences, 4(3), 32-34. https://doi.org/10.11648/j.ijcems.20180403.11

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    ACS Style

    Ekpemo Samuel Chidi; Eleweke Ndubuisi; Chapp-Jumbo Assumpta. Childhood Colostomy and Its Complications in Aba, Nigeria. Int. J. Clin. Exp. Med. Sci. 2018, 4(3), 32-34. doi: 10.11648/j.ijcems.20180403.11

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    AMA Style

    Ekpemo Samuel Chidi, Eleweke Ndubuisi, Chapp-Jumbo Assumpta. Childhood Colostomy and Its Complications in Aba, Nigeria. Int J Clin Exp Med Sci. 2018;4(3):32-34. doi: 10.11648/j.ijcems.20180403.11

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  • @article{10.11648/j.ijcems.20180403.11,
      author = {Ekpemo Samuel Chidi and Eleweke Ndubuisi and Chapp-Jumbo Assumpta},
      title = {Childhood Colostomy and Its Complications in Aba, Nigeria},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {4},
      number = {3},
      pages = {32-34},
      doi = {10.11648/j.ijcems.20180403.11},
      url = {https://doi.org/10.11648/j.ijcems.20180403.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20180403.11},
      abstract = {Background: Colostomy in paediatric surgical practise is still important for decompression in colonic bowel obstruction, trauma to the colon and perineum in children. Objective: To determine the indications and complications arising from childhood colostomy in Aba, Nigeria. Methods: Proforma was opened for consecutive children that had colostomy at the Abia State University Teaching Hospital Aba from October 2016 to November 2017. Data collected include demography, indication for colostomy, Type of colostomy, complications arising from the procedure and outcome. SPSS version 17 was used to asses for proportions and percentages. Results: Thirty children had colostomy during the 14 months period. There were 20 males and 10 females (male to female 2:1). Their ages ranges from 2 days to 2 years [Mean 6.5months]. The main indications for colostomy were high anorectal malformation in 15patients (50%), Hirschsprung’s disease 10 patients (33%) and perineal trauma in 5 patients (17%). Complication occurred in 10 patients (33%). The most common complications were skin excoriations in 7 patients, surgical site infection and stoma bleeding. Four patients died following severe co-morbidities. Conclusion: Colostomy is still needed for decompression in childhood colonic intestinal obstruction. However, morbidity is still high due to lack of stoma bags and stoma care nurses.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Childhood Colostomy and Its Complications in Aba, Nigeria
    AU  - Ekpemo Samuel Chidi
    AU  - Eleweke Ndubuisi
    AU  - Chapp-Jumbo Assumpta
    Y1  - 2018/06/19
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ijcems.20180403.11
    DO  - 10.11648/j.ijcems.20180403.11
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 32
    EP  - 34
    PB  - Science Publishing Group
    SN  - 2469-8032
    UR  - https://doi.org/10.11648/j.ijcems.20180403.11
    AB  - Background: Colostomy in paediatric surgical practise is still important for decompression in colonic bowel obstruction, trauma to the colon and perineum in children. Objective: To determine the indications and complications arising from childhood colostomy in Aba, Nigeria. Methods: Proforma was opened for consecutive children that had colostomy at the Abia State University Teaching Hospital Aba from October 2016 to November 2017. Data collected include demography, indication for colostomy, Type of colostomy, complications arising from the procedure and outcome. SPSS version 17 was used to asses for proportions and percentages. Results: Thirty children had colostomy during the 14 months period. There were 20 males and 10 females (male to female 2:1). Their ages ranges from 2 days to 2 years [Mean 6.5months]. The main indications for colostomy were high anorectal malformation in 15patients (50%), Hirschsprung’s disease 10 patients (33%) and perineal trauma in 5 patients (17%). Complication occurred in 10 patients (33%). The most common complications were skin excoriations in 7 patients, surgical site infection and stoma bleeding. Four patients died following severe co-morbidities. Conclusion: Colostomy is still needed for decompression in childhood colonic intestinal obstruction. However, morbidity is still high due to lack of stoma bags and stoma care nurses.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Surgery, Abia State University, Aba, Nigeria

  • Department of Surgery, Abia State University, Aba, Nigeria

  • Department of Paediatrics, Abia State University, Aba, Nigeria

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