Clinics in Colon and Rectal Surgery 2017; 30(03): 193-200
DOI: 10.1055/s-0037-1598160
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Stoma Complications

Devi Mukkai Krishnamurty
1  Section of Colon and Rectal Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri
,
Jeffrey Blatnik
2  Section of Minimally Invasive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri
,
Matthew Mutch
1  Section of Colon and Rectal Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri
› Author Affiliations
Further Information

Publication History

Publication Date:
22 May 2017 (eFirst)

Abstract

When created properly, an ileostomy or colostomy can dramatically improve a patient's quality of life. Conversely, when a patient develops complications related to their stoma, the impact on physical and mental health can be profound. Unfortunately, significant morbidity is associated with stoma creation conveying high rates of both early and late-term complications. Early complications include stomal ischemia/necrosis, retraction, mucocutaneous separation, and parastomal abscess. Late complications include parastomal hernia, prolapse, retraction, and varices. This review will discuss commonly occurring nondermatological stoma complications and detail management strategies for the ostomate and the surgeon.