PDF(Pubmed)
Abstract：
UNASSIGNED: A stoma is an artificial anastomosis of the gastrointestinal tract to the abdominal skin wall to reroute the stream of feces. Fecal diversion, bowel decompression, and anastomosis protection are common indications for stomas. Relative to other surgical operations, stomas have a high morbidity rate, with rates averaging 40% and ranging 14-79%. The most common early complication was peristomal skin irritation. In contrast, parastomal hernias were the most common late complication.
UNASSIGNED: This research was performed at King Hamad University Hospital (KHUH) in the Kingdom of Bahrain. Our study included patients who had undergone ileostomies and colostomies. The inclusion criteria included adult patients who are 15 years and older, both emergency and elective cases, and with ASA score of 1-4. The excluded patients were those who had had their stomas performed outside of KHUH and those who were not following up in the hyperbaric department of our hospital. This study was performed using a retrospective study design. The sample size was 98 which included patients with stomas that were following up with the hyperbaric team between January 2018 and February 2021.
UNASSIGNED: We have broken down the indications for stoma formation. The breakdown of all our documented complications are illustrated in the given figure.
UNASSIGNED: Within our institutional study, 63.3% of stoma complications consisted of skin problems. This formed the majority of complications. Establishing a stoma care unit would offer continuous support and care to patients and help them in returning to an optimal quality of life. Additionally, this goal can be met through preoperative and postoperative education regarding surgery and stoma formation. This includes preoperative stoma marking and siting, as well as improved recovery through instruction from knowledgeable stoma care specialists regarding hands-on stoma care.Finally, patients can be assisted through specialized stoma clinics.
UNASSIGNED: Qassim T, Saeed MF, Qassim A, et al. Intestinal Stomas-Current Practice and Challenges: An Institutional Review. Euroasian J Hepato-Gastroenterol 2023;13(2):115-119.
UNASSIGNED: This research was performed at King Hamad University Hospital (KHUH) in the Kingdom of Bahrain. Our study included patients who had undergone ileostomies and colostomies. The inclusion criteria included adult patients who are 15 years and older, both emergency and elective cases, and with ASA score of 1-4. The excluded patients were those who had had their stomas performed outside of KHUH and those who were not following up in the hyperbaric department of our hospital. This study was performed using a retrospective study design. The sample size was 98 which included patients with stomas that were following up with the hyperbaric team between January 2018 and February 2021.
UNASSIGNED: We have broken down the indications for stoma formation. The breakdown of all our documented complications are illustrated in the given figure.
UNASSIGNED: Within our institutional study, 63.3% of stoma complications consisted of skin problems. This formed the majority of complications. Establishing a stoma care unit would offer continuous support and care to patients and help them in returning to an optimal quality of life. Additionally, this goal can be met through preoperative and postoperative education regarding surgery and stoma formation. This includes preoperative stoma marking and siting, as well as improved recovery through instruction from knowledgeable stoma care specialists regarding hands-on stoma care.Finally, patients can be assisted through specialized stoma clinics.
UNASSIGNED: Qassim T, Saeed MF, Qassim A, et al. Intestinal Stomas-Current Practice and Challenges: An Institutional Review. Euroasian J Hepato-Gastroenterol 2023;13(2):115-119.
摘要：
■造口是胃肠道与腹部皮肤壁的人工吻合，以重新引导粪便流。粪便分流,肠减压,吻合保护是气孔的常见适应症。相对于其他外科手术,气孔发病率很高，平均比率为40%，范围为14-79%。最常见的早期并发症是造口周围皮肤刺激。相比之下,造口旁疝是最常见的晚期并发症。
■这项研究是在巴林王国的哈马德国王大学医院（KHUH）进行的。我们的研究包括接受过回肠造口术和结肠造口术的患者。纳入标准包括15岁及以上的成年患者，紧急和选择性案件，ASA评分为1-4分。排除在外的患者是那些在KHUH以外进行了造口的患者，以及那些在我们医院高压科没有跟进的患者。本研究采用回顾性研究设计。样本量为98，其中包括2018年1月至2021年2月期间与高压团队跟进的气孔患者。
■我们已经分解了造口形成的适应症。给定的图中说明了我们所有记录的并发症的细目。
■在我们的机构研究中，造口并发症的63.3％包括皮肤问题。这形成了大多数的并发症。建立造口护理单元将为患者提供持续的支持和护理，并帮助他们恢复最佳生活质量。此外,这一目标可以通过术前和术后有关手术和造口形成的教育来实现.这包括术前造口标记和定位，以及通过知识渊博的造口护理专家关于动手造口护理的指导来改善恢复。最后,患者可以通过专门的造口诊所得到帮助。
■QassimT,SaeedMF,QassimA,etal.肠梗阻-当前的实践和挑战：机构审查。欧亚J肝胃肠病2023；13（2）：115-119。
■这项研究是在巴林王国的哈马德国王大学医院（KHUH）进行的。我们的研究包括接受过回肠造口术和结肠造口术的患者。纳入标准包括15岁及以上的成年患者，紧急和选择性案件，ASA评分为1-4分。排除在外的患者是那些在KHUH以外进行了造口的患者，以及那些在我们医院高压科没有跟进的患者。本研究采用回顾性研究设计。样本量为98，其中包括2018年1月至2021年2月期间与高压团队跟进的气孔患者。
■我们已经分解了造口形成的适应症。给定的图中说明了我们所有记录的并发症的细目。
■在我们的机构研究中，造口并发症的63.3％包括皮肤问题。这形成了大多数的并发症。建立造口护理单元将为患者提供持续的支持和护理，并帮助他们恢复最佳生活质量。此外,这一目标可以通过术前和术后有关手术和造口形成的教育来实现.这包括术前造口标记和定位，以及通过知识渊博的造口护理专家关于动手造口护理的指导来改善恢复。最后,患者可以通过专门的造口诊所得到帮助。
■QassimT,SaeedMF,QassimA,etal.肠梗阻-当前的实践和挑战：机构审查。欧亚J肝胃肠病2023；13（2）：115-119。
