%0 Journal Article
%T Indications, complications and results of transverse colostomies Gat the eneral Hospital in Douala, Cameroon
%A Essomba AC
%A Essola B
%A Ngatchou W
%A Bitang J
%A Mbah S
%A Massom A
%A Mvogo CE
%J Revue m¨¦dicale des Grands Lacs
%P 76-89
%@ 2304-0173
%D 2012
%I D¨¦partement de M¨¦decine de la Famille
%X Introduction: Digestive Stomas can be made from the ileum, ascending colon, transverses¡¯ or descending¡¯s order; they can be lateral or terminal. The study is particularly interested in the transverse colostomies to assess their frequency compared to the laterals conducted for a period of 10 years at the Douala General Hospital in the department of digestive surgery. The purpose is, to retrospectively study their indications and complications and critically evaluation the practice. Methods: From December 1999 until December 2009 we identified and collected data from all patients who underwent lateral stoma side under and the clinical features of the holders of a transverse colostomy, as well as major and minor complications raised by nurse¡¯s staff. Results: 110 lateral colostomies were performed, 72 (68%) were transverse colostomies, the average age was 69.5 years (means: 24-95), sex ratio M / F was 0.8 with 60% emergencies cases and at the same time temporary. Acute colonic occlusion (43.1%) cases were our major indication. The complication rate was 44% specific and particularly (32%) cases of major complications such as prolapsed stomas. Monitoring (9.7%) of incisional para stoma, and finally 7% of retractions stoma observed, no ischemia or necrosis observed. Conclusion: Acute occlusion of the colon justifies an indication of a transverse colostomy compared to other emergency stomas; it seems to have fewer complications such as necrosis and ischemia compared to stomas side.
%K colostomy
%K transverse
%K complications
%K indications
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