LOOP ILEOSTOMY

Enteric perforation is a disastrous complication of untreated or poorly treated typhoid fever and unless treated by surgicalmethod, it results in considerable morbidity and mortality. The purpose of this study to describe complications of ileostomy in patients of entericperforation. Place & Duration of study: The study was conducted was in surgical units B-V hospital, Bahawalpur from 1st July 2008 to 30thJune 2009. Material & Method: This was a descriptive case series study. 100 patients of both genders suffering from typhoid fever withperforation who underwent ileostomy were included the study. All the data was collected on pre-designed proforma. Results: Most of thepatients were young with male to female ratio 1.6:1. Ileostomy was done in all the patients after cleaning the peritoneal cavity. Ileostomy wasassociated with diarrhea 20%, peristomal skin problems 22%. Other complications were bleeding in 3%,prolapsed in 5%, retraction in 4%,parastomal hernia in 5%, wound infection in 8%, intestinal obstruction in 5% patients, incisional hernia & psychological symptoms in 2% patientsand stoma stenosis in one patient in our study. Two patients expired due the complication of ileostomy. Conclusions: Although ileostomy is notthe most favored way of treatment of enteric perforation and it is associated with a number of complications and management problems, it is stilla good option and life saving procedure in our setup where patients present very late with gross peritoneal contamination.