Purpose: The purpose of this study was to examine the outcome of patients to whom a temporary stoma was constructed in our institution. Method: The outcome of patients operated on over an 8-year period was prospectively examined. Special attention was given to the influence of age on complications and closure of stomas. Results: Between 1989 and 1996, a total of 349 intestinal stomas were constructed in 342 patients. In 141 of these patients, the stoma could be considered as temporary. The 30-day mortality rate was 7%. The overall complication rate was 50%. Pure stoma-related complications were observed in 12% of the patients. The final closure rate of temporary stomas was 67%. The closure rate was significantly higher if the temporary stomas were of the double-barrel type. There was no significant difference in the closure rate between patients with benign and malignant diseases, but the rate decreased significantly in age groups over 70 years. Conclusions: Forty percent of stomas constructed are considered as temporary, but only two-thirds of temporary stomas are closed subsequently. Especially end stomas tend to become permanent in patients over 70 years of age, although the morbidity rates of stoma closure do not differ from those of younger patients.

1.
Mealy K, Burke P, Hyland J: Anterior resection without a defunctioning colostomy: Questions of safety. Br J Surg 1992;79:305–307.
2.
Mealy K, Salman A, Arthur G: Definitive one-stage emergency large bowel surgery. Br J Surg 1988;75:1216–1219.
3.
Mealy K, O’Broin E, Donohue J et al: Reversible colostomy – What is the outcome? Dis Colon Rectum 1996;39:1227–1231.
4.
Leenen LP, Kuypers JH: Some factors influencing the outcome of stoma surgery. Dis Colon Rectum 1989;32:500–504.
5.
Londono-Schimmer E, Leong A, Phillips R: Life table analysis of stomal complications following colostomy. Dis Colon Rectum 1994;37:916–920.
6.
Mäkelä JT, Turku PH, Laitinen ST: Analysis of late stomal complications following ostomy surgery. Ann Chir Gynaecol 1997;86:305–310.
7.
Segreti EM, Levenback C, Morris M et al: A comparison of end and loop colostomy for fecal diversion in gynecologic patients with colonic fistulas. Gynecol Oncol 1996;60:49–53.
8.
Gooszen AW, Geelkerken RH, Hermans J et al: Temporary decompression after colorectal surgery: Randomized comparison of loop ileostomy and loop colostomy. Br J Surg 1998;85:76–79.
9.
Gonzalez R, Falimirski M, Holevar M: Further evaluation of colostomy in penetrating colon injury. Am Surg 2000;66:342–346.
10.
Sasaki L, Allaben R, Golwala R et al: Primary repair of colon injuries: A prospective randomized study. J Trauma 1995;39:895–901.
11.
Deen K, Madoff R, Goldberg S et al: Surgical management of left colon obstruction: The University of Minnesota experience. J Am Coll Surg 1998;187:573–576.
12.
Gonzalez RP, Merlotti GJ, Holevar MR: Colostomy in penetrating colon injury: Is it necessary? J Trauma 1996;41:271–275.
13.
Murray J, Demetriades D, Colson M et al: Colonic resection in trauma: Colostomy versus anastomosis. J Trauma 1999;46:250–254.
14.
Miettinen R, Laitinen S, Makela J et al: Bowel preparation with oral polyethylene glycol electrolyte solution vs. no preparation in elective open colorectal surgery: Prospective, randomized study. Dis Colon Rectum 2000;43:669–675.
15.
Memon M, Devine J, Freeney J et al: Is mechanical bowel preparation really necessary for elective left-sided colon and rectal surgery? Int J Colorectal Dis 1997;12:298–302.
16.
Santos JJ, Batista J, Sirimarco M et al: Prospective randomized trial of mechanical bowel preparation in patients undergoing elective colorectal surgery. Br J Surg 1994;81:1673–1676.
17.
Burke P, Mealy K, Gillen P et al: Requirement for bowel preparation in colorectal surgery. Br J Surg 1994;81:907–910.
18.
Hansen O, Schwenk W, Hucke HP et al: Colorectal stapled anastomoses. Experiences and results. Dis Colon Rectum 1996;39:30–36.
19.
Van Tets WF, Kuijpers JH, Mortelmans LJ et al: Sphincter-saving surgery for rectal and colorectal disorders. Scand J Gastroenterol Suppl 1996;218:34–37.
20.
Carlsen E, Schlichting E, Guldvog I et al: Effect of the introduction of total mesorectal excision for the treatment of rectal cancer. Br J Surg 1998;85:526–529.
21.
Hainsworth PJ, Egan MJ, Cunliffe WJ: Evaluation of a policy of total mesorectal excision for rectal and rectosigmoid cancers. Br J Surg 1997;84:652–656.
22.
Pakkastie TE, Ovaska JT, Pekkala ES et al: A randomised study of colostomies in low colorectal anastomoses. Eur J Surg 1997;163:929–933.
23.
Sjodahl R, Anderberg B, Bolin T: Parastomal hernia in relation to site of the abdominal stoma. Br J Surg 1988;75:339–341.
24.
Martin L, Foster G: Parastomal hernia. Ann R Coll Surg Engl 1996;78:81–84.
25.
Ortiz H, Sara M, Armendariz P et al: Does the frequency of paracolostomy hernias depend on the position of the colostomy in the abdominal wall? Int J Colorectal Dis 1994;9:65–67.
26.
Carcoforo P, Navarra G, Di Marco L et al: Reversal of Hartmann’s procedure. Our experience. Ann Ital Chir 1997;68:523–527.
27.
Mosdell DM, Doberneck RC: Morbidity and mortality of ostomy closure. Am J Surg 1991;162:633–636.
28.
Mileski WJ, Rege RV, Joehl RJ et al: Rates of morbidity and mortality after closure of loop and end colostomy. Surg Gynecol Obstet 1990;171:17–21.
29.
Sola JE, Bender JS, Buchman TG: Morbidity and timing of colostomy closure in trauma patients. Injury 1993;24:438–440.
30.
Khoury DA, Beck DE, Opelka FG et al: Colostomy closure. Ochsner Clinic experience. Dis Colon Rectum 1996;39:605–609.
31.
Kyle S, Isbister WH: Colostomy closure [erratum appears in Aust NZ J Surg 1989;59:442]. Aust NZ J Surg 1989;59:53–58.
32.
Varnell J, Pemberton LB: Risk factors in colostomy closure. Surgery 1981;89:683–686.
33.
Hubens G, Minten L, Hubens A et al: Colostomy closure: Still a hazardous procedure. Acta Chir Belg 1987;87:205–210.
34.
Spivak H, Maele DV, Friedman I et al: Colorectal surgery in octogenarians. J Am Coll Surg 1996;183:46–50.
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