Skip to main content

Stomas of Small and Large Intestine

  • Living reference work entry
  • First Online:
Pediatric Surgery
  • 306 Accesses

Abstract

This chapter includes recommendations to create stomas in pediatric patients suffering from anorectal malformations and Hirschsprung’s disease. However, some of the basic principles presented here are also applicable for the creation of the stoma used as part of the treatment of other conditions.

A list of the most common complications observed is presented, with suggestions on the way to prevent them and the best possible treatment when they occur.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Bischoff A, Levitt MA, Lawal TA, et al. Colostomy closure: how to avoid complications. Pediatr Surg Int. 2010;26:1087–92.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cass DT. Neonatal one-stage repair of Hirschsprung’s disease. Pediatr Surg Int. 1990;5:341–6.

    Article  Google Scholar 

  • Chandramouli B, Srinivasan K, Jagdish S, et al. Morbidity and mortality of colostomy and its closure in children. J Pediatr Surg. 2004;39:596–9.

    Article  CAS  PubMed  Google Scholar 

  • Chirdan LB, Uba FA, Ameh EA, Mshelbwala PM. Colostomy for high anorectal malformation: an evaluation of morbidity and mortality in a developing country. Pediatr Surg Int. 2008;24(4):407–10.

    Article  PubMed  Google Scholar 

  • Ciğdem MK, Onen A, Duran H, Oztürk H, Otçu S. The mechanical complications of colostomy in infants and children: analysis of 473 cases of a single center. Pediatr Surg Int. 2006;22(8):671–6.

    Article  PubMed  Google Scholar 

  • De la Torre-Mondragón L, Ortega-Salgado JA. Transanal endorectal pull-through for Hirschsprung’s disease. J Pediatr Surg. 1998;33(8):1283–6.

    Article  PubMed  Google Scholar 

  • Demirogullari B, Yilmaz Y, Yildiz GE, Ozen IO, Karabulut R, Turkyilmaz Z, Sonmez K, Basaklar AC, Kale N. Ostomy complicatıons in patients with anorectal malformations. Pediatr Surg Int. 2011;27(10):1075–8.

    Article  PubMed  Google Scholar 

  • Feng C, Sidhwa F, Cameron DB, Glass C, Rangel SJ. Rates and burden of surgical site infections associated with pediatric colorectal surgery: insight from the National Surgery Quality Improvement Program. J Pediatr Surg. 2016;51(6):970–4.

    Article  PubMed  Google Scholar 

  • Finch DR. The results of colostomy closure. Br J Surg. 1976;63(5):397–9.

    Article  CAS  PubMed  Google Scholar 

  • Georgeson KE, Fuenfer MM, Hardin WD. Primary laparoscopic pull-through for Hirschsprung’s disease in infants and children. J Pediatr Surg. 1995;30(7):1017–21.

    Article  CAS  PubMed  Google Scholar 

  • Hubens G, Minten L, Hubens A, Willems G. Colostomy closure: still a hazardous procedure. Acta Chir Belg. 1987;87(4):205–10.

    CAS  PubMed  Google Scholar 

  • Kiely EM, Sparnon AL. Stoma closure in infants and children. Pediatr Surg Int. 1987;2:95–7.

    Google Scholar 

  • Langer JC, Fitzgerald PG, Winthrop AL, Srinathan SK, Foglia RP, Skinner MA, Ternberg JL, Lau GY. One-stage versus two-stage soave pull-through for Hirschsprung’s disease in the first year of life. J Pediatr Surg. 1996;31(1):33–6.

    Article  CAS  PubMed  Google Scholar 

  • Langer JC, Minkes RK, Mazziotti MV, Skinner MA, Winthrop AL. Transanal one-stage soave procedure for infants with Hirschsprung’s disease. J Pediatr Surg. 1999;34(1):148–51.

    Article  CAS  PubMed  Google Scholar 

  • Macmahon RA, Cohen SJ, Eckstein HB. Colostomies in infancy and childhood. Arch Dis Child. 1963;38(198):114–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mollitt DL, Malangoni MA, Ballantine TVN, et al. Colostomy complications in children. An analysis of 146 cases. Arch Surg. 1980;115(4):455–8.

    Article  CAS  PubMed  Google Scholar 

  • Ng WT, Book KS, Wong MK, Cheng PW, Cheung CH. Prevention of colostomy prolapse by peritoneal tethering. J Am Coll Surg. 1997;184(3):313–5.

    CAS  PubMed  Google Scholar 

  • Nour S, Beck J, Stringer MD. Colostomy complications in infants and children. Ann R Coll Surg Engl. 1996;78:526–30.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Oda O, Davies D, Colapinto K, Gerstle JT. Loop versus divided colostomy for the management of anorectal malformations. J Pediatr Surg. 2014;49(1):87–90.

    Article  PubMed  Google Scholar 

  • Peña A, Migotto-Krieger M, Levitt MA. Colostomy in anorectal malformations: a procedure with serious but preventable complications. J Pediatr Surg. 2006;41:748–56.

    Article  PubMed  Google Scholar 

  • Pierro A, Fasoli L, Kiely EM, Drake D, Spitz L. Staged pull-through for rectosigmoid Hirschsprung’s disease is not safer than primary pull-through. J Pediatr Surg. 1997;32(3):505–9.

    Article  CAS  PubMed  Google Scholar 

  • Rickwood AMK, Hemalatha V, Brooman P. Closure of colostomy in infants and children. Br J Surg. 1979;66(4):273–4.

    Article  CAS  PubMed  Google Scholar 

  • Schärli AF. Malformations of the anus and rectum and their treatment in medical history. Prog Pediatr Surg. 1978;11:141–72.

    PubMed  Google Scholar 

  • Soffer SZ, Rosen NG, Hong AR, et al. Cloacal exstrophy: a unified management plan. J Pediatr Surg. 2000;35(6):932–7.

    Article  CAS  PubMed  Google Scholar 

  • Steinau G, Ruhl KM, Hornchen H, et al. Enterostomy complications in infancy and childhood. Langenbeck’s Arch Surg. 2001;386:346–9.

    Article  CAS  Google Scholar 

  • Swenson O, Neuhauser EB, Pickett LK. New concepts of the etiology, diagnosis and treatment of congenital megacolon (Hirschsprung’s disease). Pediatrics. 1949;4(2):201–9.

    CAS  PubMed  Google Scholar 

  • van den Hondel D, Sloots C, Meeussen C, Wijnen R. To split or not to split: colostomy complications for anorectal malformations or Hirschsprung disease: a single center experience and a systematic review of the literature. Eur J Pediatr Surg. 2014;24(1):61–9.

    PubMed  Google Scholar 

  • Wilkins S, Peña A. The role of colostomy in the management of anorectal malformations. Pediatr Surg Int. 1988;3(2):105–9.

    Google Scholar 

  • Yajko RD, Norton LW, Bloemendal L, Eiseman B. Morbidity of colostomy closure. Am J Surg. 1976;132(3):304–6.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrea Bischoff .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag GmbH Germany

About this entry

Cite this entry

Bischoff, A., Peña, A. (2016). Stomas of Small and Large Intestine. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_23-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-38482-0_23-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-38482-0

  • Online ISBN: 978-3-642-38482-0

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics