Avoidance and Management of Stomal Complications
Avoidance and Management of Stomal Complications
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DOI：
10.1055/s-0033-1348050
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发表时间：
2013-06-01
影响因子：
1.4
通讯作者：
Kawata, Michitaka
中科院分区：
文献类型：
--
作者：
Kwiatt, Michael;Kawata, Michitaka
肠造口的建立充满了并发症，不应该被认为是一项微不足道的工作。可能会出现需要立即重新手术的严重并发症，也可能会出现使患者每天和晚上都感到痛苦的轻微问题。肠造口无疑将极大地改变生活方式；患者将经历与造口相关的生理和心理损害，无论这些问题看起来多么轻微。常见的并发症包括吻合口位置不佳、产量高、皮肤刺激、缺血、内缩、吻合口旁疝气(PH)和脱垂。外科医生应该在造口前、造口中和造口后意识到这些并发症，并采取适当的措施来避免它们。在这篇综述中，作者强调了这些常见的问题，并讨论了管理和预防策略。
The construction of an intestinal stoma is fraught with complications and should not be considered a trivial undertaking. Serious complications requiring immediate reoperations can occur, as can minor problems that will subject the patient to daily and nightly distress. Intestinal stomas undoubtedly will dramatically change lifestyles; patients will experience physiologic and psychologic detriment with stoma-related problems, however minor they may seem. Common complications include poor stoma siting, high output, skin irritation, ischemia, retraction, parastomal hernia (PH), and prolapse. Surgeons should be cognizant of these complications before, during, and after stoma creation, and adequate measures should be taken to avoid them. In this review, the authors highlight these often seen problems and discuss management and prevention strategies.