How to Cite
Abstract
Background: To evaluate the causes and management
of emergency ileostomies
Methods: In this prospective descriptive study all
patients requiring emergency ileostomy were included.
Initially patients were resuscitated by administering
intravenous fluids and electrolyte replacement. All
patients were operated in emergency under general
anesthesia. The preoperative indication of ileostomy was
noted in all patients. Emergency Laparotomies where
primary repair was performed were excluded from the
study.
Results: Indications for emergency ileostomy creation
were the conditions requiring small bowel or proximal
colon resection, in which the integrity of a primary
anastomosis would be compromised. This was due to a
diffuse bowel injury (long-standing peritonitis or
obstruction, radiation, Crohn's disease) creating friable
tissues that could not hold a suture. Mean age of the
patients was 36+12.59 years with a range of 12-61 years.
Most common indication for ileostomy was typhoid
intestinal perforation followed by tuberculosis of
intestine. Skin excoriation was the most frequent
complication noted in ileostomy patients.
Conclusion: Infective disease is the most common
indication for emergency ileostomy