TY - JOUR AU - Shah, Nadeem Ali AU - Hadi, Ainul AU - Hussain, Mussarat AU - Kalim, Mohammad AU - Mehreen, Tahira AU - Shah, Inayat AU - Abid, Juweria PY - 2016/11/26 Y2 - 2024/03/28 TI - EXPERIENCE WITH EARLY VERSUS ROUTINE ENTERIC STOMA CLOSURES: A COMPARATIVE STUDY JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 30 IS - 4 SE - Original Article DO - UR - https://www.jpmi.org.pk/index.php/jpmi/article/view/1952 SP - AB - Objectives: To compare the outcome of enteric stoma closure within two, four<br />and eight weeks of its formation.<br />Methodology: A total of 283 patients with loop enteric stomas were considered<br />for the study in the Department of Surgery, Lady Reading Hospital, Peshawar,<br />from March 2000 to March 2005. They were divided into group A, B<br />(intervention groups) and C (control group) in which stoma were closed at 2, 4<br />and 8 weeks of its formation respectively. Resection of stoma with end to end<br />anastomosis of the gut was done in a single layer interrupted extra mucosal<br />technique using 3/0 PDS. Results in term of successful healing or complication<br />were recorded and analyzed. Follow up was arranged at 30th and 90th day of<br />discharge from hospital.<br />Results: Healing of stoma was achieved in 84.38% of patients in group A,<br />93.18% in group B and 95.16% in group C. Commonest complication was anastomotic<br />leak that responded to conservative management in 3.13% of patients<br />in Group A, 6.81% in group B and 2.42% in group C. Anastomotic leak needing<br />re-exteriorization was found in 6.25% of patients in group A, none in group B<br />and 1.45% in group C. There was no mortality in any of the three groups.<br />Conclusion: Early stoma closure, preferably during the same admission is a<br />safe, cost effective and an attractive technique. ER -