Abstract

*Dr. Iqra Fatima, Muhammad Astaghees Tayyab and Dr. Ahmed Muaaz

ABSTRACT

Background: Colostomy is a common procedure in children and may be attended by many complications. Objective: To determine the various causes, various types of colostomies, outcome (morbidity and mortality) of colostomy in pediatrics. Patients and method: This prospective study was conducted in the Department of Pediatric Surgery of Lahore Children Hospital over a period of 2 years (between May 2015 and April 2017) and included all the children (age limit of 0 days to 12 years) presented and managed by creation of colostomy. Results: There were 88 children, their mean age was 9.96 months (Range: 1 day to 7.8 years). The male to female ratio was 3.6:1. The indications for colostomy were congenital anomaly (94.3%). Complications after colostomy formation were encountered in 31.8% patients and the commonest complication was stenosis (11.4%). It was neither related to the age nor to the primary indication for the colostomy p>0.05, but it was related to operator experience, the observed inter-operator difference was statistically significant, p=0.041. Conclusion: A significant number of colostomies in children is constructed largely due to Hirschsprung's disease.