Major stoma complications in pediatric patients in a tertiary hospital in a low–middle-income country: a retrospective cohort study

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Key takeaways

• Major stoma complications occurred in 9.8% of pediatric patients, with 1.3% mortality directly attributed to stoma issues over 5 years.
• Ileostomies had significantly higher rates of major complications compared to other stoma types in this pediatric cohort.
• Stomal prolapse and adhesive bowel obstruction were the most common complications requiring surgical intervention.
• Nearly half of major stoma complications presented within the first year post-creation, with median time of 14 months.
• Neonates with congenital conditions (anorectal malformation, Hirschsprung's disease) comprised the largest patient group with complications.

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