There are some complications that happen with a colostomy, and it’s important to make sure that you’re informed of them. Typically, most of the time the complications happen because of a technique more than anything else.
This is when there is an issue with the bowels, but typically, it goes away after the first six weeks. It typically shows up initially, but it will grow smaller, and you should definitely make sure that you measure the size of this, and make sure that you don’t have it too large or two small. Too large, and it can leak out fluid, too small, and that causes ischemia.
Necrosis and Ischemia
This typically shows up within the first 24 or so hours after you’ve had the surgery, and it may even show up in your operating room.
This is typically seen in the color change around your stoma, becoming almost a grey-black color depending on what happens.
Ischemia is more of a superficial part of this, and this extends into the peritoneal cavities, which do determine the actions that you might have to take, whether it be treatment, or even the operation which may happen.
You also may want to look at what level this ends up at.
Typically, the restationing and reconstruction of the stoma is a common part of this, and some may even transplant devices to see is the necrosis stops or not.
This is when there is issues in the line of sutures, where it fixes this to your abdominal wall, and it causes a cavity to end up in the wound.
If this does happen, usually adhesive washer and stoma pastes are used to treat this one.
- Stenosis is when your stoma narrows too much, due to the tissue not being elastic enough after this ends up retracting, necrosis, or mucocutaneous separation as mentioned before.
- This is usually seen by abdominal pain of many kinds expelling too much or too little stool.
- Typically, the treatment for this is where you encourage the patients to keep a diet that encourages soft stools and also taking drugs that’ll help with loosening the stool too, such as lactulose and other items, and also using a dilator for your stoma in order to keep it big and permeable.
- The long-term treatment may also require stoma reshapening, so also consider that one.
In a lot of cases, the biggest side effect is infections.
That’s because it can be painful in that area, and also cause inflammation. It also needs to be handled urgently since if it’s not properly handled it can affect the state of the stoma too.
Then there is retraction where is where the stoma sinks below your skin, due to too much bowel tension, not enough movement, and in many cases it can also be caused by weight gain in the person who suffers from it. It happens in the same way as hyperpressure abdominal pain, postoperative ileus, and also peristomal sepsis too.
The degree of the retraction is a big factor in this, since if it is accompanied by both ostomiotic mouths and stenosis, it can actually call for surgical reconstruction of your stoma too, and it can make putting in other devices quite a painful situation. The stability of your device is also lessened when the stoma gets retracted too, so it’s important to make sure that you keep this flexible, and also make sure that you treat this right away, and reduce leaking. And there you have it, the most common types of complications from ostomies, and what can happen.