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Temporal Pattern and Frequency of Ileostomy-related Complications: A Prospective Observational Study |
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Ivneet Kaur, Rana Ranjit Singh, Arun Kumar Gupta, Prabhjot Kaur Gill 1. Junior Resident, Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research (SGRDIMSR), Amritsar, Punjab, India. 2. Professor and Head, Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research (SGRDIMSR), Amritsar, Punjab, India. 3. Professor, Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research (SGRDIMSR), Amritsar, Punjab, India. 4. Professor, Department of Genetics, Sri Guru Ram Das Institute of Medical Sciences and Research (SGRDIMSR), Amritsar, Punjab, India. |
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Correspondence Address : Dr. Rana Ranjit Singh, Sri Guru Ram Das University of Health Sciences, Vallah, Mehta Road, Sri Amritsar, Amritsar-143501, Punjab, India. E-mail: gurveer1@gmail.com |
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| ABSTRACT |  | ||||||
: Introduction: Ileostomy is frequently performed to divert faecal flow and protect distal bowel anastomoses in both elective and emergency surgical settings. However, postoperative complications remain a significant cause of morbidity and may affect patient recovery. Aim: To evaluate the frequency and temporal pattern of complications following ileostomy during the first 12 weeks after surgery. Materials and Methods: This prospective observational study was conducted in the Department of General Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India from July 2024 to December 2025. A total of 50 adult patients undergoing elective or emergency ileostomy were enrolled. Demographic, clinical, and laboratory parameters were recorded. Patients were assessed during hospitalisation and followed-up at four, eight, and 12 weeks for the occurrence of stoma-related complications. Results: The study included 50 patients with a mean age of 45.44±18.31 years; 66% were females. Emergency procedures accounted for 80% (n=40) of surgeries, and a loop ileostomy was performed in 94% (n=47) of cases. The common indications were malignancy (n=24, 48%), bowel obstruction (n=14, 28%), and perforation (n=12, 24%). During hospitalisation, 45 (90%) patients remained free of complications. This proportion decreased to 36% (n=18) at four weeks, then improved to 68% (n=34) at eight weeks and 88% (n=44) at 12 weeks. Skin excoriation was the most common complication at four weeks (n=19, 38%), followed by stomal prolapse (n=5, 10%) and high-output stoma (n=4, 8%). Retraction, parastomal hernia, stenosis, and necrosis were infrequent late complications. Conclusion: Ileostomy-related complications follow a distinct temporal pattern, with the highest frequency occurring during the first month after surgery. | |||||||
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| Keywords : Granuloma formation, Parastomal hernia, Prolapse, Retraction, Stoma | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2026/89396.3116
Date of Submission: Apr 01, 2026 Date of Peer Review: Jun 11, 2026 Date of Acceptance: Jul 05, 2026 Date of Publishing: Sep 01, 2026 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval Obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. NA PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Apr 27, 2026 • Manual Googling: Jun 29, 2026 • iThenticate Software: Jul 03, 2026 (5%) ETYMOLOGY: Author Origin EMENDATIONS: 6 |
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