Colostomy-Related Morbidity in Children Following Stoma Formation and Closure Systemic Review

Abstract

Colostomy formation is a common pediatric surgical procedure performed for conditions such as anorectal malformations, Hirschsprung’s disease, and inflammatory bowel disease. Although often life-saving, colostomy is associated with several complications, including bleeding, stenosis, retraction, necrosis, infections, stoma prolapse, skin irritation, and colostomy diarrhea. Additionally, stoma closure carries risks such as anastomotic leaks, bowel obstruction, and postoperative adhesions, which can lead to prolonged hospitalization. Understanding the morbidity associated with colostomy formation and closure is crucial for improving patient care, minimizing complications, and enhancing recovery. Postoperative issues are more likely to occur in children than in adults, impacting their immediate health and long-term growth, development, and mental and social well-being. By determining how frequently these complications arise and identifying associated risk factors, this research provides valuable insights to guide clinical decision-making, improve postoperative care, and develop better care plans. This systematic review aims to analyze the incidence of colostomy-related morbidity in children, identify associated risk factors, and evaluate its impact on the quality of life of children and their families globally. By reviewing recent studies and clinical data, this research provides a comprehensive overview of the challenges in pediatric colostomy care and potential strategies for risk reduction. Expected outcomes include determining the incidence and risk factors of colostomyrelated morbidity, contributing to improved clinical decision-making and patient outcomes. Furthermore, assessing the impact on quality of life will aid in optimizing postoperative care and family support. This review seeks to provide insights that enhance surgical management, inform future guidelines, and improve long-term care for pediatric patients undergoing colostomy.