• Bin TraikiThamer ATAFrom the Colorectal Research Chair, Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia., Sulaiman A Alshammari, Mansoor A Abdulla, Fayez G Aldarsouni, Noura S Alhassan, Maha-Hamdien Abdullah, Awadh Alqahtani, and Khayal A Alkhayal.
• From the Colorectal Research Chair, Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
• Ann Saudi Med. 2023 Nov 1; 43 (6): 386393386-393.

BackgroundThe prevalence of inflammatory bowel diseases (IBD), Crohn's (C) and ulcerative colitis (UC) has increased in Saudi Arabia during the past decade. Even though medical treatment is first-line therapy, most patients require surgery during the course of the disease. Stoma creation complications in IBD are underreported in the literature of the Middle East and especially in Saudi Arabia.ObjectivesReport the postoperative, stoma and peristomal complications following stoma creation in (C) versus UC.DesignRetrospective cohort study.SettingsTertiary care center.Patients And MethodsPatients with IBD who underwent stoma creation for either UC or CD between August 2015 and July 2020 were included. The diseases were compared to assess their characteristics and association to postoperative, stoma and peristomal complications. All complications were reported over a 90-day duration from the surgery. Patients younger than 14 years of age were excluded.Main Outcome MeasuresPostoperative complications, stoma and peristomal complications in IBD patients who underwent stoma creation.Sample Size50.ResultsOf 50 IBD patients underwent stoma creation, 32 patients (64%) were diagnosed with CD and 18 patients (36%) with UC. Most of the procedures in both groups were laparoscopic and elective. Low BMI and serum albumin were more prevalent in the CD group. Postoperative complications were higher in the CD patients compared to the UC patients (CD 40.6% vs UC 11.1%, P=.028) with the most common complication being abdominal collection[a]. Stoma complications were comparable between the two groups (UC 16.7% vs CD 15.6%). However, peristomal complications were higher clinically in UC patients in comparison with the CD patients (UC 61.1% vs CD 37.5% P=.095) with the most common complication being skin excoriation (UC 44.4% vs CD 37.5%).ConclusionsCD has significantly higher postoperative complications compared to UC. Peristomal complications were high in both groups and had a negative impact on quality of life. Therefore, comprehensive stoma education and regular outpatient follow ups are recommended to improve the overall outcomes.LimitationsRetrospective and conducted in one academic institution with a small sample size.

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