Caracterización del paciente ostomizado y prevalencia de complicaciones estomales en adultos en el Hospital General de Zona Número 3, Jesús María, Aguascalientes

José Luis Bizueto Monroy; Ivonne González Espinosa; Mariana Monserrat Cuellar Morquecho

doi:10.33064/59lm20257185

Authors

José Luis Bizueto Monroy Instituto Mexicano del Seguro Social https://orcid.org/0009-0009-1501-8266
Ivonne González Espinosa Instituto Mexicano del Seguro Social https://orcid.org/0009-0000-6856-0213
Mariana Monserrat Cuellar Morquecho Instituto Mexicano del Seguro Social https://orcid.org/0009-0007-3338-9429

DOI:

https://doi.org/10.33064/59lm20257185

Keywords:

Complications, Stomas, Intestinal

Abstract

Introduction: Intestinal stomas have been described since 1710 and currently between 100,000 and 150,000 are created each year according to North American data. The complications that a patient may suffer associated with the stoma vary from 20 to 70% in European reports. However, there is no precise information on complications, costs or presentation rates in the Mexican population. Objective: To determine the prevalence and characterize the patient and the complications associated with intestinal surgical stomas in adults at the General Hospital of Zone No. 3 Aguascalientes. Material and methods: A review of the records of adult ostomized patients from 2022 to 2024 was carried out to generate a descriptive study including patient characteristics and prevalence of complications presented; 116 medical records reviewed, finding 49 with mention of complication. Results: Of those patients with a reported stomal complication, there was a predominance in the group of 41 to 60 years (32.7%), male sex (69.4%) and maximum level of education primary (30.6%); regarding comorbidities reported were diabetes mellitus (n= 13) or neoplasia (n=10). Presenting dermatitis as the most reported complication (37.5%) in terminal ileostomy; followed by peristomal hernia (20.8%) in terminal colostomies. Conclusions: After a biannual analysis were found 42.2%, it means a high percentage, of patients with peristomal complications, this emphasizes the need for prevention measures and information to patients for timely identification of complications as first step of orientation and management as well as the usefulness of care in the Wound and Stoma Clinic for multidisciplinary care.

Recepción: 09/12/2024

Aprobación: 07/07/25

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