Key result
Ostomy in patients with peritonitis due to nontraumatic acute abdomen resulted in an overall mortality of 54%.
Why the study?
What are the outcomes of ostomy in patients with peritonitis due to nontraumatic acute abdomen?
Observational (n=26)
What are the outcomes of ostomy in patients with peritonitis due to nontraumatic acute abdomen?
Ostomy in patients with peritonitis due to nontraumatic acute abdomen is associated with a high overall mortality of 54%.
High mortality urges caution selecting ostomy for peritonitis; leaves open optimal strategies and risk factors.
Twenty-six patients showing peritonitis due to nontraumatic acute abdomen were submitted to ostomy. Mean age was 51 years (range 25-83), being 13 males and 13 females. Bowel obstruction (BO) was the most frequent cause of peritonitis (11 cases), followed by intestinal perforation (IP) (8 cases), acute mesenteric infarction (AMI) (5 cases), and acute abdomen of inflammatory/infectious origin (AAIO) (2 cases). Brook's ileostomy was performed on 65% of the patients. Jejunostomy was performed only in 4 patients, leading to a bad evolution. Overall mortality was 54%. Primary ostomy or anastomosis in cases of peritonitis constitute a highly controversial theme. Indications and problems involving the intestinal exteriorization in emergency surgery urgency are herein discussed.
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Rasslan et al. (1995) conducted an observational in Peritonitis due to nontraumatic acute abdomen (n=26). Ostomy was evaluated on Overall mortality. Ostomy in patients with peritonitis due to nontraumatic acute abdomen resulted in an overall mortality of 54%.
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