RETROSPECTIVE ANALYSIS OF 50 ILEOSTOMIES PERFORMED AT THE INSTITUTO-NACIONAL-DE-NUTRICION OF MEXICO-CITY

Objectives. To establish the diseases that motivated an ileostomy and the short and long-term morbi-mortality of the procedure. Methods. Ret rospective analysis of 50 consecutive cases of ileostomies performed f rom 1989-1993 at a referral center in Mexico City. Results. Most ileos tomies were temporary (92%); the most frequent diagnoses were multiple familial polyposis, inflammatory bowel disease, and diverse intra-abd ominal inflammatory complications. Operative mortality was 22%, caused mainly by the severity of the disease that motivated the ileostomy. A reoperation was required in 14% of the cases because of stomal compli cations (stricture, prolapse); 6% presented peristomal dermatitis, 4% high output, and 4% associated depression. With a mean time interval o f three months, 32 patients were subjected to intestinal reconection w ith a morbidity of 19% but no mortality. Conclusions. Ileostomy remain s a necessary procedure mainly on a temporary basis. It is convenient to prevent complications by means of adequate surgical techniques, and a better rehabilitation by a multidisciplinary team.