August 1985

Irrigation Management of Sigmoid Colostomy

Author Affiliations

From the Section of Colon and Rectal Surgery, Department of Surgery (Drs Jao and Beart and Ms Wendorf) and the Section of Medical Research Statistics (Mr Ilstrup), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Jao is a visiting clinician from the Department of Surgery, National Defense Medical Center and Tri-Service General Hospital, Taipei, Taiwan.

Arch Surg. 1985;120(8):916-917. doi:10.1001/archsurg.1985.01390320040007

• Questionnaires were sent to 270 patients who had undergone abdominoperineal resection and sigmoid colostomy at the Mayo Clinic, Rochester, Minn, during the ten years from 1972 to 1982; 223 patients returned their questionnaires with evaluable data. Sixty percent of the patients were continent with irrigation, and 22% were incontinent with irrigation. Eighteen percent had discontinued irrigation for various reasons. The proportion continent was higher in women, younger patients, and previously constipated patients. A poorly constructed colostomy may cause acute angle, parastoma hernia, stomal prolapse, or stenosis and thus be the cause of failure of irrigation.

(Arch Surg 1985;120:916-917)