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August 1965

Infant Colostomy: Its Role and Complications

Author Affiliations

From Surgical Clinic, Children's Hospital, and Department of Surgery, University of Pittsburgh School of Medicine. Teaching Fellow in Pediatric Surgery (Dr. Cain) and Professor of Pediatric Surgery (Dr. Kiesewetter).

Arch Surg. 1965;91(2):314-320. doi:10.1001/archsurg.1965.01320140104014

A COLOSTOMY presently plays a significant role in the management of some surgical problems of infancy. An appreciation of the benefits and hazards of this procedure is necessary to refine the indications for its use. In an effort to gain a perspective of its value, the colostomies performed on infants at The Children's Hospital of Pittsburgh over a 10-year period (1954-1963) have been reviewed.

History  Colostomy as we know it today is the result of maturation in several areas—acceptance, technical modifications, and clarification of indications. Although much of the history concerns all age groups, certain portions are related specifically to the infant.M. Littre, a French surgeon, has been credited with the conception, based on his brief suggestion in 1710 that an artificial abdominal anus be used to relieve the obstruction of imperforate anus.3 The idea materialized 66 years later when M. Pillore performed a cecostomy on an adult