• 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)
Jao S, Beart RW, Wendorf LJ, Ilstrup DM. Irrigation Management of Sigmoid Colostomy. Arch Surg. 1985;120(8):916–917. doi:10.1001/archsurg.1985.01390320040007