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January 1987

Early Local Complications From Intestinal Stomas

Author Affiliations

Tampa, Fla

Arch Surg. 1987;122(1):119-120. doi:10.1001/archsurg.1987.01400130125023

To the Editor.—An article by Pearl and colleagues1 entitled "Early Local Complications From Intestinal Stomas" appeared in the October 1985 issue of the Archives. I am a gynecologic oncologist, and I submit to you that the conclusions drawn from Table 4 are misleading. The authors stated that gynecologic oncologists had the highest stoma complication rate and implied that this is related to amount of experience in gastrointestinal surgery. The authors failed to mention what percentage of the gynecologic oncology patients had had previous pelvic radiotherapy as compared with those in other groups. It is my belief that previous radiotherapy of the bowel and skin involved in stoma formation increases anyone's complication rate. I also think the authors underestimated the amount of training gynecologic oncologists get in gastrointestinal surgery (especially in irradiated patients).