Background

As part of the surgical treatment of inflammatory bowel disease (IBD), sometimes is necessary the intestinal stoma. The aim of this study is to identify the profile of ostomy patients treated at a referral public hospital in IBD in Brazil.

Methods

This is a descriptive study with a quantitative approach. The sample consisted of all patients who underwent stoma surgery at a referral public hospital in IBD in Brazil. The inclusion criteria were: to have a medical diagnosis of Crohn’s Disease (CD) or Ulcerative Colitis (UC) and to have or have had intestinal stoma. Data collection was performed through the analysis of patient records.

Results

The number of patients attending the outpatient clinic is approximately 200 with UC and 150 with DC. The sample consisted of 33 patients, the majority of male gender (51.52%), age between 22 to 77 years (44.55 ± 15.10), literate (93.94%), self-declared white (84.85%), coming from the state of São Paulo (96.97%), smokers (6.06%), alcoholics (3.03%), married (63.64%) and the number of children ranged from 01 to 10. Regarding the characteristics related to IBD, 15 (45.45%) were diagnosed with CD, 6 (40%) were fistulising ileocolonic type and 18 (54.55%) were diagnosed with UC and most with pancolitis (88.89%). The average time of illness was 14.2 years. Among the causes of the stoma, the most frequent were perforating acute abdomen (n = 5, 15.15%), severe acute colitis (n = 4, 12.12%), obstructive acute abdomen (n = 4, 12.12%), toxic megacolon. (n = 3, 9.09%) and neoplasia (n = 2, 6.06%). Regarding the character of the surgery, 10 (30.30%) were urgency and emergency and 11 (33.33%) elective. Only 5 (15.15%) surgeries performed the previous demarcation of the stoma. Regarding the types of stoma, 4 (12.12%) had temporary colostomy and 3 (9.09%) permanent, 16 (48.48%) had temporary ileostomy and 3 (9.09%) permanent. The average time of stoma was 3.19 years. 2 (6.06%) colostomised and 9 (27.27%) ileostomised reversed the stoma. 2 (6.06%) patients refused intestinal reconstruction.

Conclusion

The study results showed us that IBD with more severe extension and behaviour can result in intestinal ostomy, either temporary or permanent. The characterisation of ostomised patients is necessary for the identification of nursing needs to be highlighted, such as the previous demarcation of the stoma.

中文翻译：

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N17在炎症性肠病转诊医院接受造口术患者的概况

背景

作为炎症性肠病（IBD）外科治疗的一部分，有时有时需要肠造口。这项研究的目的是确定在巴西IBD的转诊公立医院接受治疗的造口术患者的概况。

方法

这是一个定量研究的描述性研究。该样本包括在巴西IBD的转诊公立医院接受造口手术的所有患者。纳入标准为：对克罗恩病（CD）或溃疡性结肠炎（UC）进行医学诊断，并具有或曾经患有肠造口。通过对患者记录的分析进行数据收集。

结果

前往门诊就诊的患者数量约为UC的200名，DC的150名。该样本包括33位患者，其中大部分为男性（51.52％），年龄在22至77岁之间（44.55±15.10），有文化素养（93.94％），自称白人（84.85％），来自圣保罗州。保罗（96.97％），烟民（6.06％），酗酒者（3.03％），已婚（63.64％）和儿童数量从01到10不等。关于IBD的特征，被诊断出CD的有15名（45.45％） ，有6例（40％）为瘘管型回肠结肠型，18例（54.55％）被诊断为UC，多数为胰腺炎（88.89％）。平均生病时间为14.2年。在造口的原因中，最常见的是穿孔的急性腹部（n = 5，15.15％），严重的急性结肠炎（n = 4，12.12％），阻塞性的急性腹部（n = 4，12.12％），有毒的巨结肠。（n = 3，9.09％）和瘤形成（n = 2，6.06％）。关于手术的特点，紧急和紧急情况为10（30.30％），选择性的为11（33.33％）。以前只有5个（15.15％）外科手术完成了气孔的划分。关于造口的类型，临时造口术占4例（12.12％），永久性造口术占3例（9.09％），临时造口造口术16例（48.48％），永久造瘘术3例（9.09％）。造口的平均时间为3.19年。2例（6.06％）吻合口和9例（27.27％）吻合口反了口。2名（6.06％）患者拒绝肠道重建。48％的患者有暂时性回肠造口术，而3例（9.09％）则有永久性回肠造口术。造口的平均时间为3.19年。2例（6.06％）吻合口和9例（27.27％）吻合口反了口。2名（6.06％）患者拒绝肠道重建。48％的患者有暂时性回肠造口术，而3例（9.09％）则有永久性回肠造口术。造口的平均时间为3.19年。2例（6.06％）吻合口和9例（27.27％）吻合口反了口。2名（6.06％）患者拒绝肠道重建。

结论

研究结果表明，IBD具有更严重的扩展和行为，可导致肠造口术，无论是暂时的还是永久的。为了强调护理需求，如先前对造口的划分，需要对有渗入物的患者进行表征。