##submission.abstract##
Introduction
The protrusion of the bowel through the stoma in a colostomy is one of the
common complications of colostomy. Though it rarely gets secondarily
complicated, it causes significant morbidity by virtue of the increasing bowel mass
outside. The predisposing factors and progression in children are not well reported
in our region.
Aim
To evaluate the characteristics and occurrence of colostomy prolapse in children
and to identify any factors predisposing to this complication in our practice.
Patients and Methods
This is a five year prospective study of paediatric colostomy in the authors’ service
between March 2013 and April 2018. Patients were categorized into those that
developed prolapse (Pro group), and those that did not (Non Pro group). Other
variables investigated were gender, age at creation of colostomy, indication, type,
and duration of colostomy, presence of raised intra abdominal pressure. Statistics
was with SPSS 21.
Results
Twenty seven (28.4%) of 95 children who had colostomy during the study period
developed prolapsed. Prolapse occurred more in patients who had their colostomy
at a relatively older age. There was a positive association of prolapse and
Hirschsprungs disease but no association with the gender or duration of stoma.
Conclusion
Colostomy prolapse is a common complication seen in our practice. Cases of
neglected Hirschsprungs disease in children have increased risk of this
complication. Extra caution is therefore needed in forming colostomy in this group
of patients.