Complicações em estomias intestinais e urinárias: revisão integrativa
DOI:
https://doi.org/10.34119/bjhrv6n4-124Keywords:
estomas cirúrgicos, complicações pós-operatórias, estomia, ileostomia, revisãoAbstract
Objetivo: sintetizar o conhecimento produzido na literatura nacional e internacional sobre as complicações em estomias intestinais e urinárias. Método: Revisão integrativa realizada nas seguintes bases de dados: Index to Nursing and Allied Health Literature (Cinahl), Literatura Latino-americana e do Caribe em Ciências da Saúde (Lilacs), Banco de dados em Enfermagem (BDENF), EMBASE, PUBMED (National Library of Medicine) e Web of Science (Clarivate Analytics). Foram incluídos estudos disponíveis em sua totalidade no período de 2006 a 2015. Resultados: Foram selecionados 23 estudos em quatro categorias temáticas: fatores de risco para complicações, tipos de complicações e manejo, qualidade de vida e assistência multiprofissional. Conclusão: as ileostomias tendem a apresentar mais complicações. Complicações precoces em destaque são as necroses e sangramentos e as tardias, hérnias seguidas por prolapso e dermatites.
References
Cordeiro AA, Sousa AS, Herculano MAFC, Queiroz IBS, Luna CA, Nóbrega JGR, et al. Main complications in intestinal ostomies: an integrative review. Amadeus Int Multidiscip J [Internet]. 2020 [cited 2021 May 17];5(9):252-65. Available from: https://amadeusjournal.emnuvens.com.br/amadeus/article/view/143
Rocha JJR. [Intestinal stomas (ileostomy and colostomy) and intestinal anastomosis]. Medicina (Riberão Preto) [Internet]. 2011 [cited 2017 Sept 25];44(1):55-6. Portuguese. Available from: http://www.revistas.usp.br/rmrp/article/view/47335/51071
Santos CHM, Bezerra MM, Bezerra FMM, Paraguassú BR. Profile of the pacient with stoma and complications related to stoma. Rev Bras Coloproctol [Internet]. 2007 [cited 2017 Sept 25];27(1):16-9. Available from: http://www.scielo.br/pdf/rbc/v27n1/a02v27n1.pdf
Cruz GMG, Constatino JRM, Chamone BC, Andrade MMA, Gomes DMBM. [Complications of Stomas in Colorectal Cancer: Review of 21 Complications in 276 Stomas Carried out in 870 Patients with Colorectal Cancer]. Rev Bras Coloproctol [Internet]. 2008 [cited 2017 Sept 25];28(1):50-61. Portuguese. Available from: http://www.scielo.br/pdf/rbc/v28n1/a08v28n1.pdf
Dantas FG, Souza AJG, Melo GSM, Freitas LS, Lucena SKP, Costa IKF. [Complications prevalence in people with urinary and intestinal ostomies]. Rev Enferm Atual [Internet]. 2019 [cited 2021 May 17];82(20):55-61. Portuguese. Available from: https://revistaenfermagematual.com.br/index.php/revista/article/view/304
United Ostomy Associations of America. About us [Internet]. Kennebunk, ME: UOAA; 2005-2016 [cited 2017 Sept 25]. Available from: http://www.ostomy.org
Thum M, Paula MAB, Morita ABSP, Balista AL, Franck EM, Lucas PCC. [Late complications in patients with intestinal ostomies who underwent a preoperative site marking]. ESTIMA Braz J Enteros Ther. 16: e4218. doi: https://doi/org/10.30886/estima.v16.660_PT Portuguese.
Bafford AC, Irani JL. Management and complications of stomas. Surg Clin North Am. 2013;93(1):145-66. doi: 10.1016/j.suc.2012.09.015
Amini E, Djaladat H. Long-term complications of urinary diversion. Curr Opin Urol. 2015;25(6):570-7. doi: 10.1097/MOU.0000000000000222
Colwell JC, Beitz J. Survey of Wound, Ostomy and Continence (WOC) nurse clinicians on stomal and peristomal complications: a content validation study. J Wound Ostomy Continence Nurs [Internet]. 2007 [cited 2017 Sept 25];34(1):57-69. Available from: https://www.ncbi.nlm.nih.gov/pubmed/17228209
Harilingam M, Sebastian J, Twum-Barima C, Boshnaq M, Mangam S, Khushal A, et al. Patient-related factors influence the risk of developing intestinal stoma complications in early post-operative period. ANZ J Surg. 2017;87(10):E116-20. doi: 10.1111/ans.13397
Ganong LH. Integrative reviews of nursing researsh. Res Nurs Health. 1987;10(1):1-11. doi: 10.1002/nur.4770100103
Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein (São Paulo) [Internet]. 2010 [cited 2021 May 4];8(1):102-6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000100102&lng=en doi: https://doi.org/10.1590/s1679-45082010rw1134.
Souza LMM, Marques-Vieira CMA, Severino SSP, Antunes AV. The methodology of integrative review of literature in nursing. Rev Investig Enferm [Internet]. 2017 [cited 2021 May 4]:17-26. Portuguese. Available from: https://www.researchgate.net/publication/321319742_Metodologia_de_Revisao_Integrativa_da_Literatura_em_Enfermagem
Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2009.
Rubio-Perez I, Leon M, Pastor D, Diaz Dominguez J, Cantero R. Increased postoperative complications after protective ileostomy closure delay: an institutional study. World J Gastrointest Surg. 2014;6(9):169-74. doi: 10.4240/wjgs.v6.i9.169
Phatak UR, Kao LS, You YN, Rodriguez-Bigas MA, Skibber JM, Feig BW, et al. The impact of ileostomy-related complications on the multidisciplinary treatment of rectal cancer. Ann Surg Oncol. 2014;21(2):507-12. doi: 10.1245/s10434-013-3287-9
Ahmad I, Akhtar A, Khan AUR. Intestinal stomas: various complications and their management. Pak J Med Health Sci. 2014;3:676-7.
Ben Ameur H, Affes N, Rejab H, Abid B, Boujelbene S, Mzali R, et al. [Surgical complications of colostomies]. Tunis Med. 2014;92(7):482-7. PMID: 25775288 French.
Kye BH, Kim HJ, Kim JG, Cho HM. The nutritional impact of diverting stoma-related complications in elderly rectal cancer patients. Int J Colorectal Dis. 2013;28(10):1393-400. doi: 10.1007/s00384-013-1699-4
Syan-Bhanvadia S, Daneshmand S. Management of the continent cutaneous stomal complications. Curr Bladder Dysfunct Rep. 2012;7:294-301.
Martin ST, Vogel JD. Intestinal stomas indications, management, and complications. Adv Surg. 2012;46:19-49. doi: 10.1016/j.yasu.2012.04.005
Shimko MS, Tollefson MK, Umbreit EC, Farmer SA, Blute ML, Frank I. Long-term complications of conduit urinary diversion. J Urol. 2011;185(2):562-7. doi: 10.1016/j.juro.2010.09.096
Gillis MG, Smith J, Craven D, Chilson T, Fowler J, Bloomfeld RS. Complications of new enteral stomas: the role of ostomy nursing. Gastroenterology. 2011;140(5 Suppl 1):S394. doi: https://doi.org/10.1016/S0016-5085(11)61617-X
Liu L, Herrinton LJ, Hornbrook MC, Wendel C, Grant M, Krouse RS. Early and late complications among long-term colorectal cáncer survivors with ostomy or anastomosis. Dis Colon Rectum. 2010;53(2):200-12. doi: 10.1007/DCR.0b013e3181bdc408
Bhatti Y, Baloch I, Shaikh GS, Deenari RA, Naz S. Frequency of complications of ileostomy: experience of 180 cases at Chandka Medical College Hospital Larkana. Rawal Med J [Internet]. 2010;35(2):198-200 [cited 2016 Jul 22]. Available from: http://www.scopemed.org/?mno=3798
Ratliff CR. Early peristomal skin complications reported by woc nurses. J Wound Ostomy Continence Nurs. 2010;37(5):505-10. doi: 10.1097/WON.0b013e3181edac57
Pittman J, Rawl SM, Schmidt CM, Grant M, Ko CY, Wendel C, et al. Demographic and clinical factors related to ostomy complications and quality of life in veterans with an ostomy. J Wound Ostomy Continence Nurs. 2008;35(5):493-503. doi: 10.1097/01.WON.0000335961.68113.cb
Kouba E, Sands M, Lentz A, Wallen E, Pruthi RS. Incidence and risk factors of stomal complications in patients undergoing cystectomy with ileal conduit urinary diversion for bladder cancer. J Urol. 2007;178(3 Pt 1):950-4. doi: 10.1016/j.juro.2007.05.028
Cottam J, Richards K, Hasted A, Blackman A. Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis. 2007;9(9):834-8. doi: 10.1111/j.1463-1318.2007.01213.x
Caricato M, Ausania F, Ripetti V, Bartolozzi F, Campoli G, Coppola R. Retrospective analysis of long-term defunctioning stoma complications after colorectal surgery. Colorectal Dis. 2007;9(6):559-61. doi: 10.1111/j.1463-1318.2006.01187.x
Santos RP, Fava SMCL, Rezende EM. Self-care of elderly people with ostomy by colorectal câncer. J Coloproctol (Rio J.). 2019;39(3)265-73. doi: http://dx.doi.org/10.1016/j.jcol.2019.01.001
Thum M, Paula MAB, Morita ABSP, Balista AL, Franck EM, Lucas PCC. [Late complications in patients with intestinal ostomies who underwent a preoperative site marking]. ESTIMA Braz J Enteros Ther. 2018;16:e4218. doi: https://doi/org/10.30886/estima.v16.660_PT Portuguese.
Silva NM, Santos MA, Barroso BCT, Rosado SR, Teles AAS, Sonobe HM. [Psychological care strategies for stomized patients and their families]. Psicol Cienc Prof. 2019;39:e178982. doi: http://dx.doi.org/10.1590/1982-3703003178982 Portuguese
Krishnamurty DM, Blatnik J, Mutch M. Stoma complications. Clin Colon Rectal Surg. 2017;30(3):193-200. doi:10.1055/s-0037-1598160
Meira IFA, Silva FR, Sousa AR, Carvalho ESS, Rosa DOS, Pereira A. Repercussions of intestinal ostomy on male sexuality: an integrative review. Rev Bras Enferm [Internet]. 2020 [cited 2021 May 17];73(6):e20190245. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000600302&lng=en doi: https://doi.org/10.1590/0034-7167-2019-0245
Marques ADB, Amorim RF, Landim FLP, Moreira TMM, Branco JGO, Morais PB, et al. Body consciousness of people with intestinal stomach: a phenomenological study. Rev Bras Enferm. 2018;71(2):391-7. doi: http://dx.doi.org/10.1590/0034-7167-2016-0666
Selau CM, Limberger LB, Silva MBN, Pereira ADA, Oliveira FS, Margutti KMM. Perception of patients with intestinal ostomy in relation to nutritional and lifestyle changes. Texto Contexto Enferm. 2019;28:e20180156. doi: http://dx.doi.org/10.1590/1980-265X-TCE-2018-0156
Costa JM, Ramos RS, Santos MM, Silva DF, Gomes TS, Batista RQ. [Complications of intestinal stoma in post-operative patients of rectal tumor resection]. Rev Enferm Atual [Internet]. 2017 [cited 2021 May 17];2017:34-42. Portuguese. Available from: https://revistaenfermagematual.com.br/index.php/revista/article/view/545
Marinez AC, Bock D, Carlsson E, Petersen C, Erastam S, Kalebo P, et al. Stoma-related complication: a report from the stoma const randomized controlled trial. Colorectal Dis. 2021;23(5):1091-101. doi: 10.1111/codi 15494
