{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T06:28:44Z","timestamp":1774420124538,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,11,15]],"date-time":"2017-11-15T00:00:00Z","timestamp":1510704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,11,15]],"date-time":"2017-11-15T00:00:00Z","timestamp":1510704000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Intestinal ostomies are common surgical procedures performed in visceral surgery as part of management for several gastrointestinal diseases. This study aims to report the socio\u2010demographic characteristics, indications and prognosis of intestinal ostomies in low\u2010income country.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a 4\u2010year retrospective study (January 2013 to December 2016) at Zinder National Hospital (Niger). All patients with a digestive ostomy on an ileum or colic segment were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 2437 patients underwent digestive surgery, including 328 gastrointestinal stomas (13.5%). Patients classified ASA3 were 60.7% (<jats:italic>n<\/jats:italic> = 199). The median age was 12 years (IQ: 7\u201325). Children represent 64% (<jats:italic>n<\/jats:italic> = 210) of patients with ostomy. The sex ratio was 2.60. The stoma was performed in emergency in 96.3% (<jats:italic>n<\/jats:italic> = 316) of cases. Acute peritonitis was the main indication of the stoma in 70.73% (<jats:italic>n<\/jats:italic> = 232). The ileostomies accounted for 75.61% (<jats:italic>n<\/jats:italic> = 248). Ostomy was intended as temporary in 97.3% of cases (<jats:italic>n<\/jats:italic> = 319). Complications were observed in 188 patients (57.3%). Mortality was 14.02% (<jats:italic>n<\/jats:italic> = 46). The indigent status (OR: 4.15 [2.20\u20137.83], <jats:italic>P<\/jats:italic> = 000), ASA score 4 (OR: 2.53 [1.54\u20134.15], <jats:italic>P<\/jats:italic> = 0.0003), Altemeier class IV (OR: 4.03 [2.10\u20137.73], <jats:italic>P<\/jats:italic> = 0.0000) and ileostomy (OR: 2.7853 [1.47\u20135.29], <jats:italic>P<\/jats:italic> = 0.0018) were statistically associated with the occurrence of major complications. The mean time for stoma closure was 59.3 \u00b1 14.5\u00a0days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Acute peritonitis was the main indication of digestive ostomy. The occurrence of major complications was associated with bad socioeconomic status, ASA4 score, Altemeier class IV and ileostomy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4338-3","type":"journal-article","created":{"date-parts":[[2017,11,15]],"date-time":"2017-11-15T16:04:38Z","timestamp":1510761878000},"page":"1581-1589","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Pattern of Lower Intestinal Ostomies in a Low\u2010Income Country: Case of Southeast of Niger Republic"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8055-9426","authenticated-orcid":false,"given":"Harissou","family":"Adamou","sequence":"first","affiliation":[{"name":"Department of General Surgery, Faculty of Health Sciences Zinder National Hospital, University of Zinder PO BOX: 656 Zinder 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Niger"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maazou","family":"Halidou","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Zinder National Hospital, University of Zinder Zinder Niger"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachid","family":"Sani","sequence":"additional","affiliation":[{"name":"Department of General Surgery Niamey National Hospital, University of Niamey Niamey Niger"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,15]]},"reference":[{"issue":"3","key":"e_1_2_7_2_2","first-page":"165","article-title":"Intestinal stomas","volume":"35","author":"Pine J","year":"2017","journal-title":"Surg 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