{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T09:18:31Z","timestamp":1787995111059,"version":"build-2784847793"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"EVO Foundation"},{"DOI":"10.13039\/501100003125","name":"Finnish Cultural Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003125","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>End colostomies are performed frequently in both emergency and elective abdominal surgery. The aim of this study was to assess early stoma-related complications and to identify risk factors for severe complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients undergoing surgery with an end colostomy during 2018\u20132020 at Tampere University Hospital were identified. This was a single-center study based on a prospective stoma registry complemented with additional retrospective clinical data. A stoma-related complication was classified as severe (Clavien-Dindo grade \u2a7e3a) or mild (&lt;3a).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study comprises 360 patients (median age\u2009=\u200971, interquartile range\u2009=\u200964\u201378\u2009years); 197 (55%) patients were male, and out of these 360 patients, 242 (67%) underwent elective operation and 118 (33%) underwent emergency surgery. There were 18\/118 (15%) severe stoma-related complications in the emergency and 12\/242 (5%) in the elective group. Stoma site was marked preoperatively for 53\/118 (45%) in the emergency group and for 235\/242 (97%) patients in the elective group. Most of the stomas were performed by a specialist or resident in gastrointestinal surgery (95%, 342\/360). In univariate analyses, emergency surgery (odds ratio (OR)\u2009=\u20093.5, 95% confidence interval (CI)\u2009=\u20091.6\u20137.4, p\u2009=\u20090.002), smoking (OR\u2009=\u20092.9, 95% CI\u2009=\u20091.3\u20136.8, p\u2009=\u20090.01), lack of experience in gastrointestinal surgery of the operating surgeon (OR\u2009=\u20094.9, 95% CI\u2009=\u20091.6\u201314.8, p\u2009=\u20090.05, unmarked stoma site (OR\u2009=\u20092.3, 95% CI\u2009=\u20091.0\u20135.2, p\u2009=\u20090.04), and American Society of Anesthesiologists (ASA) score IV\u2013V (OR\u2009=\u20092.7, 95% CI\u2009=\u20091.2\u20136.0, p\u2009=\u20090.01) showed increased risk of severe stoma complications. In multivariate logistic regression analysis, smoking (OR\u2009=\u20093.3, 95% CI\u2009=\u20091.3\u20137.9, p\u2009=\u20090.009) was associated with severe stoma complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Morbidity associated with end colostomy is common, especially in emergency surgery. Smoking was the only independent risk factor for severe short-term stoma complications. Stoma site planning and cessation of smoking may reduce stoma-related complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969261467357","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T04:26:14Z","timestamp":1784521574000},"page":"257-263","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early stoma-related complications in end-colostomy patients: A prospective single-center study"],"prefix":"10.1177","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8680-2634","authenticated-orcid":false,"given":"Anu","family":"Vormisto","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Technology Tampere University Arvo Ylp\u00f6n katu 34 33014 Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erkki-Ville","family":"Wirta","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsi","family":"Lehto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marja","family":"Hy\u00f6ty","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heini","family":"Huhtala","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences, Tampere University, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaana","family":"Janhunen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilona","family":"Helavirta","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-023-00516-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2018.0126"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1676995"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7259"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-016-1367-6"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-015-1050-3"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12245-022-00421-9"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16947"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-019-02099-3"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/14574969231190291"},{"issue":"1","key":"e_1_3_2_12_2","first-page":"28","article-title":"A retrospective analysis of factors affecting early stoma complications","volume":"63","author":"Koc U","year":"2017","unstructured":"Koc U, Karaman K, Gomceli I, et al: A retrospective analysis of factors affecting early stoma complications. Ostomy Wound Manage 2017;63(1):28\u201332.","journal-title":"Ostomy Wound Manage"},{"key":"e_1_3_2_13_2","first-page":"306","article-title":"Emergency stomas; should non-colorectal surgeons be doing it?","volume":"11","author":"Qureshi A","year":"2018","unstructured":"Qureshi A, Cunningham J, Hemandas A. Emergency stomas; should non-colorectal surgeons be doing it? 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