INVESTIGATION OF THE EFFECTIVENESS OF WINDOW COLOSTOMY AS A MAJOR DIVERSION TECHNIQUE IN INDIVIDUALS WITH CONGENITAL SHORT COLON

Abstract

Background: ARM (ano-rectal malformation) is associated with congenital short colon (CSC), an uncommon anomaly 
in which the shortened colon exhibits a pouch-like dilatation. The clinical and anatomical characteristics of CSC are 
clearly described by prior research, but treatment is still challenging and contentious.  
Aim: Assessing the effectiveness of window colostomy as a main diversion surgery in people with congenital short colon 
was the goal of the current investigation.  
Methods: During the specified research period during which window colostomy was performed, the study evaluated 
every CSC patient admitted to the Institute. A window colostomy was done on 250 of the 274 CSC individuals who were 
evaluated retrospectively based on the data records concerning complications related to window colostomy and treatment 
done. 10 patients had mortality before surgery. Transverse colostomy was done in 14 subjects with incomplete CSC. 
Results: The study included 172 participants who had window colostomy, experienced all phases of care, including 
ileostomy, coloplasty, and, finally, ileoplasty closure. There are a few upsetting side effects from the procedure, such as 
an overall mortality rate of 11% (n=28), significant periostomy excoriation in 36 subjects, significant pouch prolapse in 
12 subjects that required revision, minor pouch prolapse in 38 subjects, and window colostomy stenosis in 44 subjects 
that required dilatation. When a congenital short colon has an initial window colostomy, it may lead to incomplete fecal 
diversion, where the pouch does not fully decompress, and issues are associated with the stoma itself.  
Conclusion: Nonetheless, the treatment is quick, simple, and life-saving. It gives enough time for weight growth and 
prepares the patient for second stage surgery, which eventually has no effect on the result for patients with congenitally 
small colons. 
Keywords: Anorectal Malformations, colostomy, Congenital Short Colon, CSC, Window Colostomy