233 Major stoma related morbidity in young children following stoma formation and closure Chapter 10 Identification of risk factors for the development of morbidity following stoma formation and closure might lead to prevention and could aid in the selection which patients to treat with primary anastomosis instead of a stoma. In our cohort, only the location of the stoma was significantly related to the occurrence of morbidity, whilst all other factors were not. Limitations of this study are the retrospective design which might have led to underreporting of morbidity, although it is unlikely that serious morbidity was missed. To classify major morbidity related to a stoma, Clavien-Dindo grading was used. This reflects the most severe morbidity, but does not consider the minor morbidity that might have an impact on the overall stoma related morbidity as experienced by the young children. Moreover, this study attempted to identify risk factors for morbidity, but only location of the stoma was found to be an independent predictor. Potentially relevant patient or surgical risk factors might have been missing in the dataset. Conclusion Major stoma related morbidity occurs often in young children, both after stoma formation and closure. The risk of morbidity should be taken into account when considering treatment with the formation of a stoma.
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