Quality of life - comparison of double barrelled wet colostomy (DBWC) with lateral end colostomy: P102

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Introduction:Patients with advanced pelvic malignancy have limitedprognosis with elevated short and long term postoperative morbidity. If reconstruction of urinary and faecal stream is not possible after pelvic excenteration, DBWC consisting of separate urine and faecal outflow in a lateral colostomy is a safe option. We compare quality-of-life with DBWC and lateral end colostomy.Method:Between 1980 and 2009 we performed DBWC in 48 patients. We applied various qualityof-life-questionnaires to surviving patients (Cleveland-Global-QoL-Score, EORTC QLQ-C30 and one focusing stoma) and compared DBWC with a group similar in sex, age and disease with lateral end colostomy.Results:Seven of eight surviving patients (87.5%) with DBWC returned questionnaires. We compared these with 25 patients with lateral end colostomy. Follow-up was 32.6 months for DBWC and 22.4 for controls. There was no significant difference (median scores of 73 vs 79 in EORTC QLQ-C30, although there was a difference in specific symptoms such as insomnia and diarrhoea. We did not observe any difference in Cleveland-Global-QoL-Score and the stoma-score, but each group was heterogeneous due to stoma complications (prolapse, peristomal hernia).Conclusion:DBWC does not lower quality-of-life compared to patients with lateral end colostomy. Any stoma complication seems to lower quality of life substantially, irrespective of whether the patient has a DBWC or colostomy.

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