DOI: https://doi.org/10.36347/sjams.2026.v14i03.004

Pages: 338-343

Background: Temporary intestinal stomas, primarily ileostomies, are frequently performed to manage conditions such as perforation, obstruction, malignancy, or bowel injury. Stoma reversal is a common procedure but carries potential risks and complications. This study aimed to evaluate the demographic profile, types, indications, and operative characteristics of temporary intestinal stomas among patients undergoing stoma reversal surgery. Methods: A prospective observational study was conducted over one year (January–December 2017) at Bangladesh Medical College Hospital and Bangabandhu Sheikh Mujib Medical University. Thirty-one patients scheduled for stoma reversal were included. Preoperative evaluation included history, clinical examination, laboratory tests, and radiological assessments. Stoma reversal was performed under general anesthesia using stapled or hand-sewn anastomosis. Operative details, surgeon experience, and postoperative outcomes were recorded. Data were analyzed using SPSS version 19.0. Results: Among 31 patients, 16 (52%) were female and 15 (48%) males, with a median age of 35 years (range 13–70); the 31–40 years age group was most common (35%). Ileostomies predominated (74%), particularly loop ileostomies (61%), while colostomies accounted for 26%. The leading indications for stoma formation were rectal malignancy (55%), colon malignancy (26%), intestinal tuberculosis (6%), iatrogenic perforation (3%), and emergency diversions (10%). Stoma reversal was completed within 51–70 minutes in 42% of cases. Stapled anastomosis was used in 52% of procedures, hand-sewn single-layer in 32%, and hand-sewn double-layer in 16%. Most surgeries (58%) were performed by consultant surgeons. Conclusion: Temporary intestinal stomas are predominantly ileostomies, commonly indicated for malignancy and bowel injuries. Stoma reversal is safely performed with careful patient selection, proper perioperative care, and experienced surgeons. Stapled closure is the preferred