Acta Scientific Paediatrics (ISSN: 2581-883X)

Research Article Volume 3 Issue 5

The Morbidity of Anaemia in Children with Colostomies. A Cohort-Based Study

Peter Mwika1, Francis Osawa1, James Ndung’u1 and Timothy Jumbi2*

1Department of Surgery, College of Health Sciences, University of Nairobi, Kenya
2Department of Specialized Surgery, Paediatric Surgery Unit, Kenyatta National Hospital, Kenya

*Corresponding Author: Timothy Jumbi, Department of Specialized Surgery, Paediatric Surgery Unit, Kenyatta National Hospital, Kenya.

Received: March 24, 2020; Published: April 16, 2020



Introduction: Anaemia is a contributor to significant morbidity in children with colostomies. The causes of anaemia maybe be multi-factorial the effect of which may impact on the growth and nutritional aspects of the child while ultimately delaying definitive surgery. To quantify the morbidity of anaemia in children with colostomies, we sought to objectively identify the association between the presence of colonic stomas and the levels of haemoglobin and mean corpuscular volume in a cohort of children managed in a tertiary hospital in Kenya.

Materials and Methods: A descriptive cohort study carried out in Kenyatta National hospital between 2015 and 2017 which recruited 40 patients in total. Blood samples were collected for haemoglobin and mean corpuscular volume levels as markers for anaemia. For comparison similar samples were collected from a pool of patients matched for age and sex with umbilical and inguinal hernia to serve as controls.  Data was analysed and presented based on the hematologic indices above.

Results: There were 22 (55%) cases who met the definition of anaemia based on a haemoglobin cut off values compared to 13 (32.5%) controls. Both the mean haemoglobin level and mean MCV were significantly lower in the children with colostomies.

Conclusion: Colostomies are associated with anaemia in children. Identification and correction of anaemic states through screening, haematinics and colostomy care may mitigate the morbidity associated with anaemia.

Keywords: Hepatoblastoma; Liver; Chemotherapy



  1. Chandramouli B., et al. “Morbidity and mortality of colostomy and its closure in children”. Journal of Pediatric Surgery4 (2004): 596-599.
  2. Beger B., et al. “Colostomy Complications in Childhood: Analysis Of 84 Patients”. Çağdaş Tıp Dergisi 8 (2018): 226-223.
  3. Çiğdem MK., et al. “The mechanical complications of colostomy in infants and children: analysis of 473 cases of a single center”. Pediatric Surgery International8 (2006): 671-676.
  4. “Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System”. Geneva, World Health Organization (2011).
  5. Ngesa O., et al. “Prevalence and risk factors of anaemia among children aged between 6 months and 14 years in Kenya”. PLoS One11 (2014): e113756.
  6. Desiree van den Hondel., et al. “Prospective long-term follow up of children with anorectal malformation: Growth and development until 5 years of age”. Journal of Pediatric Surgery4 (2013): 818-825.
  7. Egito B., et al. “Nutritional status of pediatric patients submitted to ostomy procedures”. Revista Paulista de Pediatria1 (2013): 58-64.
  8. Burch J. “Nutrition and the ostomate: input, output and absorption”. British Journal of Community Nursing8 (2006): 349-335.
  9. Veras L., et al. “Impaired growth outcomes in children with congenital colorectal diseases”. Journal of Surgical Research 229 (2018): 102-107.
  10. World Health Organization. “Iron deficiency anaemia: assessment, prevention and control: a guide for programme managers”. World Health Organization (2001).
  11. Butler E and Trainor A. “The developmental etiology and pathogenesis of Hirschsprung disease”. Translational Research1 (2013): 1-15.
  12. Rahman J. “Colostomy Care in Paediatric Patients”. International Journal of Science and Research10 (2013): 2067-2069.


Citation: Timothy Jumbi., et al. “The Morbidity of Anaemia in Children with Colostomies. A Cohort-Based Study”. Acta Scientific Paediatrics 3.5 (2020): 03-04.


Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor1.197

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