A comparison of loop and split stoma for the management of various congenital and acquired gastrointestinal disorders requiring colostomy: An analysis of complications and outcomes

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Observational analysis compares complications and outcomes of loop and split colostomies in pediatric patients, indicating different risk profiles.

Loop colostomies are more prone to complications like prolapse and evisceration compared to split colostomies.
The majority of cases involved anorectal malformations, with loop stomas representing 59.3% of procedures.
Split colostomies were associated with higher rates of skin-related complications such as excoriation and wound dehiscence.
Tailoring stoma type to the individual patient's condition is essential for optimal management.

Basuguy et al. (2025) studied this question.

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Observational analysis compares complications and outcomes of loop and split colostomies in pediatric patients, indicating different risk profiles.