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General Surgery · Colorectal: stoma complication
Sample itemWhich is the most common long-term complication of an end colostomy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Parastomal hernia
Parastomal hernia develops in a large proportion of patients over time, owing to a defect in the abdominal wall at the stoma site. Necrosis and retraction are early complications, and stenosis occurs later. Prophylactic mesh and correct site selection reduce the risk.
Option by option
A. Retraction
Retraction usually occurs early.
B. Stomal necrosis
Necrosis is an early complication.
C. Ischaemic stenosis
Stenosis is less common.
D. Parastomal hernia (correct)
Correct. This is the most frequent late complication.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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