Psychological impact of the digestive stoma after colorectal surgery in madagascar

The stoma is a real handicap in low income countries. We discuss the psychological impact of digestive stomas. This is a prospective study over a period of six months. It concerned all patients who had benefited in the visceral surgery department of colostomy and ileostomy. Feeding ostomies were not included in our study. There were 67 patients, including 43 colostomies and 24 ileostomies. Depression was noted in fifty-two patients (77.61%). Fear of stoma was present in 32.83%. Quality of life was impaired in 56 patients (83.58%).