Colorectal cancer is one of the leading causes of cancer death in both developed and
developing nations. Early and late problems may be faced by patients after colostomy surgery.
Assessment and management of stoma complications are the responsibility of nurses across the
continuum of care and played a central role in the clinical appreciation and postoperative
management as evidenced by interest in managing postoperative outcomes and treating the
complications. Therefore, the aim of this study was to identifY the postoperative outcomes among
patients undergoing pem 1 anent colorectal diversion. Subjects and Methods, sixty patients were
selected from the General Surgical Units in Assiut University Hospital and Upper Egypt Cancer
Institute their age ranged between 30- 70 years with mean age of 50.30 ± 11.28 yrs. Tools used for
data collection were Socio-demographic and Medical Data Sheet; Physical and Social Assessment
Sheet; Nutritional Assessment Form and Rosenberg's Global Self Esteem scale (RGSEs).
Structured interview was utilized for data collection. The results of the study showed that, 5% had
stoma retraction, stomal fistula and mucocutaneous separation and 8.3% had stomal infection and
21.7% had skin breakdown and skin irritation. Half of the sample had gases, and 23.3% suffered
from leakage. Social problems and low self-esteem were found among more than half of study
subjects. The most of the patients had underweight, subnormal values of hemoglobin, albumin and
white blood cells were found. The study concluded that, patients undergoing permanent colorectal
diversion exhibited different physical, social, self-esteem and nutritional changes and need effective
measures to prevent Ireduce these complications. Recommendations, another further study on a
larger sample and for 6 months to one year as a minimum time for follow up is recommended,
encourage preoperative physical, social, psychological and nutritional preparation for colostomy'
patient and design a rehabilitation program for patients with permanent colostomy.
Key words: Postoperative Outcome, Colorectal Diversion, Cancer .