Abstract
The word “stoma” is from the Greek word for mouth. It is an opening, usually surgically created, between a hollow viscus and the body surface. In describing a stoma, the suffix -ostomy is used; the prefix indicating which structure has been exteriorised (e. g. tracheostomy, oesophagostomy, ileostomy, colostomy, nephrostomy). This chapter focuses on gastrointestinal stomas, namely ileostomy and colostomy. The earliest record of surgical formation of a colostomy was by Littre in 1710 as treatment for an obstructing colonic carcinoma [1]. Ileostomy was first described by Brown in 1913 [2] as a temporary measure to rest the colon in severe ulcerative colitis; major problems with skin excoriation around the ileostomy prevented its general acceptance. In the 1940s, Koernig, a chemistry student who had an ileostomy, designed a rubber-latex appliance that prevented the ileostomy effluent from contacting the skin [3]. In 1952, Brooke [4] described spouting of the ileostomy to facilitate collection into a bag without damaging the adjacent skin.
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References
Bryant TA. Case of excision of a stricture of the descending colon through an incision made for a left lumbar colostomy: with remarks. Proc R Med Chir Soc 1882; 9:149–153
Brown JY. The value of complete physiological rest of the large bowel in the treatment of certain ulcerative and obstructive lesions of this organ. Surg Gynecol Obstet 1913; 16:610–613
Strauss AA, Strauss SF. Surgical treatment of UC. Surg Clin North Am 1944; 24:211–224
Brooke BN. The management of an ileostomy and its complications. Lancet 1952; ii:102–4
Mattiessen P, Hallbook O, Rutegard J Simert G, Sjodahl R. Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer: a randomised multicentre trial. Ann Surg 2007; 246:207–214
Güenaga KF, Lustosa SAS, Saad SS, Saconato H, Matos D. Ileostomy or colostomy for temporary decompression of colorectal anastomosis. Cochrane Database Syst Rev 2007; 24:CD004647
MacLean AR, Cohen Z, MacRae HM et al. Risks of small bowel obstruction after the ileal pouch–anal anastomosis. Ann Surg 2002; 235:200–206
Chaudhri S, Brown L, Hassan I, Horgan AF. Pre-operative intensive, community-based vs. traditional stoma education: a randomised, controlled trial. Dis Colon Rectum 2005; 48:504–509
Young CJ, Eyers AA, Solomon MJ. Defunctioning the anorectum. Dis Colon Rectum 1998 ; 41:190–194
Keighley MRB, Williams NS. Surgery of the Anus, Rectum and Colon, 2nd edn. 2000; WB Saunders, London, pp 191–307
Janes A, Cengiz Y, Israelsson LA. Randomised clinical trial of the use of a prosthetic mesh to prevent parastomal hernia. Br J Surg 2004; 91:280–282
Speirs M, Leung E, Hughes D, Robertson I, Donnelly L, Mackenzie I, Macdonald A. Ileostomy rod – is it a bridge too far? Colorectal Dis 2006; 8:484–487
Tang CL, Seow-Choen F, Fook-Chong S, Eu KW. Bioresorbable adhesion barrier facilitates early closure of the defunctioning ileostomy after rectal excision: a prospective, randomized trial. Dis Colon Rectum 2003; 46:1200–1207
Leong AP, Londono-Schimmer EE, Phillips RK. Life table analysis of stomal complications following ileostomy. Br J Surg 1994; 81:727–729
Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum 1994; 37:916–920
McVey J, Madill A, Fielding D. The relevance of lowered personal control for patients who have had stoma surgery to treat cancer. Br J Clin Psychol 2001; 40:337–340
Gooszen AW, Geelkerken RH, Hermans J, Lagaay MB, Gooszen HG. Quality of life with a temporary stoma: ileostomy vs colostomy. Dis Colon Rectum 2000; 43:650–655
Stephenson BM. Osmotic therapy for acute irreducible stoma prolapse. J Surg 1997; 84:1170–1179
Carne PW, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg 2003; 90:784–793
Inan I, Gervaz P, Hagen M, Morel P. Laparoscopic repair of parastomal hernia using a porcine dermal collagen (Permacol) implant. Dis Colon Rectum 2007; 50:1465
Lyon C, Smith A Abdominal Stomas and their Skin Disorders. An Atlas of Diagnosis and Management. 2001; Martin Dunitz, London
Hudson CN, Lennard-Jones JE. Sexual relationships and childbirth. In: Todd IP (ed) Intestinal Stomas. 1978; Heinemann, London, pp 187–195
Edwards CM, George BD, Warren BF. Diversion colitis – new light through old windows. Histopathology 1999; 34:1–5
Edwards CM, George BD, Jewell DP, Warren BF, Mortensen NJ, Kettlewell MG. Role of a defunctioning stoma in the management of large bowel Crohn’s disease. Br J Surg 2000; 87:1063–1066
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George, B., Perrin, A. (2010). Stomas and Related Problems. In: Givel, JC., Mortensen, N., Roche, B. (eds) Anorectal and Colonic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69419-9_17
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DOI: https://doi.org/10.1007/978-3-540-69419-9_17
Publisher Name: Springer, Berlin, Heidelberg
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