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Managing the IBD Patient with Ostomy Complications

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Inflammatory Bowel Disease

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

The inflammatory bowel disease patient with a stoma will at some point develop a peristomal or stomal complication. Up to 63% of all people living with a fecal diversion will develop a peristomal skin alteration, including, but not limited to, denuded peristomal skin, peristomal pyoderma gangrenosum, peristomal abscess, or a fungal infection. Stomal complications, though not consistently reported in the literature, generally develop well after stoma creation and can include stenosis, retraction, fistula, and prolapse. Assessment of the stoma and peristomal skin should be part of the examination of the inflammatory bowel disease patient to determine the presence of complications as well as plan the appropriate intervention. This chapter will cover the following conditions: stomal retraction and stenosis, prolapse, fistula, and peristomal pyoderma gangrenosum. Dehydration in the person with an ostomy is a common reason for hospital readmission, and management of high stoma output will be covered.

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Authors and Affiliations

  1. Section of General Surgery, University of Chicago Medicine, 5841 S. Maryland Avenue, MC 1083, Chicago, IL, 60637, USA

    Janice C. Colwell RN, MS, CWOCN, FAAN

Authors
  1. Janice C. Colwell RN, MS, CWOCN, FAAN
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Correspondence to Janice C. Colwell RN, MS, CWOCN, FAAN .

Editor information

Editors and Affiliations

  1. Inflammatory Bowel Disease Center, The University of Chicago Medicine, Chicago, Illinois, USA

    Russell D. Cohen

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Colwell, J.C. (2017). Managing the IBD Patient with Ostomy Complications. In: Cohen, R. (eds) Inflammatory Bowel Disease. Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-53763-4_18

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  • DOI: https://doi.org/10.1007/978-3-319-53763-4_18

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  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-53761-0

  • Online ISBN: 978-3-319-53763-4

  • eBook Packages: MedicineMedicine (R0)

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