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Management of permanent colostomies by colostomy irrigation

Versorgung einer permanenten Kolostomie durch Irrigation

  • Stoma- und Wundmanagement
  • Published:
coloproctology Aims and scope

Abstract

Colostomy irrigation is a long existing method to facilitate the management of permanent colostomies, thus, giving the patient the possibility to have control over bowel emptying. Although modern irrigation systems have significantly improved handling and safety of this procedure, it must be accepted that only a minority of patients have knowledge about this therapeutic option and are using it. Thus, the goal is to provide an overview of the history and most recent scientific evidence regarding colostomy irrigation. Furthermore, issues like volume of water for irrigation, duration of the procedure and time intervals between irrigation sessions are discussed.

Zusammenfassung

Die Irrigation bei einer Kolostomie ist eine seit langem bestehende Methode, um die Versorgung einer permanenten Kolostomie zu vereinfachen, da sie dem Patienten die Möglichkeit gibt, die Darmentleerung zu kontrollieren. Obwohl moderne Irrigationssysteme die Handhabung und Zuverlässigkeit dieses Verfahrens deutlich verbessert haben, muss man feststellen, dass nur eine kleine Anzahl der Patienten diese Therapiemöglichkeit kennt und sie anwendet. Ziel dieses Übersichtsartikels ist es daher, einen Überblick über die Geschichte sowie über die neuesten wissenschaftlichen Erkenntnisse zur Kolostomie-Irrigation zu geben. Darüber hinaus werden Themen wie die Wassermenge für die Spülung, die Dauer der Prozedur sowie die Zeitintervalle zwischen den Spülungen erörtert

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Authors and Affiliations

  1. Department of Surgical Oncology, Sigmund Freud University, Sigmund Freud Platz 3, 10120, Vienna, Austria

    Harald Rosen MD, F.E.B.S.Q.

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  1. Harald Rosen MD, F.E.B.S.Q.
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Correspondence to Harald Rosen MD, F.E.B.S.Q..

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Conflict of interest

H. Rosen declares that he receives funds as a member of the advisory board for transanal irrigation from the Coloplast Company.

For this article no studies with human participants or animals were performed by any of the authors. All studies performed were in accordance with the ethical standards indicated in each case.

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Rosen, H. Management of permanent colostomies by colostomy irrigation. coloproctology 43, 417–421 (2021). https://doi.org/10.1007/s00053-021-00564-y

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