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Atlas of Intestinal Stomas pp 273–283Cite as

Challenging Stomas

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Abstract

Permanent ostomy creation is a life-changing event and ostomy construction deserves careful attention. Even under the best of circumstances, problems may occur and this is more so when ostomy creation is difficult. Many of these problems can impact patients’ daily routines and decrease quality of life. They may be minor, ranging from pseudoepitheliomatous hyperplasia and skin irritation, to major, such as peristomal hernia or ischemic necrosis. A significant number of patients with these complications will require reoperation. This chapter will present techniques to minimize the possibility of complications when ostomy construction is difficult and will propose solutions if the surgeon is presented with specific difficult ostomy complications.

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Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Digestive Diseases Institute, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland Clinic Foundation, Cleveland, OH, USA

    Ryan S. Williams & Victor W. Fazio

Authors
  1. Ryan S. Williams
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  2. Victor W. Fazio
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Correspondence to Ryan S. Williams .

Editor information

Editors and Affiliations

  1. Digestive Disease Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    Victor W. Fazio

  2. Digestive Diseases Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    James M. Church

  3. Digestive Disease Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    James S. Wu

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Williams, R.S., Fazio, V.W. (2012). Challenging Stomas. In: Fazio, V., Church, J., Wu, J. (eds) Atlas of Intestinal Stomas. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-78851-7_23

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  • DOI: https://doi.org/10.1007/978-0-387-78851-7_23

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-78850-0

  • Online ISBN: 978-0-387-78851-7

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