Use of Visible Spectrophotometry to Assess Tissue Oxygenation in the Colostomy Stoma

Conference paper
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 662)


The aims of this study were to determine the normal range of tissue oxygenation (SO2) in the “mature” colostomy stoma and to investigate whether there were any diurnal variations in the SO2 values. Ten patients with an end colostomy for a minimum duration of three months and using conventional colostomy bags were included in this study. Tissue SO2 was measured on the stoma using visible wavelength spectroscopy (Whitland RM 200, Whitland Research, Whitland, UK) The measurements were carried out on each patient on three occasions: the first early in the morning (designated “baseline”), a second after 6 h and the third on the next day at 24 h. The results showed that the mean baseline SO2 in the colostomy stoma was 77.6 ± 6.8 and there were no differences in the SO2 measurements between the baseline, 6 h and the 24 h values. There were also no differences in the SO2 values between the four quadrants of the stomas. In conclusion, visible wavelength spectrophotometry can reliably measure stomal SO2 in a non-invasive way. No significant diurnal variations in the stomal SO2 values were detected.


Post Operative Period Parastomal Hernia White Lead Early Post Operative Period Visible Spectrophotometry 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



This study was sponsored by ConvaTec, a division of E.R. Squibb & Sons, L.L.C. Skillman, NJ 08534, USA. The authors are grateful to the volunteers for their willing participation.


  1. 1.
    Benaron DA, Parachikov IH, Friedland S et al. (2004) Continuous, noninvasive, and localized microvascular tissue oximetry using visible light spectroscopy. Anesthesiology 100:1469–1475.PubMedCrossRefGoogle Scholar
  2. 2.
    Caricato M, Ausania F, et al. (2007) Retrospective analysis of long-term defunctioning stoma complications after colorectal surgery. Colorectal Dis 9:559–561.PubMedCrossRefGoogle Scholar
  3. 3.
    Chung RS (1987) Blood flow in colonic anastomoses. Effect of stapling and suturing. Ann Surg 206:335–339.PubMedCrossRefGoogle Scholar
  4. 4.
    Fawcett A, Shembekar M, Church JS et al. (1996) Smoking, hypertension, and colonic anastomotic healing; a combined clinical and histopathological study. Gut 38:714–718.PubMedCrossRefGoogle Scholar
  5. 5.
    Friedland S, Benaron D, Parachikov I et al. (2003) Measurement of mucosal capillary hemoglobin oxygen saturation in the colon by reflectance spectrophotometry. Gastrointest Endosc 57:492–497.PubMedCrossRefGoogle Scholar
  6. 6.
    Harrison DK, Hawthorn IE (2005) Amputation level viability in critical limb ischaemia: setting new standards. Adv Exp Med Biol 566:325–332.PubMedCrossRefGoogle Scholar
  7. 7.
    Orsay CP, Bass EM, Firfer B et al. (1995) Blood flow in colon anastomotic stricture formation. Dis Colon Rectum 38:202–206.PubMedCrossRefGoogle Scholar
  8. 8.
    Park JJ, Del Pino A, et al. (1999). Stoma complications: the cook county hospital experience. Dis Colon Rectum 42:1575–1580.PubMedCrossRefGoogle Scholar
  9. 9.
    Sorensen LT, Jorgensen T, Kirkeby LT et al. (1999) Smoking and alcohol abuse are major risk factors for anastomotic leakage in colorectal surgery. Br J Surg 86:927–931.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Medical PhysicsUniversity Hospital of North DurhamDurhamUK
  2. 2.General SurgeryUniversity Hospital of North DurhamDurhamUK
  3. 3.Department of Medical Physics and General SurgeryUniversity Hospital of North DurhamDurhamUK

Personalised recommendations