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Fecal Diversion and Ostomies

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Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly

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Abstract

Surgeons construct ostomies as a means to connect an internal organ to the patient’s skin surface, discussed in this chapter are ileostomies (connection of the ileum to the skin surface) and colostomies (connection of the colon to the skin surface). The indications for the creation of ostomies are varied including fecal incontinence, constipation, and generalized pelvic floor dysfunction refractory to other surgical interventions in addition to general colorectal surgical indications such as temporary fecal diversion for high-risk anastomosis, colorectal cancer, and inflammatory bowel disease. Ileostomies and colostomies may be temporary or permanent, and loop or end ostomies. The operative technique in constructing ostomies includes the creation of the stoma aperture and maturation of the stoma. The creation of a stoma may be necessary for many indications, but the construction of an ostomy does not come without complications. The assessment and management of stomal-related complications is important aspect in the care of ostomy patients. Quality of life is a critical consideration in constructing a stoma, yet many patients report an improvement in their quality of life after surgery.

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Author information

Authors and Affiliations

  1. Johns Hopkins University, School of Medicine, Baltimore, MD, USA

    Jennifer L. Bennett

  2. Department of Surgery, Johns Hopkins Hospital, 600 N. Wolfe Street, Blalock #618, Baltimore, MD, 21287, USA

    Elizabeth C. Wick

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  1. Jennifer L. Bennett
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  2. Elizabeth C. Wick
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Correspondence to Elizabeth C. Wick .

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Editors and Affiliations

  1. Division of Pelvic NeuroScience, Department of Surgery, The Sinai Hospital of Baltimore, Baltimore, Maryland, USA

    David A. Gordon

  2. Sinai Center for Geriatric Surgery, Department of Surgery, Sinai Hospital, Baltimore, Maryland, USA

    Mark R. Katlic

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Bennett, J.L., Wick, E.C. (2017). Fecal Diversion and Ostomies. In: Gordon, D., Katlic, M. (eds) Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-6554-0_26

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  • DOI: https://doi.org/10.1007/978-1-4939-6554-0_26

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