Stomas (Colostomy and Ileostomy)
Small bowel and colon stomas are used to divert bowel contents for healing of a new anastomosis, in the setting of abnormal gastrointestinal function, or in patients with incontinence or a low rectal cancer. Patients should undergo preoperative counseling regarding living with an ostomy, as well as preoperative stoma site marking. Important concepts in stoma creation include avoidance of stoma creation in the setting of infection, ensuring adequate blood supply to the stoma, and preventing tension in the underlying bowel. Postoperative care consists of patient education on stoma care and avoidance of dehydration due to high ostomy output.
KeywordsStoma Ileostomy Colostomy Bowel diversion Loop ileostomy
- 5.Williams JG. “Intestinal Stomas.” ACS Surgery, Principles and Practice. Eds. Souba WW, Fink MP, Jurkovich GJ, Kaiser LR, Pearce WH, Pemberton JH, Soper NG. WebMD Publishing, New York, 2005, Chapter 31.Google Scholar
- 6.Orkin BA, Cataldo PA. “Intestinal Stomas.” ASCRS Textbook of Colon and Rectal Surgery. Eds. Wolff BG, Fleshman JW, Beck BE, Pemberton JH, Wexner SD. Springer, New York, 2007. Chapter 44.Google Scholar