Abdominal stomas

Question 1

Gastrostomy
1) Name a use for gastrostomy
2) Where is it normally located?

Answer 1

1) Feeding, gastric decompression or fixation
2) Epigastrium

Question 2

Percutaneous jejunostomy
1) What is it normally used for?
2) Where is it normally inserted?

Answer 2

1) Feeding
2) LUQ

Question 3

Loop ileostomy
1) When/why is it normally used?
2) Where is it normally inserted?

Answer 3

1) Patients that have a defunctioning colon i.e. rectal cancer surgery
2) RIF

Question 4

End ileostomy
1) What is it normally used for?
2) Where is it normally inserted?

Answer 4

1) Following complete excision colon or ileocolic anastomosis not planned
2) RIF

Question 5

End colostomy
1) What is it normally used for?
2) Where is it normally inserted?

Answer 5

1) Where colon is diverted and anastomosis not primarily achievable or desireable
2) RIF or LIF

Question 6

Loop colostomy
1) What is it normally used for?
2) Where is it normally inserted?

Answer 6

1) To defunction a distal segment of the colon
2) Any region - depends on which area of colon is used

Question 7

Why are small bowel stomas sprouted?

Answer 7

So that small bowel contents don’t irritate the skin

Question 8

What is the term used to describe the appearance of a colonic stoma?

Answer 8

Flushed

Question 9

What type of stoma is done after a Hartmann’s procedure?

Answer 9

End colostomy