Ileostomy Flashcards
1
Q
Where is an ileostomy usually located
A
Right iliac fossa
2
Q
What is the surface of an ileostomy like
A
Spout - as the effluent is erosive and damages local skin
3
Q
What are the contents of an ileostomy bag
A
Liquid
4
Q
How would you advise a patient to manage their ileostomy
A
Needs to be emptied multiple times throughout the day (more than colostomy)
Change the bag daily
Change the base plate under the bag every 5 days
*Psychological and psychosexual support
5
Q
What are the complications of an ileostomy
A
Complications related to the stoma:- Stenosis Prolapse Parastomal hernia Retraction
Complications specific to an ileostomy:- Obstruction Dehydration Mucous discharge from rectum Vitamin B12 deficiency Stones - gallstone and renal stones increase in frequency following an ileostomy
6
Q
When would an end ileostomy be performed
A
Following panproctocolectomy (typically for UC)
It is permanent
7
Q
When would a loop ileostomy be performed
A
Over a low anastomosis of anterior resection
To allow the anastomosis to heal
It is a temporary measure
