Stoma

Question 1

Describe features of ileostomy and colostomy

Answer 1

Ileostomy - Found in RIL, it has a spouted appearence with liquid output
Colostomy - Left sided, flush with skin and output is solid

Question 2

What are features of gastrostomy?

Answer 2

• Connection between stomach and abdominal wall.
• Used for feeding directly into stomach

Question 3

What is the difference between loop and end stomas?

Answer 3

End - permanent and the end part is brought to skin.
Loop - Temporary stoma used to allow a distal portion of bowel and anastamosis to heal after surgery. Usually reversed 6-8 weeks later

Question 4

What is a urostomy?

Answer 4

Used to drain urine bypassing the urerters, bladder and urethra. A ileal conduit is formed which allows urine to drain into a bag

Question 5

What are some complications of having a stoma?

Answer 5

• Psycho-social impact,
• Local skin irritation,
• Parastomal hernia
• High output, dehydration and mulnutrition
• Constipation
• Stenosis
• Obstruction,
• Retraction,
• Prolapse,
• Bleeding

Question 6

What are some potential reasons for having a stoma?

Answer 6

Colorectal cancer, IBD, trauma, severe infection such as C.diff