Stoma - Types Flashcards
lleostomy Formed from the ? bowel. Features; ?, with prominent ? folds. Tend to be on the ???. ? contents of the bag. One/ two visible ?.
small spouted mucosal RHS bilious lumens
One visible lumen: ? ileostomy.
o Generally ? after removal of ? bowel.
o Indications;
• ? surgery to remove colon in ??.
end permanent distal definitive UC
Two visible lumens: ? ileostomy.
o They are often ? and ? at a later date.
o Indications;
—–• To ? distal bowel (e.g. in ???).
—–• To temporarily protect distal ? following surgery.
—–• To provide ? relief from severe ?.
loop temporary reversed rest IBD anastomoses functional incontinence
Colostomy Formed from ? bowel. Features; Usually flush to the skin, with ? mucosaI folds. Tend to be on the ? hand side. Contents tend to be more ?. Again can be loop or end.
large
flat
left
faeculant
o End colostomies are far more common, used after a variety of large
bowel operations;
• ? procedure: temporary end colostomy after ? large bowel surgery.
• Left ?: may require temporary end colostomy prior to colo-colic anastomosis at a later date.
• ?-? resection: surgery for rectal pathology, with removal of back passage and permanent end colostomy
hartmanns
emergency
hemicolectomy
abdomino-perineal
Urostomy
Formed from a short section of ? ?, into which one or both ? are directed after radical urinary tract surgery.
They are indistinguishable from an end ileostomy unless ? can be seen.
disconnected ileum
ureters
output
Gastrostomy
Connection from the ? stomach to the anterior ? ?. Often for stomach ? or direct ?.
They are ? in calibre, flush to the skin, usually in the ? ? quadrant and fitted with ? access devices.
anterior abdo wall drainage feeding narrow left upper indwelling
Jejunostomy
Connection from the ? to the abdominal wall, for ? ?.
Appearances are the same as a ?
jejunum
direct feeding
gastrostomy
