Stomas Flashcards
What are the different ways to differentiate between a colostomy and an ileostomy?
Colostomy:
- LIF
- solid contents in bags
- flatter to skin= contents less irritating to skin
Ileostomy:
- RIF
- liquid contents
- spouted= contents irritating to skin
What 2 types of stoma can be found in the RIF?
Ileostomy
Urostomy
What happens in an end colostomy? Why is bowel distal to removed section left in patient?
End part of proximal portion of remaining bowel brought to surface
Distal part sutured and can be sutured to proximal part at later date to form anastomosis
When are end colostomies NOT reversible?
When a abdomino-perineal resection (APR) been performed meaning entire rectum and anus has been removed so no chance of anastomosis at later date
What are the different fates for the ileum after a panproctocolectomy?
End ileostomy
Ileo-anal anastomoses (J-pouch)
What is a loop colostomy and what is it used for?
Loop involves the proximal and distal portions of bowel being brought to surface- proximal spouted and distal flat.
Used to rest distal bowel and allow anastomosis to heal after surgery
When is a urostomy used? What is a ileal conduit and how is it involved in formation of urostomy?
After cystectomy
Part of ileum removed and ends of ureters anastomoses to section of ileum. End part brought to skin to form spout for urostomy bag
When would you consider a stoma to be overactive? What are the complications associated with an overactive stoma?
Overactive= having to change bag >2x per day
Infection
Bleeding
Parastomal hernia
What are the possible complications associated with having a stoma?
Local skin irritation
Parastomal hernia
Loss of bowel length- dehydration/malnutrition
Constipation (with colostomy)
Stenosis
Obstruction
Retraction
Prolapse= telescoping of bowel at stoma site
Bleeding
Granulomas causing raised red lumps around stoma
