stomas Flashcards

1
Q

colostomy

A

large intestine (colon) is brought onto skin

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2
Q

colostomy: where, appearance and whats in the bag

A

LIF

FLatter to skin

more solid stools

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3
Q

ileostomy

A

end portion of small bowel (ileum) is brought onto skin

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4
Q

ileosotmy: where, appearance and whats in the bag

A

RIF

have a spout

liquid stools

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5
Q

gastrostomy

A

artificial connection between stomach and abdo wall

can be used for providing feeds directly into stomach

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6
Q

percutaneous endoscopic gastrostomy (PEG)

A

when gastrostomy is fitted by endoscopic procedure

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7
Q

end colostomy

A

after removal of section of bowel where end of proximal part is brought onto skin

other open end of bowel (distal bit) is sututed and left in abdomen. May be reversed at later date

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8
Q

when does end colostomy become premanent

A

after resection of abdomino-perineal recection

usually located in lower left abdomen

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9
Q

when does end ileostomy become permnanent

A

after panproctocolectomy (total colectomy)

alternative is J pouch

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10
Q

what is J pouch

A

ileum foldede back in on itself and functions like rectum

it is attatched to anus and collects stool

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11
Q

loop colectomy/ileostomy

A

temporary stoma used to allow distal portion of bowel and anastomosis heal after surgery

allow faces to bypass the distal, healing portion of bowel until fully heeled

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12
Q

loop colectomy/ileostomy - when usually reversed

A

6-8wks

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13
Q

loop colectomy/ileostomy - how to tell distal end from proxial end

A

proximal end (producive) is turned inside out to form a spout

distal end is flatter

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14
Q

urostomy

A

drain urine from kidneys, bypassing ureters, bladder + urethera

involves creating an ilieal conduit

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15
Q

stoma complications

A
  • psycho-social impacr
  • skin irritation
  • parastomal hernia
  • constipation (colosotmy)
  • stenosis
  • obstruction
  • retraction
  • prolapse
  • bleeding
  • granulomas
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