stomas

Question 1

what is a colostomy?

Answer 1

large bowel onto the skin

drains harder stools

Question 2

which type of stoma needs to be spouted vs flush?

Answer 2

• small bowel (ileostomy) needs to be spouted as the contents is irritating to the skin
• large bowel can be flush

Question 3

location of colostomy vs illeostomy?

Answer 3

• colostomy LIF

- ileostomy RIF

Question 4

gastronomy?

Answer 4

provides feeds directly into the stomach

• PEGS-> Gastrostomy fitted during an endoscopy

Question 5

do urostomies have a spout and where are they located?

Answer 5

RIF and yes has a spout

Question 6

which type of end-ostomy can be reversed?

Answer 6

end colostomy if anus and rectum

Question 7

what is the alternative to an irreversible end ileostomy after a panproctolectomy?>

Answer 7

illeoanal J pouch

• illeum folded back on itself to make a rectum and then connected to the anus

Question 8

what is a loop illeostomy?

Answer 8

the bowel is folded into two and the folded part is brought on to the skin. this can be revered in 6-8 weeks

there are 2 holes, proximal is spouted and faeceas comes out of there

• distal is flush to skin

this helps to distinguish the distal and proximal ends

Question 9

what are complications of stoma overall in body?

Answer 9

• psycho-social consequences
• localised skin irritation
• parastomal hernias
• loss of bowel can lead to less fluid reabsorption, high output stomas often cause dehydration
• constipation can often occur with colostomies

Question 10

what are complications that can occur to stoma itself?

Answer 10

• stenosis
• obstruction
• retraction
• prolapse
• bleeding
• granulomas

Question 11

when are loop ileostomies usually done?

Answer 11

Defunctioning of colon e.g. following rectal cancer surgery

they are usually in the right iliac fossa