Stomas Flashcards
What is a colostomy
large intestine (colon) is brought onto the skin
Colostomy contents
Colostomies drain more solid stools, as much of the water is reabsorbed in the remaining large intestine
Appearance and location of colostomies
They can be flatter to the skin (compared with ileostomies which have a spout), as the solid contents are less irritating to the surrounding skin.
They are typically located in the left iliac fossa (LIF).
What is an ileostomy
the end portion of the small bowel (ileum) is brought onto the skin
Contents of ileostomies
Ileostomies drain more liquid stools, as the fluid content is normally reabsorbed later, in the large intestine
Appearance and location of ileostomy
They have a spout, which allows them to drain directly into a tightly fitting stoma bag without the contents coming into contact with the surrounding skin. They are typically located in the right iliac fossa (RIF)
What is a gastrostomy
involves creating an artificial connection between the stomach and the abdominal wall. This can be used for providing feeds directly into the stomach in patients that cannot meet their nutritional needs by mouth.
What is percutaneous endoscopic gastrostomy
refers to when the gastrostomy is fitted by an endoscopy procedure
Features of urostomy
They have a spout and are typically located in the right iliac fossa (RIF).
What is an end colostomy
An end colostomy is created after the removal of a section of the bowel, where the end part of the proximal portion of the bowel is brought onto the skin
When are end colostomies permanent
After resection of abdomino-perineal resection (APR) because the entire rectum and anus have been removed. These are usually located in the lower left abdomen.
When are end ileostomies permanent
after a panproctocolectomy (total colectomy with removal of the large bowel, rectum and anus)
Alternative to ileostomy
ileo-anal anastomosis (J-pouch).
This is where the ileum is folded back on itself and fashioned into a larger pouch that functions a bit like a rectum.
This “J-pouch” is then attached to the anus and collects stools prior to the person passing a motion.
What is a loop colostomy/ileostomy
a temporary stoma used to allow a distal portion of the bowel and anastomosis to heal after surgery.
They may be called a “covering” or “defunctioning” loop colostomy or ileostomy, as they allow faeces to bypass the distal, healing portion of bowel until healed and ready to restart normal function.
Appearance of loop colostomy/ileostomy
The proximal end (the productive side) is turned inside out to form a spout to protect the surrounding skin. This distal end is flatter. This allows you to distinguish between the proximal and distal portions of the bowel.
