Stomas Flashcards
Early complications of stomas
Bowel ischaemia or necrosis, bowel retraction, parastomal abscess, poor stoma function, high-output stoma
Late complications of stomas
Para-sternal hernia formation, bowel stenosis/prolapse, adhesions leading to obstruction, para-stomal dermatitis, bowel dysmotility, malabsorption, psychosocial complications
Where are colostomies typically found
Left iliac fossa
Which part of the bowel leads to a colostomy
Large intestine
Which part of the bowel leads to an ileostomy
End portion of the small bowel
Where are ileostomies typically found
Right iliac fossa
Which part of the GI tract leads to a gastrostomy
Connection between stomach and abdominal wall
Where is a urostomy typically found
Right iliac fossa
After which operation are colostomies permanent
Abdomino-perineal resection as entire rectum and anus are removed
After which operation are ileostomies permanent
Panproctocolectomy with the removal of the large bowel, rectum and anus
What is an ileo-anal anastomosis
J-pouch - ileum is folded back on itself, then attached to anus
What is a loop colostomy or ileostomy used for
Temporary stoma to allow distal portion of bowel and anastomosis to heal after surgery
How long after a loop ileostomy/colostomy is it reversed
6-8 weeks
How is a urostomy created
Using part of the ileum (ileal conduit)
