stomas Flashcards
what is a stoma?
surgically created openings between a hallow organ and body surface, as either a temporary or permenant measure
indications for a stoma?
o Anastomosis not safe or possible.
o Proximal diversion to protect anastomosis or divert bowel contents away from diseased bowel.
where is an iliostomy found?
usually found in RIF
why are iliostomies spouted?
to reduce skin irritation
what is the output like from an ileostomy?
green in colour and a porridge consistency
why do you get dehydration with an ileostomy ?
fluid loss is three times greater than from anus
what are the two types of ileostomy?
End: single sprout
Loop: double sprout
what ileostomy do you get in IBD?
single sprout
where do you usually get a colostomy?
usually in LIF
how does a colostomy sit on the skin?
flush to the skin
what is output of a colostomy like in terms of volume and consistency of a ileostomy?
output is brownish colour and not too dissimilar to per anal faeces. output is much lower than ileostomies
what is a gastrostomy?
o Used in patients who have a functioning gut but unable to take food orally due to the likes of upper GI malignancy or neurological conditions.
o Usually located in left upper quadrant.
• Urostomy
o Follows resection of the bladder due to bladder cancer.
o Ureters are connected to a segment of ileum and a conduit is created.
complications of a stoma?
leakage, ischaemia, prolapse, retraction, parastomal hernnia, obstruction
most common problems in ileostomies?
skin irritation
increased risk of renal stones
dehydration due to high output
nutrient deficiencies such as B12
