Stomas Flashcards
Gastrostomy
Epigastrium
Gastric decompression or fixation
Feeding
Gastrostomy
Epigastrium
Gastric decompression or fixation
Feeding
Loop jejunostomy
Any location according to need
Seldom used as very high output
Used following emergency laparotomy with planned early closure
Percutaneous jejunostomy
Usually left upper quadrant
For feeding purposes and site in the proximal bowel
Loop ileostomy
Usually right iliac fossa
Defunctioning of colon (following rectal cancer surgery)
Does not decompress colon (if ileocaecal valve competent)
End ilestomy
Usually right iliac fossa
Following complete excision of colon or where ileocolic anastomosis is not planned
Used to defunction colon, but reversal is more difficult
End colostomy
Either left or right iliac fossa
Where a colon is diverted or resected and anastomosis is not primarily achievable or desirable
Loop colostomy
May be located in any region of the abdomen, depending upon colonic segment used
To defunction a distal segment of colon
Since both lumens are present the distal lumen acts as a vent
Caecostomy
Right iliac fossa
Stoma of last resort where loop colostomy is not possible
Mucous fistula
May be located in any region of the abdomen according to clinical need
To decompress a distal segment of bowel following colonic division or resection
Where closure of a distal resection margin is not safe or achievable
Loop jejunostomy
Any location according to need
Seldom used as very high output
Used following emergency laparotomy with planned early closure
Percutaneous jejunostomy
Usually left upper quadrant
For feeding purposes and site in the proximal bowel
Loop ileostomy
Usually right iliac fossa
Defunctioning of colon (following rectal cancer surgery)
Does not decompress colon (if ileocaecal valve competent)
End ilestomy
Usually right iliac fossa
Following complete excision of colon or where ileocolic anastomosis is not planned
Used to defunction colon, but reversal is more difficult
End colostomy
Either left or right iliac fossa
Where a colon is diverted or resected and anastomosis is not primarily achievable or desirable
