Stomas Flashcards
What must all patients with a stoma receive?
Training and regular follow up with a stoma nurse.
When is an end/permanent ileostomy used?
After total colectomy.
When is a covering/loop ileostomy used?
After a partial colectomy to protects a distal anastamosis.
How long is a loop ileostomy left until it is reversed?
6-8 weeks
When is a colostomy used?
After an abdomino-perineal resection (APR) for a low-rectum cancer.
When is a urostomy used?
When the ureters, bladder or urethra are not viable.
How does an ileal conduit work?
1- Section of ileum removed
2 Remaining bowel anastamosed
3- Ureters anastamosed to the ileal conduit
4- Conduit brought out to the skin as a urological stoma.
Where do ileostomies typically sit?
Lower right
Where do colostomies typically sit?
Lower left
What is the stool like in an ileal stoma?
Liquid
What is the stool like in a colonic stoma?
Formed
What are the complications of a stoma?
- Psychosocial
- Skin damage/irritation
- Prolapse
- Stenosis
- Obstruction
