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  • Colostomy

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    yayassssss
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    This document summarizes information about colostomies, including types (permanent or temporary, end or loop), locations (left iliac or transverse), and potential complications involving the intestine, stoma surface, intestinal lumen, surrounding skin, or stoma bag. It also lists patient psychological issues. Specific complications like diarrhea, bleeding, necrosis, obstruction, and prolapse are described along with their typical causes and treatments. Guidelines for stoma site selection to avoid bony prominences and skin creases are also provided.

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    colostomy

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    This document summarizes information about colostomies, including types (permanent or temporary, end or loop), locations (left iliac or transverse), and potential complications involving the intestine, stoma surface, intestinal lumen, surrounding skin, or stoma bag. It also lists patient psychological issues. Specific complications like diarrhea, bleeding, necrosis, obstruction, and prolapse are described along with their typical causes and treatments. Guidelines for stoma site selection to avoid bony prominences and skin creases are also provided.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    4 views1 page

    Colostomy

    Uploaded by

    yayassssss
    This document summarizes information about colostomies, including types (permanent or temporary, end or loop), locations (left iliac or transverse), and potential complications involving the intestine, stoma surface, intestinal lumen, surrounding skin, or stoma bag. It also lists patient psychological issues. Specific complications like diarrhea, bleeding, necrosis, obstruction, and prolapse are described along with their typical causes and treatments. Guidelines for stoma site selection to avoid bony prominences and skin creases are also provided.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    Colostomy

    Can be classified as:


    Permanent @ temporary
    End (usually permanent) or loop (usually temporary)
    Left iliac @ transverse - according to the site in the colon

    Complications
    Intestine - Prolapse, retraction
    Surface of intestine - Necrosis, bleeding
    Lumen of intestine - Diarrhea, obstruction, stenosis
    Stoma - Parastomal hernia
    Surrounding skin - Excoriation
    Stoma bag - Leakage
    Patient - Psychological & psychosexual dysfunction

    Diarrhea - usually an infective enteritis. Will respond to oral metronidazole 200 mg tds
    Bleeding - usually from granulomas around the margin of the colostomy
    Necrosis - mucosal sloughing or necrosis of the terminal bowel d/t ischemia - requires reoperation and
    refashioning of the stoma.
    Obstruction - of stoma d/t edema or faecal impaction - relieved by exploration with a gloved finger and
    sometimes glycerine suppositories or softening enemas
    Prolapse of bowel - requires refashioning of stoma
    Parastomal hernia - d/t abdominal wall weakness. Requires resiting of stoma

    Site of stoma
    Not on bony prominence, skin crease

    File : 412704684.doc (Word 97)

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