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| Ileostomy Stoma |
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Ileostomy Stoma surgery could be required when all or part of colon (large intestine) is removed as a result of inflammatory bowel diseases such as ulcerative colitis or Crohn's disease. Stoma is a bud like artificial structure created when the opening of the bowel is stitched to the skin of the abdomen. A pouch can then be connected to the stoma to have the waste collected. When the surgical procedure involves the large intestine (colon), the stoma surgery is called colostomy; when the small intestine is involved (ileum), it is called ileostomy. |
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(source: Southern Medical Journal).
More Information (source: Southern Medical Journal).
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06/01/1985 12:00 AM
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Variceal Bleeding From an Ileostomy Stoma
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Variceal Bleeding From an Ileostomy Stoma .
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10/01/1959 12:00 AM
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The Construction and Care of Ileostomy and Colostomy
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So much depends upon the care of the ileostomy or colostomy insofar as its acceptance by the patient is concerned. At best it is a serious psychologic hurdle. Therefore every attempt must be made to have a properly functioning stoma and one that can be cared for with a minimum of trouble.
(C) 1959 Southern Medical Association
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03/01/1994 12:00 AM
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Loop IleoStomy: A Reliable Method of Diversion
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colon; Between September 1983 and March 1989, 36 loop ileostomies were performed on 34 patients (16 male and 18 female, mean age 36 years, range 11 to 68). Thirty-two patients had ileoanal pouch procedures (30 for ulcerative colitis and two for familial polyposis). One patient had a low anterior resection and another had a coloanal procedure. By the time of this review, 31 of the loop ileostomies were closed. The average time before closure was 5 months and the average length of follow-up was 37 months. All stomas were brought out through the rectus muscle in the right side of the abdomen, without ileal rotation, mesenteric fixation, or parastomal fascial sutures. A support rod was left in place for 3 to 4 weeks postoperatively. There were no major difficulties with skin irritation or appliance management and no instance of parastomal abscess and stoma retraction. Although no complications related to the ostomy or its closure were encountered in these patients, small bowel obstruction before closure (8 patients) or after takedown (5 patients) of the loop ileostomy required operative correction in one patient in each group.
(C) 1994 Southern Medical Association
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07/01/2009 12:00 AM
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Early Diagnosis of Parastomal Hernia
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No abstract available
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01/01/2003 12:00 AM
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Current Controversies in Pouch Surgery
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Restorative proctocolectomy with ileal pouch anal anastomosis has become the most commonly used procedure for elective treatment of patients with mucosal ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in an attempt to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. These modifications of the technique are discussed in this review, limited to the current points of controversy. We reviewed the current literature describing restorative proctocolectomy with ileal pouch anal anastomosis. The current "hot topics" for debate are transanal mucosectomy with hand-sewn anastomosis versus the double-stapled technique, the use of diverting ileostomy, indeterminate colitis, the role of laparoscopy, and indications for pouch surgery in the elderly. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with active prospective evaluation of the procedure are required to settle these issues. Patients must be fully informed to understand inherent risks of each choice.
(C) 2003 Southern Medical Association
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