Colostomy amp Ileostomy

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Disclosure,I have no disclosures,Presentation outline. Stoma Definition and classifications,Rationale and indications. Stoma Problems,What should we do,Colostomy Vs Ileostomy. Is there another solution,Greek in origin means mouth. Intestinal stoma opening of the intestinal tract onto the abdominal wall. Classification,According to,Anatomy Duration Configuration.
Colostomy Temporary End,Ileostomy Permanent Loop,Urostomy Others. Defunction to allow healing,Decompression for distal. of distal anastomosis or,obstruction,reconstruction. Prevent or reduce complications,Reduce mortality,Indications general. Protecting anastomosis, Anastomosis at risk due to general condition immunosuppression shock peritonitis etc.
Oftnely after certain procedures Low anterior resection TME for cancer. Restorative proctocolectomy UC FAP,Protecting repair. Anal sphincter repair,Complex fistula,Colorectal Trauma. Fournier gangrene,Pelvic sepsis,Bowel perforation,Indications acc to disease. Disease Presentation Rationale Configuration Time,Colorectal cancer. Rectal cancer LAR Defunction Loop Ileostomy or Usually Temporary. anastomosis protection colostomy, Very low cancers A part of APR End colostomy Permanent.
Obstruction Decompression End or loop,colostomy Usually Temporary. Perforation Defunction End or loop,Indications acc to disease. Disease Presentation Rationale Configuration Time,Diverticular disease. Elective fistula Defunction Loop Ileostomy or Usually Temporary. anastomosis protection colostomy, Perforation Defunction End or loop Usually Temporary. Obstruction Decompression End or loop,Indications acc to disease.
Disease Presentation Rationale Configuration Time,Ulcerative colitis. Acute colitis Defunction after End ileosotomy Temporary or. subtotal colectomy permanent, Chronic disease Eradication of End Ileostomy Permanent. disease after,panproctocolectomy, Elective Defunction after Loop ileostomy Temporary. ilealpouch surgery,Indications acc to disease,Disease Presentation Rationale Configuration Time. Crohn s disease,Crohn s colitis Defunction Loop or split.
ileosotomy or Temporary or,colostomy permanent,Small bowel dis Defunction Loop or end or split. Elective Eradication of End ileostomy Permanent,disease after. panproctocolectomy, Septic complication Defunction Loop or end Usually Temporary. Or perianal ileostomy,Indications acc to disease,Disease Presentation Rationale Configuration Time. Colon or rectum Defunction Ileosotomy or Usually temporary. Anal sphincter,Functional, Fecal Incontince Defunctioning anus End colostomy Permanent.
Sphincter repair Defunction Loop ileostomy or Temporary. Stoma problems,21 70 overall rate of complications. Arumugam et al Colorectal dis 2003, 50 develop at least one complication within one year. Shabbir et al Colorectal dis 2010,Risk for stoma problems. Emergency procedures,Female gender,Type of stoma,Eversion sprout 10mm According to. Diabetes Cottam et al Colorectal dis 2007,Others Shabbir et al Colorectal dis 2010.
Stoma problems,Category Complications,Early Late,Stoma related Poor location Prolapse. Retraction Stenosis,Ischemic necrosis Parastomal hernia. Detachment Fistula,Wrong limb exteriorized Gas and odor. Peristomal skin Excoriation Dermatosis,Dermatitis Parastomal varices. Systemic High output loss of fluid Bowel obstruction. dehydration,Nonclosure,Closure related Leakage Incisional hernia.
Guidelines for ostomy complications only strong recommendations 1 1 Parastomal hernia repair should typically be performed by using mesh reinforcement or by relocating the stoma 1C 2 Prosthetic mesh may be used during parastomal hernia repair with low short term risk of intestinal erosion or mesh infection 1C 3 Laparoscopic parastomal

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