STOMAS

STOMAS

A stoma is an artificial opening made in the bowel to divert faeces and flatus outside the abdomen, where they can be collected in an external appliance. Depending on the purpose Bryan Nicholas Brooke , 1915–1998, Professor of Surgery , St George’s Hospital, London, UK. temporary or permanent ( Summary box 74.5 ). - Summary box 74.5 Stomas /uni25CF /uni25CF /uni25CF - /uni25CF /uni25CF /uni25CF /uni25CF /uni25CF - /uni25CF

May be colostomy or ileostomy May be temporary or permanent Temporary or defunctioning stomas are usually fashioned as loop stomas An ileostomy is spouted; a colostomy is /f_l ush Ileostomy ef /f_l uent is usually liquid, whereas colostomy ef /f_l uent is usually solid Ileostomy patients are more likely to develop /f_l uid and electrolyte problems An ileostomy is usually sited in the right iliac fossa End-colostomy is usually sited in the left iliac fossa Whenever possible, patients should be counselled and sited by a stoma care nurse before operation