# 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