10 September 2009

Ileostomy

Inspection:
- site - rt side
- small lumen +/- loop ileostomy VS end stoma
- sprout
- watery content

- surgical scars
  • permanent end stoma - ?panproctocolectomy (ulcerative colitis, familial adenomatous polyposis, recurrenc colonic CA)
  • temporary - for delayed reconstruction (protect distal anastamosis)

screen for complications:
- prolapse
- parastoma hernia
- skin condition - excoriation

Output:
- Low < 500ml/day > high