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Related Concept Videos

Ostomy Care01:24

Ostomy Care

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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
304
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Assessment of the Gastrointestinal System I: Subjective Data01:17

Assessment of the Gastrointestinal System I: Subjective Data

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Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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Intestinal Stomas-Current Practice and Challenges: An Institutional Review.

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Summary

Stoma complications, primarily skin issues, affect many patients. Establishing dedicated stoma care units and patient education can significantly improve outcomes and quality of life.

Keywords:
BleedingComplications of stomasElectrolyte imbalanceFistulasInfectionParastomal herniasStomas

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Patient Care

Background:

  • Stomas are surgically created diversions for fecal matter, often necessary for various gastrointestinal conditions.
  • Stoma formation is associated with high morbidity rates, averaging 40%, with significant early and late complications.
  • Peristomal skin irritation is the most frequent early complication, while parastomal hernias are the most common late complication.

Purpose of the Study:

  • To analyze the types and frequency of complications associated with intestinal stomas within an institutional setting.
  • To identify key areas for improving patient care and outcomes following stoma formation.

Main Methods:

  • A retrospective study design was employed at King Hamad University Hospital.
  • Data were collected from 98 adult patients (age 15+) who underwent ileostomies or colostomies between January 2018 and February 2021.
  • Patients followed up with the hyperbaric team, excluding those with stomas created outside the institution.

Main Results:

  • Skin problems constituted the majority of stoma complications, accounting for 63.3% of cases in this study.
  • The study detailed various indications for stoma formation and documented complications, with a figure illustrating their breakdown.
  • While specific complication rates are mentioned, the abstract highlights skin issues as the predominant concern.

Conclusions:

  • A significant proportion of stoma-related complications are dermatological, emphasizing the need for specialized skin care.
  • The establishment of a dedicated stoma care unit is recommended to provide continuous support and enhance patient quality of life.
  • Preoperative and postoperative education, including stoma site marking and hands-on care instruction by specialists, is crucial for optimal recovery.