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Related Concept Videos

Ostomy Care01:24

Ostomy Care

218
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:
218
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

113
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:
113
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

215
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
215
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

43
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
43
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

62
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
62
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

102
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
102

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Updated: May 30, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Aging Disparities in Ostomy Surgery.

Atziri Rubio-Chavez1, David C Chang2, Hiroko Kunitake1

  • 1Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

The Journal of Surgical Research
|January 28, 2025
PubMed
Summary
This summary is machine-generated.

Fecal ostomy surgery rates declined, but colostomy formation decreased slower in older adults. Ileostomy use increased across all age groups, indicating a shift in surgical trends.

Keywords:
ColostomyIleostomyNationwide inpatient sampleOlder adultOstomy

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Area of Science:

  • Colorectal Surgery
  • Surgical Trends
  • Epidemiology

Background:

  • Limited understanding of age-related fecal ostomy surgery trends.
  • Need to compare colostomy rates between patients younger and older than 65.

Purpose of the Study:

  • Determine fecal ostomy operation rates over time.
  • Compare colostomy formation rates in different age groups.

Main Methods:

  • Retrospective multi-institutional cohort study (2003-2014).
  • Nationwide Inpatient Sample database analysis.
  • Difference-in-difference analysis for age group comparisons.

Main Results:

  • 16.6% of 819,441 patients required ostomy.
  • Colostomy rates decreased in both age groups (<65 and ≥65).
  • Ileostomy rates increased, with a slower decline in colostomy formation among older adults.

Conclusions:

  • Colostomy formation decreased, but slower in older adults.
  • Significant shift towards increased ileostomy use in the US.
  • Need for resource allocation for the growing older surgical patient population.