Doctor insights on:
Colectomy Vs Colostomy
If it is an elective: Operation, only rarely, depends on location of abnormality for which the colectomy is being done. If you need to have a complete procto-colectomy, yes, you would need a permanent colostomy. In all other cases, a colostomy would usually be a temporary one, even if necessary. If it is a right hemi-colectomy or an ileo-colectomy, chances of a stoma are very low. Ask your surgeon for specifics. ...Read more
No bag: A colostomy is performed when the bowel is resected and there is a significant length of proximal colon and minimal or no length of distal colon to bring the ends together as with an APR. When a stoma is present, irrigations should be started on a daily basis and a square pad placed over the stoma. With daily performance the colon will eventually function only when irrigation employed. ...Read more
Colostomy may: Be needed for cancers too close to the rectal muscles to maintain continence, or any time that stool needs to be diverted away from necessary healing in the low pelvis. The former is not reversible, the latter is. ...Read more
Life goes on: Is it permanent? If so, you will need to make adjustments and expect some inconveniences. You will be able to do mostly anything. Work closely with a ostomy nurse from the start. Support groups are helpful with good tips. ...Read more
Http://www. Wocn. Org/
this is a website and an excellent place to start to find all kinds of great information regarding this question. I think you should be able to find an ostomy nurse who is best qualified to help with your needs. Good luck. ...Read more
Carefully: Whether sitting or standing, it shouldn't really matter. As long as the open part of the bag is at the lowest point, you should be able to empty the bag completely without making a mess. ...Read more
An ileostomy is usually performed when a major resection of colon is performed and mostif not all of the colon is resected for conditions such as colitis.
A colostomy is a diversion in a portion of the colon to protect a distal colon resection and possible suture line. ...Read more
Ileostomy/colostomy: An ileostomy has mainly liquid output because the stool never passes through the colon to have the majority of water content re-absorbed. A colostomy will usually have more normal appearing, solid stool output. Patients can become severely dehydrated from high ileostomy output, sometimes needing hospitalization. Ileostomy output can also be more irritating to skin, making ostomy care difficult. ...Read more
Liquid diet: For a procedure on the GI tract, the less food content in the bowel at the time of surgery, the easier for surgery to be performed. With colostomy and ileostomy the stoma is created on the abdominal wall in the absence of a needed anastomosis so that there is no problem with food products having to cross an early created anastomosis. A liquid diet prior to this surgery is helpful. ...Read more
The most important consideration is care of the skin surrounding the colo/iliostomy appliance to prevent skin breakdown. Consult a stoma therapist to fit the appliance to your needs and help care for and maintain it.
Consult your surgeon for the names of these RN Specvialists ...Read more