Stomas Flashcards
What is Loop jejunostomy used for?
Seldom used as very high output
May be used following emergency laparotomy with planned early closure
What is Gastrostomy used for?
Gastric decompression or fixation
Feeding
What is Percutaneous jejunostomy used for?
Usually performed for feeding purposes and site in the proximal bowel
What is Loop ileostomy used for?
Defunctioning of colon e.g. following rectal cancer surgery
Does not decompress colon (if ileocaecal valve competent)
What is End ileostomy used for?
Usually following complete excision of colon or where ileo-colic anastomosis is not planned
May be used to defunction colon, but reversal is more difficult
What is End colostomy used for?
Where a colon is diverted or resected and anastomosis is not primarily achievable or desirable
What is Loop colostomy used for?
To defunction a distal segment of colon
Since both lumens are present the distal lumen acts as a vent
What is Caecostomy used for?
Stoma of last resort where loop colostomy is not possible
What is Mucous fistula used for?
To decompress a distal segment of bowel following colonic division or resection
Where closure of a distal resection margin is not safe or achievable
What should be done for bowel obstruction in rectal cancer?
Loop colostomy
