• location of ostomy determines the consistency of stool

  • ileostomy bypasses the entire large intestine
  • both ileostomies and ascending colonostomies freq liquid stool

  • Transverse Colonostomy generally results in a solid stool

  • Sigmoid colonostomy results in a near normal stool


3 types of colonsotomy

  1. Loop colostomy
  2. end colostomy
  3. double-barrel colonostomy


Loop Colonostomy

  • performed in med emergency
  • when closure of the colostomy is anticipated
  • temporary large stoma constructed in the transverse colonostomies
  • bowel loop brought to surface
  • external supporting device such as plastic rod prevents it from slipping back into place
  • bowel then sutured to abdominal wall
  • communicating wall remains b/t distal and proximal abdomen
  • proximal end drains stool
  • distal end drain mucus
  • 7-10d supporting device removed


End Colostomy

  • one stoma formed from one end of the bowel with the distal portion of the GI tract either removed or sewn closed and left in the abdominal cavity
  • typically a result of colorectal cancer


Double-Barrel Colostlomy

  • bowel os surgically severed and the 2 ends brought out onto the abdomen
  • consists of 2 stomas, proximal functioning and distal nonfunctioning

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

%d bloggers like this: