Professional Documents
Culture Documents
Stomas and Drains
Stomas and Drains
Site
Content
Color
Shape
Output
Special complications
Ileostomy
Usually RIF (small bowel)
Small bowel content (succus
entericus)
Red/grayish
Spouted (small bowel has high
enzyme content so spouted
shape will prevent irritation to
surrounding skin)
Continuous output >500cc
(more than colostomy)
Skin irritation, electrolyte
disturbances (especially
vitamin b12 deficiency),
dehydration, renal failure
Colostomy
Usually LIF (Large Bowel)
Stool
Pink
Flush/flat with skin
Indications of Stoma:
- Input: Feeding
- Output:
Colostomies:
- Mainly for Decompression (colonic obstruction by tumor, complicated diverticular disease
(stricture or abscess), or trauma of the distal colon with perforation and fecal spillage.
-other causes include: 1) protection of a low colorectal or coloanal anastomosis 2) rectovaginal
fistula 3) incontinence.
Ileostomies:
-Mainly for small bowel or proximal colon resection (integrity of a primary anastomosis would
be compromised)
-Other causes include: 1) hemorrhage 2) ischemia 3) perforation 4) sepsis
Complications of stoma:
- Early: Ischemia to stoma
Retraction of stoma leads to leakage
- Late: Bleeding / Leakage / obstruction (by stricture, stool or stenosis) / skin irritation or
infection / bowel prolapsed / parastomal hernia
Type
Site
Content (sero anginouse / bile / blood stained)
Amount (its labeled, and to be even more precise remove content from drain and measure
it on an accurate labeled bottle)
If its obstructed or dislocated
Complications:
-
Infection
Pain or discomfort
Ineffective (obstruction, kinked or manufacture defect)
Premature dislocation / Removal
Erosion into blood vessel or a hollow viscus
Wound dehiscence (wound rupture)