By Calum C Lyon, Amanda J Smith
This cutting edge instruction manual goals to bridge the space among the colorectal health practitioner, the stoma nurse and the dermatologist. It addresses the questions of what pathology is concerned, what will be performed through nurses, while to consult a dermatologist, and what may be performed via a dermatologist.
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Extra info for Abdominal Stomas and Their Skin Disorders: An Atlas of Diagnosis and Management
Stomas do continue to alter in shape with time as the patients’ weight or abdominal musculature changes. Regular appliance assessments are therefore advised. The structure of the stoma is suboptimal The ideal stoma is long enough to prevent leakage under the appliance. Complications do, however, occur; the stoma may have been short since formation, it may have become retracted subsequently or it may have been buried in abdominal fat as the patient gained weight after surgery. Crohn’s disease or infection may cause atrophy and shortening of the stoma.
Surg Clin North Am 1988:1295–307. 20 Abdominal Stomas and their Skin Disorders Fazio VW. End ileostomy, loop ileostomy. In: Dudley H, Carter DC, Russell RCG, eds. Atlas of General Surgery, 2nd edn. London: Arnold, 1986:437–56. Hughes S, Irving MH. Intestinal stomas. In: Jones DJ, ed. ABC of Colorectal Diseases , 2nd edn. London: BMJ Books. 1999:76–8. Keighley MRB, Williams NS, eds. Surgery of the Anus, Rectum and Colon. 2nd edn. London: WB Saunders, 1999. Kodner IJ. Intestinal stomas. In: Zinner MJ, Ellis H, eds.
Similarly, more than one irritant reaction pattern may be found in the same patient. 14) and is certainly the most readily preventable. 9 Reduced stoma diameter 3 months after surgery, resulting in dermatitis. (a) The release film (protective cover) from one of the patient’s bags, placed over this ileostomy, demonstrates that the aperture is now too large, thereby permitting faecal contact with the skin and (b) consequent dermatitis.