What is an ostomy?
What is recommended after a colon cancer ostomy?
POST-SURGERY RECOMMENDATIONS IN OSTOMIES
What is an ostomy?
An ostomy is an opening made in the abdominal wall with the objective of removing a viscera, such as the intestine (ileum or colon) or one or two of the ureters.
When an ostomy is performed, bowel feces or urine passed through the ureters are collected in a pouch.
Types of ostomy
We have the following types of ostomies according to the viscera that must be removed to the outside:
Colostomy: The colon is taken out
Ilestomy: The ileum is taken out
Urostomy: One or two ureters are taken out
Cecostomy: Consists of diverting feces through a tube that is placed from the beginning of the large intestine through the abdominal wall to expel the feces or gases outside the body. The aim of this surgical technique is to protect the colon after a surgical procedure.
Consequences and alterations post-surgery
Obviously the severity of the involvement is always directly proportional to the amount of tissue removed and its location.
RECOMMENDATIONS FOR OSTOMIES
Recommendations for ileostomy and cecostomy
In case of ileostomy and cecostomy, we must take into account:
When the stool reaches the end of the small intestine, that is to say, the ileum and the ileocecal valve, they have a very liquid consistency. In addition, they also have a high content of bile juices and a number of enzymes, so they are extremely irritating.
When performing an ostomy at this level, it can cause damage to the skin, if the intestinal contents come into contact with the abdominal skin where it ends. It is important to exercise caution and prevent them from coming in contact.
We must keep in mind that, because of their consistency, the stools are continuous. They only increase slightly after the food intake or also in case of intestinal alteration, as for example in the case of diarrhea.
This state generates a mild but constant dehydration, so we must ingest the liquid necessary to counteract it.
Recommendations for colostomies
In case of colostomies, we must take into account:
The closer the colostomy is to the end of the large intestine, the more firm and formed consistency the stool will have, and the less irritating it will be to decrease its content in enzymes and biliary juices.
Therefore, in order of lower to greater consistency of these we have: ascending colostomy, transverse colostomy, descending colostomy and sigmoid colostomy.
This event is due to the fact that the intestinal content of the food ingested has a longer absorption time, thanks to its longer course and therefore, its final consistency is less affected and less irritating (descending and sigmoid colostomy).
The evacuation frequency of descending and sigmoid colostomies are not usually constant. What makes them more easily adjustable, being less frequent and therefore more controllable (predictable).
If this process is more predictable, it translates into the possibility of increasing and providing the patient with a higher quality of life and "independence". Although, the predictability in such elimination will be possible in those people who were already regular in their bowel movements, prior to the intervention.
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