What is an Ostomy?
IBD so ei es e ui es su ge to e o e pa ts of the s all o la ge i tesi e, o to te po a il di e t
aste f o a heali g po io of the o el. I these ases, the e ust e a e
a to dis ha ge aste f o
the od . A osto , o sto a, is a ope i g ade i the o el to allo
aste to lea e the od Figu e .
A i isio is ade i the a do e a d the o el is ought th ough the ope i g a d se to the ski .
Osto ies a e pe a e t o a e e e sed ate the o el heals. The i side of the o el is isi le as a
ed, oist su fa e si ila to the i side of the outh. The e is o olu ta o t ol of o el o e e ts, a d
a applia e ust e o to olle t aste as it passes. A ileosto y is a o e io f o the s all o el to
the ski su fa e, usuall o the lo e ight side of the a do e . Output is thi a d ate a d a ies ith
diet. Ileosto is the ost o
o sto a used i IBD. A colosto y is a ope i g of the la ge o el to the
ski , usuall o the lo e let side of the a do e . Colosto ies a e ot ote used fo IBD.
Figu e . G aphi ep ese taio of a sto a
What is life like with a stoma?
A o al lifest le is possi le ate sto a su ge . Al ost all a i iies a e o i ued ate ha i g a
sto a. I fa t, a people a e su p ised at ho litle the sto a a tuall afe ts thei life. It should ’t li it
he e ou a go o hat ou a do - people ith sto as u
a atho s a d pla o peii e spo ts,
a o g a othe thi gs. Bathi g, sho e i g, spo ts, t a eli g, fa il life a d o k a e o i ued o fo ta l . U less ou hoose to tell people, e fe
ill e e k o ou ha e a sto a.
Li i g ith a sto a is a ig ha ge, a d adjust e t
po t litle efe t o a ilit to o k. So e people eed to
diet so e hat. Most people epo t so e ha ge i lifest
dii ulies. It usuall takes et ee a d
o ths to
a e halle gi g. O e all, people ith sto as eha ge thei lothi g st le, hile ost odif thei
le, a d o e tha
pe e t ote so e se life
e o e o fo ta le ith ha i g a sto a.
Are patients satisfied with stomas?
Saisfa io depe ds o the easo fo the sto a. Fo a people, a sto a is a life-sa i g su ge that
allo s o e to li e a o al life. Those ho ha e a sho t ou se of ill ess o u e pe tedl ha e sto a su ge
a e o e likel to ha e t ou le adjusi g a d to e dis ou aged the e situaio . If the sto a is pla ed
a d esults i elief of s pto s, saisfa io is e good. Fo e a ple, so eo e ith UC a d se e e a do i al pai
a e o pletel s pto f ee ate olo e o al a d ileosto . Ca eful pla i g, ou selli g, a d dis ussio ith the su geo a d e te osto al the apist ET efo e a d ate su ge a e i po ta t
i a hie i g the est esults a d saisfa io . So e a iet a d dis ou age e t is o al hile adjusi g. If
ou e pe ie e a iet a d dist ess that i te fe es ith ou a ilit to o k, e jo life a d elaio ships, it’s
a good idea to talk to ou do to a out hat ou a e e pe ie i g. If se e e a iet o dep essio de elop,
edi al t eat e t a e helpful.
What is an appliance?
A applia ce is a s ste desig ed to olle t aste a d p ote t the
ski a ou d the sto a. It o sists of a si k i g, o a ie , that ata hes
a d seals to the ski a ou d the sto a. A pou h is ata hed to the a ie
to olle t passi g aste. The a ie p ote ts the ski f o stool a d
aste luid. The goal is a s ste that is leak-p oof, odou -p oof, p ote ts
the ski a d sto a, a d allo s i depe de e, o fo t, a d the est lifest le. The e a e a dife e t p odu ts a aila le to help a hie e these
goals, a d ou e te osto al the apist ill e a le to help i d the est it
fo ou.
Nuge t KP, Dauiels P, Ste a t B, Pata ka R. Joh so CD. Qualit of life i sto a paie ts. Dis Colo Rectu
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Je ks JM et al: The i lue e of osto su ge o od i age i paie ts ith a e . Applied Nursi g Research
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Are there problems to be aware of?
P o le s a o u ith eithe the sto a itself o the su ou di g ski . It is i po ta t to pa lose ate io
to the appea a e of the sto a a d seek ad i e f o a ph si ia o sto a the apist if ha ges o u . He e
a e a fe pote ial p o le s ou should e a a e of:

High Output Those ith ileosto ies eed to at h fo i eased sto a d ai age. I la
aio ,
CD a d i fe io , a o g othe thi gs, a edu e luid a so pio i the s all o el a d ause
dia hea. High output is he
o e tha L is lost i
hou s. If la ge olu es of luid a e lost fo
se e al da s, deh d aio a d ele t ol te i ala es a o u . It is i po ta t to seek edi al
help if output e ai s high fo a da o o e, o if s pto s of deh d aio su h as se e e thi st,
d ski a d outh, fai t ess, a d edu ed u i e output de elop.

Ski Pro le s The ost o
o p o le
ith sto as is ski i itaio . E posu e to ate
stool, adhesi e, a d f i io
ake the ski ul e a le. I la
aio , i fe io , a d alle gi ea io s a ause pai a d ski da age. Depe di g o the ause, p ote i e il s, ea s, po de s,
a i ioi s, a d a ifu gal edi aio s a e used. It is i po ta t to seek ad i e f o a ph siia o sto a the apist if pai , ed ess, o othe ski ha ges pe sist.

O stru io So ei es the o el a e o e o st u ted, stoppi g o al aste passage. Blo kages a e ithi the a do e o at the sto a itself. Wat h out fo i a i it fo - hou s, espe iall if ou ha e a ps, ausea, a d o ii g. These s pto s a i di ate a o el o stoa o st u io .

Her ia The a do i al is eake ed the i isio at the sto a site, a d so ei es a ulge, o
he ia, a de elop e t to the sto a. Depe di g o hat t pe of sto a as ade, he ias a
de elop i al ost half of paie ts at so e poi t. If the he ia auses pai , dis o fo t, o o el
lo kage it a eed to e epai ed.

Prolapse Po io s of the o el a e te d fu the outside of the a do e th ough the sto a i a
teles opi g fashio . This a e ala i g, ut usuall does ’t afe t the sto a fu io . It happe s i up to pe e t of olosto ies a d up to pe e t of ileosto ies.
htp://
.osto .o g/osto _i fo/
Woo, et al. Pe isto al Ski Co pli aio s a d Ma age e t. Adva ces i Ski & Wou d Care.
P. W. G. Ca e, G. M. Ro e tso a d F. A. F izelle ž Pa asto al he ia. Briish Jour al of Surgery
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Co ta t ou ph si ia o e te osto al the apist if ou oi e a
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of the follo i g:
Nausea a d o ii g that does ’t i p o e
A do i al a ps lasi g o e tha hou s
No output f o a ileosto fo hou s, espe iall if ou also ha e ausea, o ii g, a d
High olu e ate output f o the sto a of L o o e pe da
Se e e ski i itaio , ed ess, o pai a ou d the sto a
Cha ges i the olou of the sto a
A la ge i ease o de ease i the size of the isi le sto a
What resources are available?
htp://
.osto
Ha dout desig ed
a ada. a/
Ch is Ke o , MD, FRCS, College of Medi i e, U i e sit of Saskat he a .
the I te p ofessio al Health Colla o ai e of
Saskat he a a d the Saskatoo
Health Regio .
Fu di g fo this p oje t p o ided
a ps