Current Management of Intestinal Stomas and Their Complications
Inappropriate stoma site, improper management of stoma, and stoma complications lead to diminished quality of life of ostomates. Healthcare professionals involved in stoma creation and/or care should have the fundamental and updated knowledge of the management of stomas and their complications. This...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Japan Society of Coloproctology
2020-01-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/4/1/4_2019-032/_pdf/-char/en |
| _version_ | 1811342092088115200 |
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| author | Shingo Tsujinaka Kok-Yang Tan Yasuyuki Miyakura Rieko Fukano Mitsuko Oshima Fumio Konishi Toshiki Rikiyama |
| author_facet | Shingo Tsujinaka Kok-Yang Tan Yasuyuki Miyakura Rieko Fukano Mitsuko Oshima Fumio Konishi Toshiki Rikiyama |
| author_sort | Shingo Tsujinaka |
| collection | DOAJ |
| description | Inappropriate stoma site, improper management of stoma, and stoma complications lead to diminished quality of life of ostomates. Healthcare professionals involved in stoma creation and/or care should have the fundamental and updated knowledge of the management of stomas and their complications. This review article consists of the following major sections: principles of perioperative patient management, early complications, and late complications. In the “principles of perioperative patient management” section, the current concepts and trends in preoperative education, stoma site marking, postoperative education, and patient educational resources are discussed. In the “early complications” section, we have focused on the etiology and current management of ischemia/necrosis, fluid and electrolyte imbalances, mucocutaneous separation, and retraction. In the “late complications” section, we have focused on the etiology and current management of parastomal hernia, stoma prolapse, parastomal varices, and pyoderma gangrenosum. Pre- and postoperative patient education facilitates the patient's independence in stoma care and resumption of normal activities. Healthcare providers should have basic skills and updated knowledge on the management of stomas and complications of stomas, to act as the first crisis manager for ostomates. |
| first_indexed | 2024-04-13T19:05:12Z |
| format | Article |
| id | doaj.art-d207343c24e14768a79ce9f21953abca |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-04-13T19:05:12Z |
| publishDate | 2020-01-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-d207343c24e14768a79ce9f21953abca2022-12-22T02:34:00ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532020-01-0141253310.23922/jarc.2019-0322019-032Current Management of Intestinal Stomas and Their ComplicationsShingo Tsujinaka0Kok-Yang Tan1Yasuyuki Miyakura2Rieko Fukano3Mitsuko Oshima4Fumio Konishi5Toshiki Rikiyama6Department of Surgery, Saitama Medical Center, Jichi Medical UniversityDepartment of Surgery, Khoo Teck Puat HospitalDepartment of Surgery, Saitama Medical Center, Jichi Medical UniversityDepartment of Nursing, Saitama Medical Center, Jichi Medical UniversityDepartment of Nursing, Saitama Medical Center, Jichi Medical UniversityDepartment of Surgery, Nerima Hikarigaoka HospitalDepartment of Surgery, Saitama Medical Center, Jichi Medical UniversityInappropriate stoma site, improper management of stoma, and stoma complications lead to diminished quality of life of ostomates. Healthcare professionals involved in stoma creation and/or care should have the fundamental and updated knowledge of the management of stomas and their complications. This review article consists of the following major sections: principles of perioperative patient management, early complications, and late complications. In the “principles of perioperative patient management” section, the current concepts and trends in preoperative education, stoma site marking, postoperative education, and patient educational resources are discussed. In the “early complications” section, we have focused on the etiology and current management of ischemia/necrosis, fluid and electrolyte imbalances, mucocutaneous separation, and retraction. In the “late complications” section, we have focused on the etiology and current management of parastomal hernia, stoma prolapse, parastomal varices, and pyoderma gangrenosum. Pre- and postoperative patient education facilitates the patient's independence in stoma care and resumption of normal activities. Healthcare providers should have basic skills and updated knowledge on the management of stomas and complications of stomas, to act as the first crisis manager for ostomates.https://www.jstage.jst.go.jp/article/jarc/4/1/4_2019-032/_pdf/-char/enstoma complicationsperioperative managementearly complicationslate complicationsstoma care |
| spellingShingle | Shingo Tsujinaka Kok-Yang Tan Yasuyuki Miyakura Rieko Fukano Mitsuko Oshima Fumio Konishi Toshiki Rikiyama Current Management of Intestinal Stomas and Their Complications Journal of the Anus, Rectum and Colon stoma complications perioperative management early complications late complications stoma care |
| title | Current Management of Intestinal Stomas and Their Complications |
| title_full | Current Management of Intestinal Stomas and Their Complications |
| title_fullStr | Current Management of Intestinal Stomas and Their Complications |
| title_full_unstemmed | Current Management of Intestinal Stomas and Their Complications |
| title_short | Current Management of Intestinal Stomas and Their Complications |
| title_sort | current management of intestinal stomas and their complications |
| topic | stoma complications perioperative management early complications late complications stoma care |
| url | https://www.jstage.jst.go.jp/article/jarc/4/1/4_2019-032/_pdf/-char/en |
| work_keys_str_mv | AT shingotsujinaka currentmanagementofintestinalstomasandtheircomplications AT kokyangtan currentmanagementofintestinalstomasandtheircomplications AT yasuyukimiyakura currentmanagementofintestinalstomasandtheircomplications AT riekofukano currentmanagementofintestinalstomasandtheircomplications AT mitsukooshima currentmanagementofintestinalstomasandtheircomplications AT fumiokonishi currentmanagementofintestinalstomasandtheircomplications AT toshikirikiyama currentmanagementofintestinalstomasandtheircomplications |