Stomas of the Small and Large Intestine

Gauderer, Michael W.L.

doi:10.1016/b978-0-323-07255-7.00098-2

Cited by 6 publications

(12 citation statements)

References 125 publications

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“…Although surgeons are continuously in search for alternatives to intestinal exteriorization, an appropriately indicated, properly constructed temporary stoma is frequently unavoidable and lifesaving. 2 In the past couple of decades, enterostomal therapy has evolved in a specialty in its own right and occupies a substantial portion of modern paediatric surgical practice. 11 In 1961, Bishop from Philadelphia indicated temporary abdominal colostomy in infant born with imperforate anus and Hirschsprung's disease.…”

Section: Discussionmentioning

confidence: 99%

“…3 According to Gauderer, the indications of colostomy in children are high forms of imperforate anus and complex pelvic malformation; Hirschsprung's disease; colonic atresia, colonic or anorectal trauma and malignant conditions involving large gut and rectum. 2 The world authority in anorectal malformatioms, Prof. Alberto Pena advised emergency or elective colostomy before 2 weeks of definitive surgery in male child having recto urethral bulbar fistula, recto urethral prostatic fistula, rectovesical fistula (bladder neck), imperforate anus without fistula and rectal atresia and stenosis. In female child, the indications are vestibular fistula, vaginal fistula, imperforate anus without fistula, rectal atresia and stenosis, persistent cloaca.…”

Section: Discussionmentioning

confidence: 99%

“…In 1998, Gauderer categorizes most colostomies into right transverse, left transverse and sigmoid. 2 He suggested a high sigmoid loop colostomy in children with imperforate anus. Recently, however separating the ends of the colon particularly in boys has become viable option.…”

Section: Discussionmentioning

confidence: 99%

“…According to site, colostomy may be right transverse, left transverse or sigmoid colostomy. 2,7 Temporary and occasionally permanent stomas of the small and large intestine are used in the management of a wide verity of surgical and non-surgical pathologic conditions in new born infants and children. With the exception of feeding access, more than one half of stomas are placed in the neonatal period and another one fourth in infants younger than 1 year of age.…”

mentioning

confidence: 99%

“…The common indications of colostomies are high forms of imperforate anus with complex pelvic mal formations, Hirschsprung's disease, colonic atresia, colonic or anorectal trauma and malignant conditions. 2,7 The use of various types of colostomies can be lifesaving.…”

mentioning

confidence: 99%

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A clinical study of colostomies in infancy and childhood in a tertiary centre

2019

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Background: The word stoma is derived from the Greek word stoma meaning mouth or opening. Intestinal stoma are surgically created opening that connect part of gastro-intestinal tract with the anterior abdominal wall. The use of various types of colostomies can be lifesaving. Since at our centre we regularly perform colostomies in treatment of various conditions in paediatric age group, this clinical study was undertaken.Methods: This clinical study was conducted in the Department of General Surgery at College of Medicine and JNM Hospital, Nadia. The study was conducted during the period from August 2018 to July 2019. The patients aged day 1 to 12 years were admitted.Results: In the one year study period, 33 cases of paediatric colostomies were performed. 17 (51.5%) were male and 16 (48.5%) were females. Majority of the patients at the time of colostomy were in the early neonatal period. A total of 22 (66.6%) cases underwent colostomy at our hospital and 11 (33.4%) patients had undergone colostomy elsewhere. Majority of the cases who had undergone colostomy were of sigmoid loop variety and 9 patients (27.3%) had transverse loop colostomy. A total of 12 patients (36.36%) suffered post colostomy major complications needing attention.Conclusions: The child is a socio-psycho-biological unit and colostomy leads to substantial psychological trauma for the child and parents. Careful examination is the key to diagnosis and initial management. An appropriately indicated, properly constructed temporary stoma is frequently unavoidable and lifesaving.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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A clinical study of colostomies in infancy and childhood in a tertiary centre

2019

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Gastrointestinal Stomas in Children

2020

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Best Practice Guidelines for Ostomy Care in Neonates, Children, and Adolescents

Forest-Lalande

2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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Pediatric ostomy care nursing is primarily based on best practice principles; evidence supporting care remains sparse. Although many principles of ostomy care are similar across the life span, the indications for ostomy surgery and clinical approach differ when working with neonates, children, and adolescents. An international group of pediatric ostomy care experts was brought together to offer their expertise on caring for children with an ostomy. Best practice guidelines were developed based on literature review and consensus among expert panelists. The purpose of these guidelines is to provide a resource for best practices to health care professionals caring for pediatric patients with an ostomy. This article is divided into 2 sections: the first highlights clinical aspects of pediatric ostomy care, while the second addresses psychosocial aspects of ostomy care, including effects of an ostomy on the family. These guidelines address ostomy care and need within the full spectrum of the pediatric age groups, from neonates to adolescents.

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Stomas of the Small and Large Intestine

Cited by 6 publications

References 125 publications

A clinical study of colostomies in infancy and childhood in a tertiary centre

A clinical study of colostomies in infancy and childhood in a tertiary centre

Gastrointestinal Stomas in Children

Best Practice Guidelines for Ostomy Care in Neonates, Children, and Adolescents

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