Intestinal Ostomy: Classification, Indications, Ostomy Care and Complication Management

Ambe, Peter C.; Kurz, Nadja Rebecca; Nitschke, Claudia; Odeh, Siad F.; Möslein, Gabriela; Zirngibl, Hubert

doi:10.3238/arztebl.2018.0182

Cited by 102 publications

(134 citation statements)

References 35 publications

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“…A stoma is an artificial opening between a cavity or canal and the surface of the body [1] that creates a bypass to facilitate impaired vital function, such as the elimination of excretions (e.g., colostomy, ileostomy, urostomy), breathing (e.g., tracheostomy) or feeding (e.g., gastrostomy, jejunostomy) [2,3]. After the formation of an elimination stoma, ostomy patients must carry a pouching system, which is composed of a skin barrier and a pouch where bodily waste is collected.…”

Section: Introductionmentioning

confidence: 99%

Who are the ostomy patients and caregivers attending Portuguese community pharmacies? A cross-sectional study

Romão

Figueira

Galante

et al. 2020

BMC Health Serv Res

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Background In 2017, ostomy patients gained access to ostomy products in community pharmacies that are fully reimbursed by the Portuguese National Health Service. This impacted the daily lives of people with ostomy and opened a new market of products and services for pharmacies. However, little is known about the sociodemographic and clinical profile of ostomy patients. This study aims to characterize people with ostomy and their caregivers, evaluate access and satisfaction with the pharmacy and explore participants’ expectations regarding services and counselling. Methods This was an observational, cross-sectional, multicentre study involving pharmacy users who acquired ostomy products in Portuguese community pharmacies. Data were collected through a confidential self-report questionnaire between June and August 2019. Results Approximately 56% of the participants were ostomy patients, of whom 65.9% were men. The average age of participating ostomy patients was 65.5 years old (SD = 12.9), and near 80% were retired/pensioners. Caregivers were mostly women (81.7%). More than half of the caregivers were employed and acquired products for a direct family member. Three in every four surgical interventions were consequences of cancer. Intestinal ostomy was the most common intervention (78.3%). More than 93% were satisfied with the acquisition of ostomy products at the pharmacy. Approximately 48.2% of ostomy patients received care from a specialized nurse. Conclusion This study describes the profile of people with ostomy and their caregivers who attend community pharmacies in Portugal. Participants’ perceptions of the utility of different proposed services and pharmacist knowledge, as well as the low coverage of ostomy nursing care, highlight the opportunity for an extended role of pharmacists among this group.

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Section: Introductionmentioning

confidence: 99%

Who are the ostomy patients and caregivers attending Portuguese community pharmacies? A cross-sectional study

Romão

Figueira

Galante

et al. 2020

BMC Health Serv Res

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“…Estoma é uma palavra derivada de dois termos gregos, "os" e "tomia", que significa exteriorização de uma víscera oca, em um ponto diferente do orifício natural, podendo ser realizada em diversos sistemas orgânicos, com a finalidade de suprir a função do órgão afetado (1) .…”

Section: Introductionunclassified

Characterization of the population served by the Assistance Program for Ostomy Patients

Lopes¹,

Correa²,

Esmeraldo

et al. 2020

Rev Rene

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Objective: to characterize the population served by the Assistance Program for Ostomy Patients. Methods: cross-sectional study, based on data from the Assistance Program for Ostomy Patients. Population of 852 registered patients. A form containing sociodemographic and clinical variables was used. Data analyzed by average comparison, using Student’s ‘t’ test and analysis of variance. Results: the age group most exposed to the investigated surgical procedure was adult/elderly (93.0%), male (52.5%). Congenital malformations and neoplasms were the main causes of ostomy for the group of children and adults/elderly, respectively. Conclusion: the age group most exposed to the studied procedure was adult/elderly, male and from the metropolitan region of the investigated state. Among children, congenital malformations required the making of a temporary ileostomy; among adults/elderly, the neoplasm corresponded to the most frequent indication of permanent colostomies.

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“…Successful creation and maintenance of intestinal stomas requires strategic perioperative planning, adequate patient nutrition, thorough educational resources for patients and caregivers and ready access to postoperative wound care and supplies. A deficiency in any of these areas may present with significant complications including peristomal wounds, hernias, stenosis, retraction and ileus [ 1 ]. Peristomal wounds are the most common complication of ostomies.…”

Section: Introductionmentioning

confidence: 99%

External stoma diversion: a palliative measure for peristomal wound healing in resource-limited settings

Davis

Sherif

Morrison

2020

Journal of Surgical Case Reports

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The provision of intestinal stoma care is challenging in austere settings due to limitations in surgical and wound care access as well as the high cost and sparsity of ostomy supplies. As a result, many surgical patients suffer from ostomy-related complications such as peristomal wounds and are unable to find relief for these complications from standard treatments and measures. This article describes the external stoma diversion, a cost-effective palliative surgical procedure that assists in the healing of peristomal wounds in resource-limited settings.

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Intestinal Ostomy: Classification, Indications, Ostomy Care and Complication Management

Cited by 102 publications

References 35 publications

Who are the ostomy patients and caregivers attending Portuguese community pharmacies? A cross-sectional study

Who are the ostomy patients and caregivers attending Portuguese community pharmacies? A cross-sectional study

Characterization of the population served by the Assistance Program for Ostomy Patients

External stoma diversion: a palliative measure for peristomal wound healing in resource-limited settings

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