Managing Difficult Stomas

Perrin, Angie; White, Maddie; McPhail, Jackie; Baker, Melanie

doi:10.1007/978-3-031-07799-9_12

Stoma Care Specialist Nursing: A Guide for Clinical Practice 2023

DOI: 10.1007/978-3-031-07799-9_12

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Managing Difficult Stomas

Angie Perrin

Maddie White²,

Jackie McPhail³

et al.

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2023

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Cited by 1 publication

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Understanding and Managing Hepatic Disease, Portal Hypertension and Stomal Varices

White

2023

Gastrointestinal Nursing

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Scarring (cirrhosis) from advanced liver diseases can block normal hepatic circulation of blood through the liver, causing increased pressure in the venous portal system (portal hypertension). This can result in pressurised veins (varices), usually in the gastro-oesophageal region, which are liable to bleed. Variceal bleeding is dangerous, leading to haemodynamic destabilisation and death, and thus requires emergency intervention. Treatments include medications and endoscopic suturing, sclerotherapy, ligation or embolisation. Transjugular intrahepatic portosystemic shunt (TIPS) is a high-risk option that can relieve the underlying portal hypertension. People with a stoma and cirrhosis may develop peristomal varices (caput medusae), which are at risk of copious bleeding. These require immediate treatment, followed by the stoma care nurse reconsidering the stoma management routine and appliance use to reduce the risk of rebleeding.

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Understanding and Managing Hepatic Disease, Portal Hypertension and Stomal Varices

White

2023

Gastrointestinal Nursing

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Managing Difficult Stomas

Cited by 1 publication

References 25 publications

Understanding and Managing Hepatic Disease, Portal Hypertension and Stomal Varices

Understanding and Managing Hepatic Disease, Portal Hypertension and Stomal Varices

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