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Ileostomy post-operative CareOleh:
Arsil Radiansyah
Imaduddin Akmal
Muhammad Kadavi
Indriazel Syaputri
Cut Dwi
Pembimbing : dr. Muntadhar, Sp.B, Sp.BA
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Definition
An ileostomy is anopening in the belly(abdominal wall) thatis made during
surgery.The end of the ileum(the lowest part of thesmall intestine) is
brought through thisopening to form astoma, usual ly on thelower r ight s ide of the
abdomen.
http://www.altavista.com/r?ck_sm=24270063&mmid=69017849&ci=&rpos=13&ref=200090096&r=http%3A%2F%2Fostomy.healingwell.com%2Fstomapics%2Fjacstoma.htm8/13/2019 Ileostomy Care
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The most frequent reason for having ileostomy
surgery
Chrons desease
Ulcerative colitis
Birth defects Familial polyposis
Injury
Cancer
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Type of ileostomies
Standard or Brooke Ileostomy
Continent ileostomy (abdominal pouch)
Ileo-anal reservoir (j-pouch or pelvicpouch)
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Standard or Brooke ileostomy
Reasons for the surgery:
Ulcerative colitis
Crohns disease
Familial polyposis Cancer-related problems
Management:
Skin protection is needed;
use an open-ended
pouch that can be emptied
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Continent ileostomy (abdominal pouch)
Reasons for surgery:
Ulcerative colitis
Familial polyposis
Cancer-related problems
Management:
Drain fairly often with a
small tube (catheter) and
use a stoma cover
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Ileo-anal reservoir (J-puoch or pelvic pouch)
Reasons for surgery:
Ulcerative colitis
Familial polyposis
Management:
Natural bowel
movements
take place, but you needto
protect the skin around
the
anus
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Ileostomy management
The length of the stoma
Abdominal firmness and
shape
The location of stoma
Scar and folds near the
stoma
Eight and weight
A good pouching system
should be:
Secure
Odor resistant
Protective of the skin
around the stoma
Nearly invisible when
covered with clothing Easy to put on and take
off
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Good stoma Bad stoma
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Types of pouching systems
1. One-piece pouches are attached to the
skin barrier
2. Two-piece systems are made up of a skin
barrier and a pouch that can be taken off
and put back on the barrier
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One and two piece units
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Helpful hints
Protecting the skin
around the stoma
Patch testing
Spots of blood on thestoma
Shaving hair under
the pouch Bathing
Gas
Odor
Medicines
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Ileostomy problems
Severe skin problem
Blockage
Diarrhea
Electlrolyte balance
Phantom rectum
Short bowel syndrome
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Patient must call the doctor Cramps lasting more than 2 or 3 hours
Continuous nausea and vomiting No ileostomy output for 4 to 6 hours with cramping and nausea
Severe watery discharge lasting more than 5 or 6 hours
Bad odor lasting more than a week (This may be a sign of infection.)
A deep cut in or injury to the stoma
Bad skin irritation or deep ulcers (sores) A lot of bleeding from the stoma opening (or a moderate amount in the
pouch that
you notice several times when emptying it) (NOTE: Eating beets will cause
some red
discoloration.)
Continuous bleeding where the stoma meets the skin
Unusual change in your stoma size and color
Anything unusual going on with your ostomy
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THANKS