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given. Before acting on suggestions from anyone, ostomates are advised to check with a doctor or stoma care nurse that the course of action is suitable
for them. Whilst every care is taken, the author will not be held responsible.
A jejunostomy is an opening into the jejunum, the portion of the small bowel after the duodenum
and before the ileum.
Jejunum is the middle section of the small intestine between the duodenum and the ileum.
See Ileoanal Reservoir.
Karaya is a water-
skin barrier for protecting the skin around a stoma.
Lacerations refer to a cut or tear to the stoma, usually due to friction from the stoma appliance, or they may develop in conjunction with trauma to the stoma. Usually, they appear as a yellow to white linear discolouration of the stoma mucosa.
It can be severe enough to penetrate or fistulate the bowel wall, but is commonly superficial. A stoma does not possess any nerve endings, and therefore the patient may not experience any pain.
Lactase is an enzyme in the small intestine, which is needed to digest milk sugar (lactose).
Lactose intolerance is the act of not being able to digest lactose, a sugar present in milk. This condition occurs because the body does not produce the lactase enzyme.
A laparoscopy is a ‘key-
This is a surgical procedure involving an incision through the abdominal wall to gain access into the abdominal cavity. It is also known as coeliotomy. It is performed either as exploratory surgery, or as the first step in an abdominal operation.
The large intestine, also known as the colon, is the last part of the digestive system, which goes from
the caecum to the rectum. It is primarily responsible for the body’s absorption of fluid (changing liquid
to a solid form) and electrolytes, storage of food wastes, and transport of the stool. The large intestine is five feet long, and includes the appendix, caecum, colon and rectum.
See Atonic Colon.
Leakage from an ill-
A loop colostomy is usually created in the transverse colon, commonly used to temporarily divert faeces from the distal colon. It is one stoma with two openings – one discharges stool, the second discharges mucous.
A loop ileostomy is usually a temporary ileostomy, where a loop of small intestine is pulled through the abdominal wall to create a stoma.
A loop ileostomy is also sometimes used in the construction of ileoanal reservoirs. Ileoanal pouches are internal pouches that are surgically constructed from the small intestine. The pouches are constructed for people, who need to have their colon and rectum removed. The pouch is then connected to the sphincter muscle, which is the muscle that surrounds the anus. Once the surgery is complete, it is important that the pouch remains free of waste materials for a few weeks, so that it can heal. Therefore, the loop ileostomy allows waste to pass through the stoma, without affecting the pouch. Once the pouch is healed, the small intestine is connected to the pouch, allowing the stoma to heal.
A loop ostomy is one type of stoma, usually for a temporary ostomy. The transverse colon is brought through the abdominal wall to form a stoma. For several days, a plastic rod or ‘bridge’ of tissue from the body, under the loop, keeps it from falling back into the abdomen. The loop is opened to create a single stoma with two openings. One opening is still connected to the food-
LOWER GI SERIES
Lower GI Series are x-
is given first. Barium coats the organs so that they will show up on the x-
Maceration is peristomal skin, which is excoriated and moist.
MAGNETIC RESONANCE IMAGING
Magnetic resonance imaging is an imaging test, which uses ‘magnetic resonance’ to give a cross-
It can be used to show the urinary tract and the non-
Megacolon is a huge, swollen colon, resulting from severe constipation.
Mitrofanoff is a surgical procedure to create a continent channel/conduit (for catheterisation) between the skin and either the bladder or a urinary reservoir, either using the appendix or ‘Monti’ (ileum). This is likely to be done in conjunction with another procedure. Self-
Mucosa is moist tissue, which lines certain parts of the inside of the body, including the nose, mouth, lungs and the urinary and digestive tracts. Glands in the mucosa release a thick fluid called mucous.
Mucosal lining is the lining of the GI tract organs, which makes mucous.
Mucous is naturally produced by the intestines, and secreted by glands lining the bowel wall. Its function is to act as a barrier and to lubricate the passage of stool. It may be seen in the discharge of a colostomy or urostomy, and can give the stoma a shiny appearance.
It is usually a clear, viscous fluid, which may contain enzymes, and coats and protects tissues in the GI tract. The quantity, which is produced, will increase if inflammation and/or infection are present.
A mucous fistula is the non-
of two stomas in a temporary ostomy, or the second opening in a single loop ostomy stoma. It may discharge some mucous.
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