By disease in the intestine, it is sometimes necessary to remove a piece of intestine in an operation. For example, this may result from inflammatory conditions as severe cases of ulcerative colitis, Crohn's disease, cancer of the gut and in some cases by benign tumors or when there is a hole in udposninger in the intestine. There are a number of other states, where it is necessary to remove parts of the intestine, but they are more rare.
In some cases you can operate away a piece of intestine and put the ends back together. This is done if there is a good chance that they can grow together properly without inflammation and with a good blood supply. In other cases, you need to disable to sew together the intestine and instead lead the gut end out through the abdominal wall and abdomen. This is called astoma.
It is the surgeon who assesses the type of operation, which is the most appropriate in each case. We will always try to avoid a stoma, but it is not always technically feasible, and in some cases it is the best solution.
Is the large bowel, which brought out, called it acolostomyIf it is the lower part of the small intestine, called it aileostomi. In some cases takes a temporary stoma in the operation, but retains bowel segment below what is brought out, which is so blind trapped in the stomach. You can then at a later operation put stomien back end and sew back together with the blind closed piece. Thus, the gut again a long tube that ends at the anus. The replacement requires that in each case deemed technically feasible, and that the patient is in such a general condition that allows him to tolerate it.
Operation of the intestines with stoma construction is in full anesthesia. Before the operation, if this is planned and not acute, the patient must be fixed and purge, ie. intestine must be emptied, which is done with stools means. This is done to reduce the risk of infection and loss of bowel contents into the abdominal cavity during the operation.
In addition, the patient will be informed about the stoma, as well as its location, and if there is a planned operation, the patient will come to talk with a stoma nurse who will advise on stoma care, and make a mark on the patient's stomach, where stomien must sit . Thus ensures that the location is best for the patient, and so it is at least possible in the way of clothing as belt and pants.
Thick arm is usually a function of the reservoir, where the thin liquid contents from the small intestine ends, and most fluid resume in the body. If we adopt a low colostomy, the patient will often have fewer stools with a little more consistency through stomien while ileostomiproduktionen are more frequent and at times almost continuous with thinner content.
By all stomier run stool in special flat bag that closes close around stoma hole. The bag can not be seen in clothes, and many of stoma live a normal life without major genes.
After the operation, the patient is associated with a stoma clinic, and he or she trained in stoma care. In stoma nurse is a series of leaflets on a life of stoma and how to maintain a normal life.