Colostomy

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A colostomy is a surgical procedure that involves connecting a part of the colon onto the anterior abdominal wall, leaving the patient with an opening on the abdomen called a stoma. In a colostomy, the stoma is formed from the end of the large intestine, which is drawn out through the incision and sutured to the skin. After a colostomy, faeces leave the patient's body through the stoma. A colostomy may be permanent or temporary, depending on the reasons for its use.

Indications

There are many reasons for this procedure. Some common reasons are:

• A section of the colon has had to be removed, e.g. due to colon cancer requiring a total mesorectal excision, diverticulitis, injury, etc, so that it is no longer possible for feces to pass out via the anus.
• A portion of the colon (or ileum) has been operated upon and needs to be 'rested' until it is healed. In this case, the colostomy is often temporary and is usually reversed at a later date, leaving the patient with a small scar in place of the stoma. Children undergoing surgery for extensive pelvic tumors commonly are given a colostomy in preparation for surgery to remove the tumor, followed by reversal of the colostomy.

Options

Placement of the stoma on the abdomen can occur at any location along the colon, the majority being on the lower left side near or in the sigmoid colon, other locations include; the ascending, transverse, and descending sections of the colon.^{[How to reference and link to summary or text]}

Colostomy surgery that can be planned ahead often has a higher rate of long-term success and satisfaction, than those done in emergency surgery.^{[How to reference and link to summary or text]}

Colostomy with irrigation

Colostomates (people with colostomies) who have ostomies of the sigmoid colon or descending colon may have the option of irrigation, which allows for the person to not wear a pouch, but rather just a gauze cap over the stoma, and to schedule irrigation for times that are convenient. To irrigate, a catheter is placed inside the stoma, and flushed with water, which allows the feces to come out of the body into an irrigation sleeve. Most colostomates irrigate once a day or every other day, though this depends on the person, their food intake, and their health.^{[How to reference and link to summary or text]}

Colostomy without irrigation

Colostomies are viewed negatively due to the misconception that it is difficult to hide the pouch and the smell of feces, or to keep the pouch securely attached.^{[How to reference and link to summary or text]} However, modern colostomy pouches are well-designed, odor-proof, and allow stoma patients to continue normal activities. Latex-free tape is available for ensuring a secure attachment. People with colostomies must wear an ostomy pouching system to collect intestinal waste. Ordinarily the pouch must be emptied or changed several times a day depending on the frequency of activity; in general the further from the anus the ostomy is located the greater the output and more frequent the need to empty or change the pouch.

Alternatives

In some rare situations it may be possible to opt for an internal colo-anal pouch which eliminates the need for an external pouch. ^{[How to reference and link to summary or text]} In place of an external appliance, an internal ileo-anal pouch is constructed using a portion of the patient's lower intestine, to act as a new rectum to replace the removed original.

See also

• Ileostomy

References

• Adam, G., Balazs, L., Vidos, T., & Keszler, P. (1990). Detection of colon distension in colonostomy patients: Psychophysiology Vol 27(4) Jul 1990, 451-456.
• Amsterlaw, J., Zikmund-Fisher, B. J., Fagerlin, A., & Ubel, P. A. (2006). Can avoidance of complications lead to biased healthcare decisions? : Judgment and Decision Making Vol 1(1) Jul 2006, 64-75.
• Basaran, U. N., Inan, M., Aksu, B., & Ceylan, T. (2007). Colon perforation due to pathologic aerophagia in an intellectually disabled child: Journal of Paediatrics and Child Health Vol 43(10) Oct 2007, 710-712.
• Bekkers, M. J., Van Knippenberg, F. C., Van den Borne, H. W., & Poen, H. (1994). The psychosocial adaptation process following stoma surgery: Gedrag & Gezondheid: Tijdschrift voor Psychologie en Gezondheid Vol 22(4) Aug 1994, 186-197.
• Bekkers, M. J. T. M., van Knippenberg, F. C. E., van den Borne, H. W., Poen, H., & et al. (1995). Psychosocial adaptation to stoma surgery: A review: Journal of Behavioral Medicine Vol 18(1) Feb 1995, 1-31.
• Bourgeois, M. (1973). Autodysosmophobia and the olfactory reference syndrome: Seven case histories: Annales Medico-Psychologiques Vol 2(3) Oct 1973, 353-376.
• Bukberg, J. B., & Straker, N. (1982). Psychiatric consultation with the ambivalent cancer surgery candidate: Psychosomatics: Journal of Consultation Liaison Psychiatry Vol 23(10) Oct 1982, 1043-1050.
• Cheung, Y. L., Molassiotis, A., & Chang, A. M. (2001). A pilot study on the effect of progressive muscle relaxation training of patients after stoma surgery: European Journal of Cancer Care Vol 10(2) Jun 2001, 107-114.
• Corballis, M. C., Corballis, P. M., & Fabri, M. (2004). Redundancy gain in simple reaction time following partial and complete callosotomy: Neuropsychologia Vol 42(1) 2004, 71-81.
• Dlin, B. M., Perlman, A., & Ringold, E. (1969). Psychosexual response to ileostomy and colostomy: American Journal of Psychiatry 126(3) 1969, 374-381.
• Domino, G., Affonso, D. A., & Hannah, M. T. (1991). Assessing the imagery of cancer: The Cancer Metaphors Test: Journal of Psychosocial Oncology Vol 9(4) 1991, 103-121.
• Druss, R. G., O'Connor, J. F., & Stern, L. O. (1969). Psychologic response to colectomy: II. Adjustment to a permanent colostomy: Archives of General Psychiatry 20(4) 1969, 419-427.
• Ellor, J. W. (2000). Bridging psychology and theology when counseling older adults: Journal of Religious Gerontology Vol 11(3-4) 2000, 87-102.
• Fink, M. (2004). Melancholy or Malarky? Washington, DC: American Psychiatric Publishing, Inc.
• Fitzgerald, D. T. (1983). Effects of a preoperative video tape intervention on psychological and medical recovery of colostomy patients: Dissertation Abstracts International.
• Follick, M. J., Smith, T. W., & Turk, D. C. (1984). Psychosocial adjustment following ostomy: Health Psychology Vol 3(6) 1984, 505-517.
• Freyberger, H. (1979). Psychosomatic aspects in self-help groups made up of medical patients--presented on the example of the ostomy group: Psychotherapy and Psychosomatics Vol 31(1-4) 1979, 114-120.
• Friedland, R. P., Lerner, A. J., Hedera, P., & Brass, E. P. (1993). Encephalopathy associated with bismuth subgallate therapy: Clinical Neuropharmacology Vol 16(2) Apr 1993, 173-176.
• Gilbar, O., & Groisman, L. (1991). A training model of a self-help group for patients with cancer of the colon: Journal of Psychosocial Oncology Vol 9(4) 1991, 57-69.
• Gloeckner, M. R. (1984). Perceptions of sexual attractiveness following ostomy surgery: Research in Nursing & Health Vol 7(2) Jun 1984, 87-92.
• Happenie, S. D. (1968). Colostomy: A second chance. Oxford, England: Charles C Thomas.
• Hopwood, P., & Maguire, G. P. (1988). Body image problems in cancer patients: British Journal of Psychiatry Vol 153(Suppl 2) Jul 1988, 47-50.
• Huffman, J. (1983). Living with limitations: Geriatric Nursing Vol 4(2) Mar-Apr 1983, 107-108.
• Huish, M., Kumar, D., & Stones, C. (1998). Stoma surgery and sexual problems in ostomates: Sexual & Marital Therapy Vol 13(3) Aug 1998, 311-328.
• Ihanus, J. (1984). Anatomical Rorschach responses of gravely psychosomatic patients: Perceptual and Motor Skills Vol 59(1) Aug 1984, 337-338.
• Ito, N., & Kazuma, K. (2005). Factors associated with the feeling of stability in the daily life among colostomy patients: Japan Journal of Nursing Science Vol 2(1) Jun 2005, 25-31.
• Johnston, J. E. (1981). Home parenteral nutrition: The "costs" of patient and family participation: Social Work in Health Care Vol 7(2) Win 1981, 49-66.
• Keltikangas-Jarvinen, L., Loven, E., & Moller, C. (1984). Psychic factors determining the long-term adaptation of colostomy and ileostomy patients: Psychotherapy and Psychosomatics Vol 41(3) May 1984, 153-159.
• Keltikangas-Jarvinen, L., & Loven, E.-L. (1983). Stability of personality dimensions related to cancer and colitis ulcerosa: Preliminary report: Psychological Reports Vol 52(3) Jun 1983, 961-962.
• Kerson, T. S., & Michelsen, R. W. (1995). Counseling homebound clients and their families: Journal of Gerontological Social Work Vol 24(3-4) 1995, 159-190.
• Keyes, K., Bisno, B., Richardson, J., & Marston, A. (1987). Age differences in coping, behavioral dysfunction and depression following colostomy surgery: The Gerontologist Vol 27(2) Apr 1987, 182-184.
• Klopp, A. R. (1990). Body image and self-concept in persons with stomas: Dissertation Abstracts International.
• Krukofsky, B. (1988). Sexuality counseling of people with chronic illness. Belmont, CA: Thomson Brooks/Cole Publishing Co.
• MacDonald, L. D., & Anderson, H. R. (1984). Stigma in patients with rectal cancer: A community study: Journal of Epidemiology & Community Health Vol 38(4) Dec 1984, 284-290.
• Mancini, I. L., Hanson, J., Neumann, C. M., & Bruera, E. D. (2000). Opioid Type and Other Clinical Predictors of Laxative Dose in Advanced Cancer Patients: A Retrospective Study: Journal of Palliative Medicine Vol 3(1) Mar 2000, 49-56.
• Maruyama, S. A. T., & Zago, M. M. F. (2005). The sickening process of colostomy patients by cancer: Revista Latino-Americana de Enfermagem Vol 13(2) Mar-Apr 2005, 216-222.
• McVey, J., Madill, A., & Fielding, D. (2001). The relevance of lowered personal control for patients who have stoma surgery to treat cancer: British Journal of Clinical Psychology Vol 40(4) Nov 2001, 337-360.
• Nesci, D. A., Menichincheri, R., Poliseno, T., & Ferro, F. M. (1988). The limit in stoma patients: Archivio di Psicologia, Neurologia e Psichiatria Vol 49(2) Apr-Jun 1988, 176-185.
• Oades-Souther, D., & Olbrisch, M. E. (1984). Psychological adjustment to ostomy surgery: Rehabilitation Psychology Vol 29(4) Win 1984, 221-237.
• Orbach, C. E. (1974). Ideas of contamination in postoperative colostomy patients: Psychoanalytic Review Vol 61(2) Sum 1974, 269-282.
• Orbach, C. E. (1975). Time and inhibition in the adaptation of patients with colostomies: Psychoanalytic Review Vol 62(4) Win 1975-1976, 663-673.
• Orbach, C. E., & Tallent, N. (1965). Modification of the perceived body and of the body concepts: Archives of General Psychiatry 12(2) 1965, 126-135.
• Padilla, G. V., & Grant, M. M. (1985). Quality of life as a cancer nursing outcome variable: Advances in Nursing Science Vol 8(1) Oct 1985, 45-60.
• Persson, E., Gustavsson, B., Hellstrom, A.-L., Lappas, G., & Hulten, L. (2005). Ostomy patients' perceptions of quality of care: JAN Journal of Advanced Nursing Vol 49(1) Jan 2005, 51-58.
• Ramer, L. (1990). Exploration of changes in trust, autonomy and psychosocial discomfort experienced by the post-operative cancer patient with a colostomy: Dissertation Abstracts International.
• Rauch, J. M. (1987). The effects of multidimensional health locus of control and situational variables on short and long term adjustment to colostomy: Dissertation Abstracts International.
• Rizzola, N., & et al. (1981). Biofeedback in colostomy patients: Medicina Psicosomatica Vol 26(4) 1981, 365-373.
• Rodriguez Marin, J., Pastor Mira, M. A., Lopez Roig, S., Garcia Hurtado, J., & et al. (1989). Psychosocial effects of colostomy and ileostomy: Analisis y Modificacion de Conducta Vol 15(43) 1989, 25-62.
• Shiwach, R. S. (1996). Hyponatremia from colonic lavage presenting as an acute confusional state: American Journal of Psychiatry Vol 153(10) Oct 1996, 1367.
• Smith, D. M., Loewenstein, G., Rozin, P., Sherriff, R. L., & Ubel, P. A. (2007). Sensitivity to disgust, stigma, and adjustment to life with a colostomy: Journal of Research in Personality Vol 41(4) Aug 2007, 787-803.
• Smith, D. M., Sherriff, R. L., Damschroder, L., Loewenstein, G., & Ubel, P. A. (2006). Misremembering Colostomies? Former Patients Give Lower Utility Ratings Than Do Current Patients: Health Psychology Vol 25(6) Nov 2006, 688-695.
• Snow, B. (1980). The ostomist--self image and sexual problems: Sexuality and Disability Vol 3(3) Fal 1980, 156-158.
• Sunde, C. R. (1985). Social support and adaptation to an ostomy: An examination of members and nonmembers of a medical mutual aid group: Dissertation Abstracts International.
• Taylor, G. R., & MacKenney, L. (2001). Trends in special education. Springfield, IL: Charles C Thomas Publisher.
• Tedeschi, M., & Saviano, M. S. (1984). Considerations on a case of "phantom rectum." Medicina Psicosomatica Vol 29(2) 1984, 183-193.
• Thomas, C., Madden, F., & Jehu, D. (1984). Psychosocial morbidity in the first three months following stoma surgery: Journal of Psychosomatic Research Vol 28(3) 1984, 251-257.
• Thomas, C., Madden, F., & Jehu, D. (1987). Psychological effects of stomas: I. Psychosocial morbidity one year after surgery: Journal of Psychosomatic Research Vol 31(3) 1987, 311-316.
• Thomas, C., Madden, F., & Jehu, D. (1987). Psychological effects of stomas: II. Factors influencing outcome: Journal of Psychosomatic Research Vol 31(3) 1987, 317-323.
• Thomas, C., Turner, P., & Madden, F. (1988). Coping and the outcome of stoma surgery: Journal of Psychosomatic Research Vol 32(4-5) 1988, 457-467.
• Thunberg, U. H., & Kemph, J. P. (1977). Common emotional reactions to surgical illness: Psychiatric Annals Vol 7(1) Jan 1977, 20-28.
• Weerakoon, P. (2001). Sexuality and the patient with a stoma: Sexuality and Disability Vol 19(2) Sum 2001, 121-129.
• Wirsching, M., Druner, H. U., & Herrmann, G. (1975). Results of psychosocial adjustment to long-term colostomy: Psychotherapy and Psychosomatics Vol 26(5) 1975, 245-256.

External links

• United Ostomy Associations of America
• An honest and humorous description of life after a colostomy
• Ostomyland – Interactive Ostomy community, covering Colostomy, Ileostomy and Urostomy
• Living with a Colostomy – Informational sister site to ostomyland.com. Detailed Colostomy lifestyle guide covering before, during and after the op
• My colostomy story and some colostomy pictures

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