In children, it is usually one of the stages of treatment of lower alimentary congenital defects. Such patients require long-term professional medical and nursing attention as well as solicitous care of the parents at home. The aim of the study was the analysis of educational and nursing problems that are faced by parents of children with stoma, the influence of a nurse on the quality of their ...

AIM to describe ostomy patient's perception about health care received, as well as their needs and suggestions for healthcare system improvement. METHOD qualitative phenomenological study was conducted, involving individual and semi-structured interviews on the life experiences of 21 adults who had a digestive stoma. Participants were selected following a purposive sampling approach. The anal...

The obese colorectal surgery patient may face several challenges, including a high risk for the development of colorectal cancer, an increased risk for complications with diverticular disease, and surgical risk factors including anastomotic leaks, inability to perform a low anastomosis, and septic complications. The purpose of this literature review was to examine available data on the implicat...

Radical surgery with total or partial tumor-specific mesorectal excision remains the mainstay of treatment for rectal cancers. Development of the anastomotic leakage is the most feared postoperative complication after rectal cancer surgery with incidence in the published literature ranging from 1.8 to 19.8% [1-2]. Advances in the management in the form of neoadjuvant chemoradiotherapy, staging ...

Background: Anastomotic leakage is a major complication after rectal cancer surgery. We investigated risk factors that were associated with symptomatic anastomotic leakage after total mesorectal excision. Method: Between 1996 and 1999 patients with operable rectal cancer were randomised between short-term radiotherapy followed by TME and TME alone. Eligible Dutch patients who underwent an anter...

BACKGROUND A relationship between intestinal motility and ileostomy prolapse has been suggested but not demonstrated objectively. AIMS This study evaluated the association between ileostomy prolapse and intestinal dysmotility in children. METHODS IRB-approved retrospective review of 163 patients with ileostomies (1998-2014) at a single institution. Patients were categorized as having clinic...

The American Society of Colon & Rectal Surgeons (ASCRS) collaborated with the Wound, Ostomy and Continence Nurses (WOCN) Society in 2007 to develop a position paper to establish that every person scheduled for a fecal diversion should be marked for a stoma preoperatively by a skilled health care provider. The WOCN Ostomy subcommittee chaired by Jane Carmel led this important activity. The genes...

HYPOTHESIS For temporary fecal diversion, transverse colostomy (TC) has superior safety, but loop ileostomy (LI) has superior management qualities. METHODS Of patients with TC or LI seen between 1988 and 1997, 63 patients were matched for diagnosis, operative procedure, and date of surgery. The 2 groups were then compared for hospital/postoperative mortality and morbidity and stoma complicati...

Aim. To evaluate the results of temporary fecal diversion in colorectal and perianal Crohn's disease. Method. We retrospectively identified 29 consecutive patients (14 females, 15 males; median age: 30.0 years, range: 18-76) undergoing temporary fecal diversion for colorectal (n = 14), ileal (n = 4), and/or perianal Crohn's disease (n = 22). Follow-up was in median 33.0 (3-103) months. Response...

BACKGROUND Recent studies have shown that a protective stoma can reduce morbidity in low anterior resection for rectal cancer; however, the necessity of it is still controversially discussed. METHODS We performed this meta-analysis to provide a comprehensive evaluation of the role of defunctioning stoma in low anterior resection for rectal cancer on the rates of anastomotic leakage and reoper...