However, in the remaining patients the disease is incurable owing to metastases or local invasion. Palliative resection provides good relief of local symptoms (obstruction, diarrhea, constipation, bleeding, pain, tenesmus and rectal discharge), but the mortality can be as high as 21% [11]. A simple alternative is a proximal diverting colostomy, but this can only relieve symptoms due to obstruct...

a rare and frequently misdiagnosed cause of long-standing refractory constipation. In most cases, patients have a mild form of the disease and as a result go undiagnosed early in their lives. A mild form of the disease may occur because the proximal innervated colon is hypertrophied and thus compensates for the distal obstructed aganglionic rectum. These patients often try to relieve the consti...

BACKGROUND Diphallus is a rare anomaly and accompanying anomalies vary from bifid scrotum, bladder exstrophy, imperforate anus and colo-rectal anomaly such as duplication, and other associated anomalies. CASE PRESENTATION A 2-day old infant is reported with imperforate anus and complete duplication of recto-sigmoid colon, rectal pouch, doubling of the genitalia with completely formed penis (d...

Generally, ostomy is a purposeful connection of the lumen of the intestine with abdominal integuments by surgery. The study presents practical solutions related to care for the colostomy patient, i.e. an ostomy on the large intestine. The following issues will be discussed: regulating the defecation cycle, risk connected with improper selection of ostomy equipment, instruction on colostomy irri...

Colostomy irrigation (CI) is a bowel management method in individuals with permanent colostomy, as an alternative to pouch use, which may provide continence. CI helps the individuals with an artificial stoma to adjust to the stoma and may increase their quality of life (QOL). An uncontrolled intestinal gas discharge invalidates ablution, and noisy gas discharge and smell prevents congregational...

In patients with end-stage renal disease (ESRD), the intestinal tract may assume an accessory potassium (K) excretory role in the face of declining renal excretory function. Here, we report the case of a patient with ESRD who developed severe hyperkalemia following ileostomy not colostomy. A 6△-year-old woman undergoing hemodialysis began developing severe hyperkalemia after ileostomy. Previous...