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Stoma (medicine)

In anatomy, a stoma (pl.: stomata /ˈstmətə/ or stomas) is any opening in the body. For example, a mouth, a nose, and an anus are natural stomata. Any hollow organ can be manipulated into an artificial stoma as necessary. This includes the esophagus, stomach, duodenum, ileum, colon, pleural cavity, ureters, urinary bladder, and renal pelvis. Such a stoma may be permanent or temporary.[citation needed]

Surgical procedures that involve the creation of an artificial stoma have names that typically end with the suffix "-ostomy", and the same names are also often used to refer to the stoma thus created. For example, the word "colostomy" often refers either to an artificial anus or the procedure that creates one. Accordingly, it is not unusual for a stoma to be called an ostomy (plural ostomies), as is the norm in wound, ostomy, and continence nursing.

Gastrointestinal stomata edit

 
Colostomy
 
Patient with a colostomy complicated by a large parastomal hernia, which is when tissue protrudes adjacent to the stoma tract.
 
CT scan of same patient, showing intestines within the hernia.
Parastomal hernia is the most common late complication of stomata through the abdominal wall, occurring in 10 to 25% of the patients.[1]

Stomata are created in particular in surgical procedures involving the gastrointestinal tract (GIT) or gastrointestinal system (GIS). The GIT begins at the mouth or oral cavity and continues until its termination, which is the anus. Examples of gastrointestinal stomata include:[citation needed]

One well-known form of an artificial stoma is a colostomy, which is a surgically created opening in the large intestine that allows the removal of feces out of the body, bypassing the rectum, to drain into a pouch or other collection device. This surgical procedure is invoked usually as a result of and solution to disease in the GIT. The procedure involves bisecting this tube, usually between the later stage of the small intestine (ileum) and the large intestine or colon, hence colostomy, and exiting it from the body in the abdominal region. The point of exiting is what is known as the stoma.

For greatest success and to minimize negative effects, it is preferable to perform this procedure as low down in the tract as possible, as this allows the maximal amount of natural digestion to occur before eliminating fecal matter from the body. The stoma is usually covered with a removable pouching system (adhesive or mechanical) that collects and contains the output for later disposal. Modern pouching systems enable most individuals to resume normal activities and lifestyles after surgery, often with no outward physical evidence of the stoma or its pouching system.

When planning the position of the stoma, a stoma nurse should bear in mind the height of the person's waist and beltline so that clothes can fit as before. Also a peri-stomal hernia belt worn from the start can help prevent the stoma from developing a serious hernia problem.

Other examples of stomata edit

The historical practice of trepanation was also a type of stoma.

See also edit

References edit

  1. ^ Paul H. Sugarbaker (2013). "Paraostomy Hernias: Prosthetic Mesh Repair". Abdominal Surgery. American Society of Abdominal Surgeons.

External links edit

  • "Surgical Stomas" (MeSH)

stoma, medicine, anatomy, stoma, stomata, stomas, opening, body, example, mouth, nose, anus, natural, stomata, hollow, organ, manipulated, into, artificial, stoma, necessary, this, includes, esophagus, stomach, duodenum, ileum, colon, pleural, cavity, ureters,. In anatomy a stoma pl stomata ˈ s t oʊ m e t e or stomas is any opening in the body For example a mouth a nose and an anus are natural stomata Any hollow organ can be manipulated into an artificial stoma as necessary This includes the esophagus stomach duodenum ileum colon pleural cavity ureters urinary bladder and renal pelvis Such a stoma may be permanent or temporary citation needed Surgical procedures that involve the creation of an artificial stoma have names that typically end with the suffix ostomy and the same names are also often used to refer to the stoma thus created For example the word colostomy often refers either to an artificial anus or the procedure that creates one Accordingly it is not unusual for a stoma to be called an ostomy plural ostomies as is the norm in wound ostomy and continence nursing Contents 1 Gastrointestinal stomata 2 Other examples of stomata 3 See also 4 References 5 External linksGastrointestinal stomata edit nbsp Colostomy nbsp Patient with a colostomy complicated by a large parastomal hernia which is when tissue protrudes adjacent to the stoma tract nbsp CT scan of same patient showing intestines within the hernia Parastomal hernia is the most common late complication of stomata through the abdominal wall occurring in 10 to 25 of the patients 1 Stomata are created in particular in surgical procedures involving the gastrointestinal tract GIT or gastrointestinal system GIS The GIT begins at the mouth or oral cavity and continues until its termination which is the anus Examples of gastrointestinal stomata include citation needed Esophagostomy Gastrostomy also see percutaneous endoscopic gastrostomy Cholecystostomy Choledochostomy Enteric Cecostomy Colostomy Duodenostomy Ileostomy Jejunostomy Appendicostomy see also continence appendicostomy One well known form of an artificial stoma is a colostomy which is a surgically created opening in the large intestine that allows the removal of feces out of the body bypassing the rectum to drain into a pouch or other collection device This surgical procedure is invoked usually as a result of and solution to disease in the GIT The procedure involves bisecting this tube usually between the later stage of the small intestine ileum and the large intestine or colon hence colostomy and exiting it from the body in the abdominal region The point of exiting is what is known as the stoma For greatest success and to minimize negative effects it is preferable to perform this procedure as low down in the tract as possible as this allows the maximal amount of natural digestion to occur before eliminating fecal matter from the body The stoma is usually covered with a removable pouching system adhesive or mechanical that collects and contains the output for later disposal Modern pouching systems enable most individuals to resume normal activities and lifestyles after surgery often with no outward physical evidence of the stoma or its pouching system When planning the position of the stoma a stoma nurse should bear in mind the height of the person s waist and beltline so that clothes can fit as before Also a peri stomal hernia belt worn from the start can help prevent the stoma from developing a serious hernia problem Other examples of stomata editFurther information List of ostomies Dacryocystorhinostomy Sclerotomy Tracheostomy Urostomy also see Ileal conduit urinary diversion Nephrostomy Ureterostomy Vesicostomy cystostomy The historical practice of trepanation was also a type of stoma See also editList of surgeries by typeReferences edit Paul H Sugarbaker 2013 Paraostomy Hernias Prosthetic Mesh Repair Abdominal Surgery American Society of Abdominal Surgeons External links edit Surgical Stomas MeSH Retrieved from https en wikipedia org w index php title Stoma medicine amp oldid 1207764156, wikipedia, wiki, book, books, library,

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