Answer: Diarrhea
Review:
- An ileostomy is a stoma that has been constructed by bringing the end of the small intestine (the ileum) out onto the surface of the skin.
- Intestinal waste passes out of the ileostomy and is collected in an external bag stuck to the skin.
- Ileostomies are usually sited above the groin on the right hand side of the abdomen.
- Diseases of the large intestine which may require surgical removal include:
- Crohn's disease
- Ulcerative colitis
- Familial adenomatous polyposis(Total Colonic)
- Hirschprung's Disease
- The most common ileostomy is called a Brooke ileostomy after the English surgeon who developed it.
- Ileostomies need to be emptied frequently because the digested food contains large amounts of water. Shortly after the operation, the ileostomy produces 1-2 qt.(0.9-1.9 l) of fluid per day; after a month or two of adjustment, the volume decreases to 1-2 pt (0.5-0.9) per day.
- Ileostomy patients must learn to watch their fluid and salt intake. They are at greater risk of becoming dehydrated in hot weather, from exercise, or from diarrhea. In some cases they may need extra bananas or orange juice in the diet to keep up the level of potassium in the blood.
- About 40% of ileostomy patients have complications afterward, however; about 15% require minor surgical corrections. Possible complications include:
- skin irritation caused by leakage of digestive fluids onto the skin around the stoma; Irritation is the most common complication of ileostomies
- diarrhea
- the development of abscesses
- gallstones or stones in the urinary tract
- inflammation of the ileum
- odors can often be prevented by a change in diet
- intestinal obstruction
- a section of the bowel pushing out of the body (prolapse)
Category:
AIIMS Nov 2006 MCQs
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