Link to this page

Your search term(s) "ileostomy or colostomy" returned 69 results.

Page 1 2 3 4 5 6 7    Display All

Dietary Treatment of Gastrointestinal Diseases. IN: Buchman, A., ed. Clinical Nutrition in Gastrointestinal Disease. Thorofare, NJ: Slack Incorporated. 2006. pp 63-76.

This chapter about the dietary treatment of gastrointestinal (GI) diseases is from a comprehensive textbook that compiles available data, clinical experience, and research on the role of nutrition in the management of patients with disorders that affect the GI tract. The author defines medical nutrition therapy (MNT) as diet modification, nutrient supplementation, nutrition support, and nutrition counseling as modes of therapy for disease. The chapter focuses on dietary modifications that are used to treat hospitalized or ambulatory patients with diseases of the mouth, esophagus, stomach, intestine, liver, and pancreas. The chapter covers modifications in consistency, including the clear liquid diet, the soft low-residue diet, mechanically altered diets, and the liquid diet following oral surgery; a diet for gastroesophageal reflux disease (GERD) and peptic ulcer disease (PUD); a diet following gastrectomy, including dietary modifications for dumping syndrome, and those for gastric bypass or gastric stapling for obesity; a diet for lactose intolerance or hypolactasia; a gluten-restricted diet for celiac disease; MNT for inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, and the role of foods or dietary patterns in the etiology of IBD; a diet for ileostomy and colostomy; a diet for short bowel syndrome; a diet for acute and chronic pancreatitis; a diet to control diarrhea; a diet for constipation and diverticulosis; and sodium and protein restricted diets for liver disease, including concerns about ascites and sodium intake, and the use of protein restriction and branched chain amino acid formulas in patients with chronic liver disease and hepatic encephalopathy. The author concludes by cautioning that these diets should be used with moderation, particularly when they do not provide all nutrients. They may exacerbate existing nutrition problems and malabsorption, altered metabolism, and increased secretory losses of nutrients. 4 tables. 95 references.

Full Record   Printer Friendly Version

Postoperative Complications of Ileal Pouch-Anal Anastomosis for Ulcerative Colitis. Gastroenterology and Hepatology. 1(3): 167-168, 205. October 2006.

This article offers the answers to clinical questions on the postoperative complications of ileal pouch-anal anastomosis (IPAA) for ulcerative colitis (UC, a type of inflammatory bowel disease). The IPAA approach features the removal of the colon, then approximately 20 to 30 centimeters of the last segment of the small intestine (the terminal ileum) is fashioned into a J-shaped reservoir, the ileal pouch. This pouch is linked to the anus, eliminating the need for an exterior collection bag. The author discusses patient selection, the short-term complications associated with IPAA, the long-term complications that can occur after IPAA, pouchitis and why it occurs, risk factors associated with the development of long-term complications, research studies undertaken to identify patients who may be at particular risk of long-term complications, and the symptoms and treatment of pouchitis. Pouchitis, a nonspecific inflammatory condition of the ileal pouch, is the most common long-term complication. The author notes that IPAA is very beneficial and improves health-related quality of life, and it has become the surgical treatment of choice following total proctocolectomy, unless there is a contraindication.

Full Record   Printer Friendly Version

Quality of Life After Proctocolectomy with Illeoanal Anastomosis for Patients with Ulcerative Colitis. Journal of Clinical Gastroenterology. 40(8): 669-677. September 2006.

Ulcerative colitis, a type of inflammatory bowel disease (IBD), affects approximately 250,000 to 500,000 people in the United States, with 30 percent to 40 percent of patients requiring some form of surgical intervention during the course of their disease. This article considers quality of life issues for patients with ulcerative colitis who have undergone proctocolectomy with ileoanal anastomosis. The primary reason for proctocolectomy is to manage symptoms that are not responsive to currently-available medical therapy. Health-related quality of life (QOL) in patients with severe ulcerative colitis is so poor that, after ileal J-pouch-anal anastomosis, QOL is considered to improve in most clinical studies. However, QOL and bowel function after such surgery cannot be considered normal in all patients, because a significant number still have problems with urgency, leakage, nocturnal soiling, sexual dysfunction, and pouchitis. Some patients require conversion to a permanent ileostomy after the ileoanal anastomosis fails. 3 tables. 95 references.

Full Record   Printer Friendly Version

Surgery for Ulcerative Colitis. New York, NY: Crohn's and Colitis Foundation of America. 2006. 3 p.

Between 25 and 40 percent of patients with ulcerative colitis (UC), a type of inflammatory bowel disease (IBD), will require surgery when they experience severe symptoms or if medical therapy fails to adequately control their symptoms. Surgery may also be indicated if complications arise. This fact sheet reviews these indications for surgery in UC and helps readers understand what to expect during and after different surgical procedures. Complications of UC which can require emergency surgical intervention include: perforation of the colon, massive bleeding in the colon, sudden severe UC, and toxic megacolon. Surgical procedures that might be used include proctocolectomy with ileostomy, and restorative proctocolectomy. The author outlines possible complications of restorative proctocolectomy, including pouchitis, bowel obstruction, and pouch failure. Readers are encouraged to prepare for any surgical procedure by optimizing their nutritional status. In addition, the use of support groups for people with ileostomies is recommended.

Full Record   Printer Friendly Version

Ulcerative Colitis. Bethesda, MD: National Digestive Diseases Information Clearinghouse. 2006. 6 p.

Ulcerative colitis (UC) is a disease that causes inflammation and sores (ulcers) in the lining of the rectum and colon. Inflammation in the colon causes the colon to empty frequently, causing diarrhea. UC is a type of inflammatory bowel disease (IBD), the general name for diseases that cause inflammation in the small intestine and colon. This fact sheet describes UC and its management. Written in a question-and-answer format, the fact sheet addresses the symptoms of UC, its causes; diagnostic tests to confirm the presence of UC; treatment strategies, including medications, hospitalization, and surgery; the increased risk of colon cancer in people who have had UC; and current research studies on UC. The fact sheet outlines drugs that may be prescribed for UC, including aminosalicylates, corticosteroids, and immunomodulators. Surgical options include ileostomy and ileoanal anastomosis (continent ileostomy). A final section describes the goals and work of the National Digestive Diseases Information Clearinghouse. 1 figure.

Full Record   Printer Friendly Version

Chronic Ulcerative Colitis. In: Kelly, K.A.; Sarr, M.G.; Hinder, R.A., eds. Mayo Clinic Gastrointestinal Surgery. St. Louis, MO: Elsevier Science. 2004. p. 533-552.

Ulcerative colitis (UC), an inflammatory, ulcerating disease of the mucosa of the large intestine of unknown cause, varies in severity from a chronic, low-grade process requiring little treatment to an acute, fulminating process requiring intensive therapy. This chapter on chronic UC is from a book that focuses on the major diseases treated by gastrointestinal surgeons, from the esophagus to the anal canal. The presentation has a definite clinical orientation and a major emphasis on practical applications as they are applied at the Mayo Clinic. The authors of this chapter note that therapy varies with the severity and extent of the UC and with patient factors such as age, tolerance, and response to medication, associated systemic problems, and preference or reluctance for operation. Operation continues to have a major role in the management of UC because it may save the patient's life, eliminate cancer or the long-term risk of cancer, and abolish the large intestinal disease. The development and establishment of new, sphincter-saving procedures that improve the quality of life of patients after proctocolectomy, superior stomal care, and improved stomal appliances are important considerations that currently influence decisions regarding surgical treatment. The authors review symptoms and signs, diagnosis, medical treatment, indications for surgery, surgical treatment, proctocolectomy and ileal pouch anal canal anastomosis (IPAA), proctocolectomy and Brooke ileostomy, proctocolectomy and continent ileostomy (Kock pouch), abdominal colectomy and ileorectal anastomosis, and proctocolectomy and jejunal pouch-anal canal anastomosis. The chapter is illustrated with line drawings. 6 figures. 4 tables. 43 references.

Full Record   Printer Friendly Version

How Do J-Pouches Work?. Ostomy Quarterly. 41(2): 49. Winter 2004.

Continent bowel diversions are made by creating internal pouches, or reservoirs. Pouches created in the pelvic area (j-pouch, pull-through) are 'reconnected' to allow the normal route of evacuation. This brief article helps readers understand how j-pouches work. The author reviews the normal physiology of the small intestine and colon to describe why the pouch is so vital (to store and concentrate stool). The author explains peristalsis (of the small intestine) and the process of elimination by gravity rather than with the muscles of the rectum. Practical toileting strategies are also provided. 1 figure.

Full Record   Printer Friendly Version

Colostomy Fact Sheet. Irvine, CA: United Ostomy Association, Inc. 2003. 1 p.

This fact sheet outlines basic information about colostomy, a surgically created opening in the abdominal wall through which digested food passes. Colostomies can be either temporary (to rest a portion of the bowel) or permanent, which may be required when a disease affects the end part of the colon or rectum. The fact sheet notes the reasons for surgery; the basic care of the colostomy; aspects of living with an colostomy, including work, sex and social life, clothing, sports and activities, and dietary restrictions; and resources that patients may wish to consult for more information. The contact information for the United Ostomy Association (UOA) is provided (www.uoa.org).

Full Record   Printer Friendly Version

Ileostomy Fact Sheet. Irvine, CA: United Ostomy Association, Inc. 2003. 1 p.

This fact sheet outlines basic information about ileostomy, a surgically created opening in the abdominal wall through which digested food passes. The end of the ileum (the lowest part of the small intestine) is brought through the abdominal wall to form a stoma. An ileostomy may be performed when a disease or injured colon cannot be treated successfully with medicine. The fact sheet notes the reasons for surgery; the basic care of the ileostomy; aspects of living with an ileostomy, including work, sex and social life, clothing, sports and activities, and dietary restrictions; and resources that patients may wish to consult for more information. The contact information for the United Ostomy Association (UOA) is provided (www.uoa.org).

Full Record   Printer Friendly Version

Surgical Therapy for Inflammatory Bowel Disease. In: Lichtenstein, G.R. The Clinician's Guide to Inflammatory Bowel Disease. Thorofare, NJ: SLACK Incorporated. 2003. p. 199-219.

Although the term inflammatory bowel disease (IBD) describes a wide range of inflammatory states, it generally refers to ulcerative colitis (UC) and Crohn's disease. This chapter on surgical therapy for IBD is from a handbook that presents an up to date guide on selected topics in IBD, focusing on those clinically important areas that have undergone recent changes or discoveries. In this chapter, the authors provide an overview of the surgical techniques used in UC and Crohn's disease (CD). The authors discuss four surgical procedures used for the treatment of chronic UC: total proctocolectomy with permanent ileostomy (TPC), total proctocolectomy with Kock pouch (KP), total abdominal proctocolectomy with ileal pouch-anal anastomosis (IPAA), and subtotal colectomy with ileorectal anastomosis (IR). All of the procedures except for the subtotal colectomy with IR involve the removal of the entire colon and rectum with cure of consequential chronic UC. The authors then discuss the use of surgery in treating patients with CD, covering surgery of each region that can be affected: colon, ileocolonic area, small bowel, and perineal area. The choice of operation largely depends on the site of colonic disease, the amount of remaining bowel, and the anticipated disease recurrence. 10 figures. 20 references.

Full Record   Printer Friendly Version

Page 1 2 3 4 5 6 7    Display All

Start a new search.