Abdominal Stomas and Their Skin Disorders 2nd Edition by Calum Lyon, Amanda Smith ISBN 1841844314 9781841844312

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ISBN 10: 1841844314 
ISBN 13: 9781841844312
Author: Calum Lyon, Amanda Smith

Abdominal Stomas and Their Skin Disorders 2nd Table of contents:

1 Intestinal and Urological Stomas: Surgical Aspects
Definition
Anatomical Classification of Stomas

• End Stomas

• Loop Stomas

• Double-Barreled Stomas

• Mucus Fistula

• Intestinal Conduit Urinary Diversion

Functional Classification of Stomas

• Input Stomas

• Diverting Stomas

• Output Stomas

Indications

• End Stomas

  • End Ileostomy

  • End Colostomy

  • Permanent End Colostomy

    • Indications

  • Temporary End Colostomy

    • Indications

• Loop Stomas

  • Loop Ileostomy

  • Loop Colostomy

    • Indications

Technique

• Preoperative Counseling

• Marking the Proposed Stoma Site (See also chap. 2)

  • General Considerations

  • Through a Trephine

  • As a Part of a Formal Laparotomy

  • Laparoscopically Assisted Stomas

• End Ileostomy (Brooke Ileostomy)

• Loop Ileostomy

• Colostomy

  • End Colostomy

  • Loop Colostomy

Less Common Stomas

• Appendicostomy

• Cecostomy

• Kock “Continent” Ileostomy

Urological Stomas

• Definition

• Classification

• Indications

• Location

• Technique

Complications of Stomas

• Early Complications of Stomas

  • Ischemia

    • Management

  • Sepsis

    • Management

  • Bleeding

    • Management

  • Prolonged Ileus (Failure of Normal Bowel Peristalsis)

    • Management

  • Retraction

    • Management

  • Detachment of the Mucocutaneous Wound

• Late Complications of Stomas

  • Skin Excoriation (See chap. 4)

    • Management

  • Prolapse

    • Management

  • Urostomy

  • Stenosis

    • Management

  • Urostomy

  • Fistula

    • Management

  • Parastomal Hernia

    • Management

  • Infection

    • Management

  • Mechanical Obstruction

  • Bleeding

    • Management

  • Ileostomy Flux

    • Management

  • Cancer (See also chap. 6)

  • Dermatitis Artefacta

References
Recommended Reading

2 Stoma Appliances, Specialist Nurse, and the Multidisciplinary Team
Proctocolectomy and the Ileoanal Pouch

• Patient Selection/Indications for Pouch Formation

• The Operation

• Multidisciplinary Approach to Caring for Pouch Patients

• Complications and Management (Table 2.1)

• Failure or Pouch Excision

Role of the Specialist Nurse

• Preoperative Management

  • Preoperative Siting

• Postoperative Management

• Open Access Stoma Care Service

Dietary Considerations

• Dietetic Management of Patients with High Output Stomas

• Dietitian’s Role in the Colorectal MDT

• Dietary Management of High Output Stoma

• Fistuloclysis and Distal Feeding

Practical Advice for Supporting the Ostomist

• Stoma Appliances

• Stoma Accessories

Management of Some Special Situations

• Dehiscence of the Mucocutaneous Junction (Mucocutaneous Separation)

• Eroded Fecal Dermatitis

• Unpleasant Odors

• Cleaning the Peristomal Skin

• Abdominal Hair

• Management of Severe or Circumferential Peristomal Ulcers

• Silent Ostomists

The Stoma Care Specialist Nurse and the Multiprofessional Team
Key Messages

• Preoperative Management

• Postoperative Management

• Stoma Appliances and Accessories

References

3 Dermatitis: Contact Irritation and Contact Allergy

• Irritant Reactions

  • Fecal/Urine Irritation

Dermatitis

• Definition

• Etiology

• Clinical Features

• Management

• Papular Irritant Reactions

• “Granulomas” (Papular Overgranulation Sometimes with Bowel Metaplasia)

• Chronic Papillomatous Dermatitis

• Other Irritant Acanthomatous Reactions

Physical Irritation

• Clothing or Appliances

  • Definition

  • Etiology and Clinical Features

  • Management

Chemical Irritation

• Definition

• Etiology and Clinical Features

• Management

Nonspecific Dermatitis

• Definition

• Etiology

• Clinical Features

• Management

Allergic Reactions

• Definition

• Etiology

• Clinical Features

• Management

Other Skin Changes

• Pigmentation

• Vascular Proliferation

Key Messages

• Allergy to Appliances or Topical Preparations is an Uncommon Cause of Peristomal Skin Problems

• Irritant Reactions are the Commonest Cause of Peristomal Skin Problems

References

4 Infections
Bacterial Infections

• Folliculitis

• Impetigo and Other Bacterial Rashes

• Secondary Bacterial Infections

• Cellulitis

• Gangrene and Necrotizing Fasciitis

• Other Bacterial Infections

Viral Infections

• Herpes Zoster (Shingles)

• Viral Warts

• Molluscum Contagiosum

• Herpes Simplex

Fungal Infections

• Candidiasis (Moniliasis)

• Dermatophyte (Ringworm) Infections

• Malassezia (Pityrosporum) Infections

Key Messages
References

5 Pre-existing and Coincidental Skin Disease

• Psoriasis

• Eczema

• Seborrhoeic Dermatitis

• Lichen Sclerosus

• Pemphigoid

• Drug Eruptions

Skin Disease Caused by the Patient, Including Dermatitis Artefacta

• Definition

• Etiology, Clinical Features, and Management

Others

• Rashes

• Tumors

Key Messages

• General

• Psoriasis

• Eczema

• Seborrhoeic Dermatitis

• Other Skin Disorders

References

6 Skin Problems Related to the Primary Abdominal Disease
Directly Related to the Primary Disease

• Malignancy

• Crohn’s Disease

• Other Inflammatory Diseases

Diseases Indirectly Related to the Primary Disease

• Nutritional

• Pyoderma Gangrenosum

  • Definition

  • Etiology

  • Histology

  • Clinical Features

  • Management

Iatrogenic Disease of the Skin

• Drug-Related Skin Problems

• Radiotherapy-Related Skin Problems

Key Messages

• Skin Disorders Directly Related to the Primary Disease

• Skin Disorders Indirectly Related to the Primary Disease

• Iatrogenic Skin Disorders

References

7 Inflammatory Bowel Disease—Stomas and Nutrition

• What is Inflammatory Bowel Disease?

• IBD and Stomas

• Nutritional Sequelae of IBD

• Drug Absorption and Stomas

References

8A Pediatric Aspects—An Overview

• Etiology

• Type Of Stoma Formed

  • Temporary Stomas

  • Permanent Stomas

• Differences in Stomas in Neonates and Children Compared with Adults

  • General

  • Hydration

  • Growth and Development

  • Siting the Stoma (see also chapter 8B “Pediatric Stoma Care”)

  • Specific

    • Type of Stoma

    • Ileostomy

    •  

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Tags: Calum Lyon, Amanda Smith, Abdominal Stomas