References

Alvey B, Beck DE. Peristomal dermatology. Clin Colon Rectal Surg. 2008; 21:(1)41-44 https://doi.org/10.1055/s-2008-1055320

Ayik C, Özden D, Cenan D. Ostomy complications, risk factors, and applied nursing care: a retrospective, descriptive study. Wound Manag Prev. 2020; 66:(9)20-30

Burch J, Boyles A, Maltby E Keep it simple: peristomal skin health, quality of life and wellbeing. Br J Nurs. 2021; 30:5-24 https://doi.org/10.12968/bjon.2021.30.sup6.1

Burch J. The community nurse and stoma care. Br J Community Nurs. 2022; 27:(4)165-168 https://doi.org/10.12968/bjcn.2022.27.4.165

Burch J. Stoma product selection: an update. Br J Community Nurs. 2023; 28:(4)188-192 https://doi.org/10.12968/bjcn.2023.28.4.188

Claessens I, Probert R, Tielemans C The Ostomy life study: the everyday challenges faced by people living with a stoma in a snapshot. Gastro Nurs. 2015; 13:(5)18-25 https://doi.org/10.12968/gasn.2015.13.5.18

Collins JT, Nguyen A, Badireddy M. Anatomy, Abdomen and Pelvis, Small Intestine.Treasure Island (FL): StatPearls Publishing; 2023

Colostomy UK. What is a stoma. 2024. https//www.colostomyuk.org/information/what-is-a-stoma/ (accessed 5 March 2024)

Fumarola S, Allaway R, Callaghan R Overlooked and underestimated: medical adhesive-related skin injuries. J Wound Care. 2020; 29:S1-S24 https://doi.org/10.12968/jowc.2020.29.sup3c.s1

Greenwood-Van Meerveld B, Johnson AC, Grundy D. Gastrointestinal physiology and function. Handb Exp Pharmacol. 2017; 239:1-16 https://doi.org/10.1007/164_2016_118

He D, Liang W, Yao Q The effect of stoma education class on peristomal dermatitis in colorectal cancer patients with defunctioning ileostomy-a retrospective study of 491 patients. Transl Cancer Res. 2021; 10:(2)581-588 https://doi.org/10.21037/tcr-20-3267

Kastl AJ, Terry NA, Wu GD, Albenberg LG. The structure and function of the human small intestinal microbiota: current understanding and future directions. Cell Mol Gastroenterol Hepatol. 2020; 9:(1)33-45 https://doi.org/10.1016/j.jcmgh.2019.07.006

StoMap Programme Baseline Report 2019. 2019. https//www.eoecph.nhs.uk/Files/Integrated%20Care/StoMap%20Baseline%20Report%20FINAL.pdf (accessed 5 March 2024)

LeBlanc K, Whiteley I, McNichol L, Salvadalena G, Gray M. Peristomal medical adhesive-related skin injury: results of an international consensus meeting. J Wound Ostomy Continence Nurs. 2019; 46:(2)125-136 https://doi.org/10.1097/WON.0000000000000513

Martins L, Andersen BD, Colwell J, Hedegaard CJ, Hansen AS. Challenges faced by people with a stoma: peristomal body profile risk factors and leakage. Br J Nurs. 2022; 31:(7)376-385 https://doi.org/10.12968/bjon.2022.31.7.376

NHS Inform. Colostomy. 2024a. https//www.nhsinform.scot/tests-and-treatments/surgical-procedures/colostomy/ (accessed 5 March 2024)

NHS Inform. Ileostomy. 2024b. https//www.nhsinform.scot/tests-and-treatments/surgical-procedures/ileostomy/ (accessed 5 March 2024)

Gastrointestinal tract 5: the anatomy and functions of the large intestine. 2019. https//www.nursingtimes.net/clinical-archive/gastroenterology/gastrointestinal-tract-5-anatomy-functions-large-intestine-23-09-2019/ (accessed 5 March 2024)

Ohura N, Kurita T, Takushima A, Shibata M, Harii K. Efficacy of a skin-protection powder for use as a dressing for intractable ulcers. J Wound Care. 2006; 15:(10)471-2 https://doi.org/10.12968/jowc.2006.15.10.26974

Osborne W, White M, Aibibula M, Boisen EB, Ainsworth R, Vestergaard M. Prevalence of leakage and its negative impact on quality of life in people living with a stoma in the UK. Br J Nurs. 2022; 31:(16)S24-S38 https://doi.org/10.12968/bjon.2022.31.16.S24

Pandiaraja J, Chakkarapani R, Arumugam S. A study on patterns, indications, and complications of an enteric stoma. J Family Med Prim Care. 2021; 10:(9)3277-3282 https://doi.org/10.4103/jfmpc.jfmpc_123_21

Robertson K, Brown P. Mild soaps and radiotherapy: a survey of the UK public to identify brands of soap considered mild and analysis of these to ascertain suitability for recommendation in radiotherapy departments. Eur J Cancer Care (Engl). 2011; 20:(3)315-321 https://doi.org/10.1111/j.1365-2354.2010.01181.x

Rolstad BS, Erwin-Toth PL. Peristomal skin complications: prevention and management. Ostomy Wound Manage. 2004; 50:(9)68-77

Singh N, Bhatia PK, Goyal KS, Pundeer S, Kallem SR, Gandhi H, Devi D. Prospective study of clinical profile and early complications of ileostomy. J Evolution Med Dent Sci. 2021; 10:694-700 https://doi.org/10.14260/jemds/2021/149

Tortora J, Derrickson BH. Tortora's principles of anatomy and physiology, Global edition. : Wiley; 2017

Voegeli D, Karlsmark T, Eddes EH Factors influencing the incidence of peristomal skin complications: evidence from a multinational survey on living with a stoma. Gastro Nurs. 2020; 18:S31-8 https://doi.org/10.12968/gasn.2020.18.Sup4.S31

Stoma care: an update

02 April 2024
Volume 29 · Issue 4

Abstract

Each year an estimated 13 500 stoma surgeries are carried out in the UK (Kettle, 2019). Stoma surgery may involve the formation of a colostomy or an ileostomy. The person with a stoma may require help and support from the community nurse. This article aims to update readers on the indications for colostomy and ileostomy surgery and to enable them to support ostomates to reduce the risks of complications.

The term ‘stoma’ is used to describe an opening on the surface of the abdomen which has been surgically created to divert the flow of faeces or urine. People who have had stoma surgery are sometimes known as ‘ostomates’ (Colostomy UK, 2024).

There are around 177 000 people in the UK with a stoma (Kettle, 2019). It is estimated that one in 335 adults has a stoma (NHS Inform, 2024a). Stomas are created because of a number of conditions that affect the small and large intestine. In the UK around 6400 permanent colostomies are created each year (NHS Inform, 2024a). Ileostomies are more common and around 9000 are created annually in England (NHS Inform, 2024b).

The person who has a stoma may require help and support from the community nurse upon discharge from hospital for months, or even years to come. The community nurses needs to have a good understanding of the anatomy and physiology, its indications and common complications.

Register now to continue reading

Thank you for visiting Community Nursing and reading some of our peer-reviewed resources for district and community nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month