Sometimes treating diseases of the digestive or urinary systems involves removing all or part of your small intestine, colon, rectum or bladder. In these cases, there must be a new way for wastes to leave the body. The surgery to create the new opening in the abdomen is called ostomy. The opening is called a stoma.
There are many different types of ostomy. Some examples are
- Ileostomy: The surgeon removes the colon and rectum and attaches the bottom of the small intestine (ileum) to the stoma.
- Colostomy: The surgeon removes the rectum and attaches the colon to the stoma.
- Urostomy: The surgeon attaches the ureters - the tubes that carry urine to the bladder - to either the small intestine or to the abdominal wall.
National Institute of Diabetes and Digestive and Kidney Diseases
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Ileostomy, Colostomy and Ileoanal Reservoir Surgery
(National Institute of Diabetes and Digestive and Kidney Diseases) - http://digestive.niddk.nih.gov/ddiseases/pubs/ileostomy/index.htm
- Ostomy(American Society of Colon and Rectal Surgeons) - http://www.fascrs.org/patients/treatments_and_screenings/ostomy/
- Coping with a Colostomy: One Man's Story(American Cancer Society) - http://www.cancer.org/docroot/NWS/content/NWS_2_1x_Coping_With_a_Colostomy_One_Mans_Story.asp
- Ostomy: Adapting to Life After Colostomy, Ileostomy or Urostomy(Mayo Foundation for Medical Education and Research) - http://www.mayoclinic.com/print/ostomy/SA00072/METHOD=print
- Stomas (or Ostomies)(American Cancer Society) - http://www.cancer.org/docroot/MBC/content/MBC_2_3x_Stomas.asp?sitearea=MBC
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Colostomy
(Patient Education Institute) - Requires Flash Player - http://www.nlm.nih.gov/medlineplus/tutorials/colostomy/htm/index.htm
Also available in Spanish http://www.nlm.nih.gov/medlineplus/spanish/tutorials/colostomyspanish/htm/index.htm - Colostomy Guide(American Cancer Society) - http://www.cancer.org/docroot/CRI/content/CRI_2_6x_Colostomy.asp?sitearea=&level=
- Ileostomy Guide(American Cancer Society) - http://www.cancer.org/docroot/CRI/content/CRI_2_6x_Ileostomy.asp
- Laparoscopic Fecal Diversion: Basic Surgical Steps(Cleveland Clinic Foundation) - http://my.clevelandclinic.org/services/laparoscopic_surgery/hic_laparoscopic_fecal_diversion_basic_surgical_steps.aspx
- Stomas(American Cancer Society) - http://www.cancer.org/docroot/MBC/content/MBC_3_2X_Stomas.asp?sitearea=MBC
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Urostomy and Continent Urinary Diversion(National Institute of Diabetes and Digestive and Kidney Diseases) - http://kidney.niddk.nih.gov/kudiseases/pubs/urostomy/
- Diversion Colitis(Merck & Co., Inc.) - http://www.merck.com/mmhe/sec09/ch126/ch126e.html
- Effects of Cancer Treatments: Urostomy, Colostomy, and Ileostomy(American Cancer Society) - http://www.cancer.org/docroot/MIT/content/MIT_7_2X_Special_Aspects_of_Some_Cancer_Treatments_Women.asp?sitearea=MIT
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Ostomy Self-Management: Food and Your Stoma(Greenwich Hospital) - Links to PDF - http://www.greenhosp.org/pe_pdf/diet_ostomy.pdf
Also available in Spanish http://www.greenhosp.org/pe_pdf_espanol/diet_ostomy.pdf
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Ostomy Self-Management: Ostomy Care(Greenwich Hospital) - Links to PDF - http://www.greenhosp.org/pe_pdf/surgery_ostomy.pdf
Also available in Spanish http://www.greenhosp.org/pe_pdf_espanol/surgery_ostomy.pdf
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Colostomy(Patient Education Institute) - Requires Flash Player - http://www.nlm.nih.gov/medlineplus/tutorials/colostomy/htm/index.htm
Also available in Spanish http://www.nlm.nih.gov/medlineplus/spanish/tutorials/colostomyspanish/htm/index.htm
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ClinicalTrials.gov: Colostomy(National Institutes of Health) - http://clinicaltrials.gov/search/open/term=colostomy
References and abstracts from MEDLINE/PubMed (National Library of Medicine)
- Article: Safety and effectiveness of radiologic percutaneous gastrostomy and gastro jejunostomy... - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=18806160&tool=MedlinePlus
- Article: Bioavailability of polyphenon E flavan-3-ols in humans with an ileostomy. - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=18641203&tool=MedlinePlus
- Article: Surgical management and outcomes of patients with duodenal Crohn's disease. - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=18589359&tool=MedlinePlus
- Ostomy -- see more articles - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=pubmed&term=(ureterostomy[mh]+OR+enterostomy[mh])+AND+humans[mh]+AND+english[la]+AND+(guideline[pt]+OR+review[pt]+OR+clinical+trial[pt]+OR+patient+education+handout[pt]+OR+jsubsetk[text]+OR+jsubsetaim[text]+OR+jsubsetn[text])+NOT+(letter[pt]+OR+editorial[pt])&doptcmdl=summary&cmd_current=Limits&pmfilter_EDatLimit=last+1+Year&tool=MedlinePlus
- Nurse Referral Center(Wound, Ostomy, and Continence Nurses Society) - http://www.wocncenter.com/public/member_directory.cfm
- American Society of Colon and Rectal Surgeons - http://www.fascrs.org/
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National Institute of Diabetes and Digestive and Kidney Diseases - http://www.niddk.nih.gov/
- Digestive System - http://www.nlm.nih.gov/medlineplus/digestivesystem.html
- Kidneys and Urinary System - http://www.nlm.nih.gov/medlineplus/kidneysandurinarysystem.html
- Surgery and Rehabilitation - http://www.nlm.nih.gov/medlineplus/surgeryandrehabilitation.html
The primary NIH organization for research on Ostomy is the National Institute of Diabetes and Digestive and Kidney Diseases - http://www.niddk.nih.gov/