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Ostomy care

Kelly M Kenzik, Grant R Williams, Smita Bhatia, Courtney J Balentine
BACKGROUND: Little information is available on the long-term use of post-acute care among older patients with colorectal cancer (CRC), relative to individuals without cancer. This study examines the use of post-acute care among older cancer survivors (>65 y) with CRC and compares it with noncancer patients up to 5 years from surgery. DESIGN: Retrospective cohort. SETTING: SEER-Medicare. PARTICIPANTS: Patients treated for stage I to III CRC between January 1, 2000, and December 31, 2011 (n = 40 812) and noncancer Medicare beneficiaries hospitalized for noncancer treatment matching on age, sex, race, comorbidity, and Medicaid dual eligibility...
December 3, 2018: Journal of the American Geriatrics Society
S Federici, L De Biagi
Necrotizing enterocolitis (NEC) is a significant complication for premature newborns. Infants who survive NEC are at increased risk of having poor long-term physiological and neurodevelopmental growth. The objective of this paper is to give a comprehensive description of the long-term consequences of NEC. Despite the rise in incidence of NEC there is a paucity of data regarding long-term outcomes of these infants that can be divided into two groups. The first group includes gastrointestinal complications that could occur in relation to the bowel disease, the surgical treatment and quality of the residual bowel...
November 30, 2018: Current Pediatric Reviews
Sarah W Grahn, Ann C Lowry, Marc C Osborne, Genevieve B Melton, Wolfgang B Gaertner, Sarah A Vogler, Robert D Madoff, Mary R Kwaan
BACKGROUND: Hospital readmission is common after ileostomy formation and frequently associated with dehydration. OBJECTIVE: This study was conducted to evaluate a previously published intervention to prevent dehydration and readmission. DESIGN: This is a randomized controlled trial. SETTING: This study was conducted in 3 hospitals within a single health care system. PATIENTS: Patients undergoing elective or nonelective ileostomy as part of their operative procedure were selected...
November 26, 2018: Diseases of the Colon and Rectum
Adnan Qureshi, Joanne Cunningham, Anil Hemandas
Aim: The aim of this study was to compare general and stoma specific short term complications in patients having stoma surgery in either an emergency or elective setting during their index hospital stay. It also compares the complications specific to a stoma carried out by surgeons with or without a specialist interest in colorectal surgery. Background: The stoma created in emergency surgery has a high short and long term complication rate. Emergency stomas where the site has not been marked preoperatively by a stoma therapist are more prone to complications...
2018: Gastroenterology and Hepatology From Bed to Bench
Robin McGlade
No abstract text is available yet for this article.
November 2018: American Journal of Nursing
Patrick L Stoner, Amir Kamel, Fares Ayoub, Sanda Tan, Atif Iqbal, Sarah C Glover, Ellen M Zimmermann
Patients with inflammatory bowel disease (IBD) commonly require surgery despite the availability of an increasingly large repertoire of powerful immunosuppressive medications for the treatment of IBD. Optimizing patients' care preoperatively is crucial to obtaining good surgical outcomes. This review discusses preoperative assessment and management principles including assessing disease location and activity with cross-sectional or endoscopic imaging, addressing modifiable risk factors (i.e., stopping smoking, weaning steroids, and correcting anemia), and properly managing medications...
2018: Gastroenterology Research and Practice
Susan A Kayser, Catherine A VanGilder, Charlie Lachenbruch
BACKGROUND: Prevalence of hospital-acquired pressure injuries has declined over time. However, it is unknown if this decline is consistent for different stages of pressure injuries. It is also unknown if risk factors differ between superficial (stage 1 and 2) and severe (stage 3, 4, deep tissue, and unstageable) pressure injuries. OBJECTIVE: To examine changes in prevalence of superficial and severe hospital-acquired pressure injuries from 2011 to 2016. To evaluate differences between risk factors associated with superficial versus severe hospital-acquired pressure injuries...
September 8, 2018: International Journal of Nursing Studies
Danielle R Heller, Raymond A Jean, Alexander S Chiu, Shelli I Feder, Vadim Kurbatov, Charles Cha, Sajid A Khan
BACKGROUND: The benefits of palliative care (PC) in critical illness are validated across a range of diseases, yet it remains underutilized in surgical patients. This study analyzed patient and hospital factors predictive of PC utilization for elderly patients with colorectal cancer (CRC) requiring emergent surgery. METHODS: The National Inpatient Sample was queried for patients aged ≥ 65 years admitted emergently with CRC from 2009 to 2014. Patients undergoing colectomy, enterectomy, or ostomy formation were included and stratified according to documentation of PC consultation during admission...
September 4, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Deniz Harputlu, Süheyla A Özsoy
Home care services are effective in many patient groups. PURPOSE: The authors examined the effect of specialized ostomy care in the home on peristomal skin complications and patient quality of life (QOL). METHOD: A prospective, experimental study was conducted among 35 people >18 years old with a colostomy or ileostomy and peristomal skin complications who were listed in 2 ostomy supplier databases. Participants were alternatively allocated to 6 home care visits (intervention [IG], n = 18) or 2 outpatient/clinic care [CG] visits (control, n = 17)...
October 2018: Ostomy/wound Management
Qiankun Geng, Yongming Wang, Lei Li, Chunbao Guo
Current surgical strategies for necrotizing enterocolitis (NEC) include primary drainage, resection with enterostomies, and primary anastomosis. There is considerable controversy regarding the preferable surgical management of NEC. We sought to investigate whether the surgical outcomes of newborns with NEC undergoing exploratory laparotomy differed according to the location of the disease site.A total of 204 patients with NEC following laparotomy between July 2007 and May 2017 were retrospectively reviewed...
September 2018: Medicine (Baltimore)
Victor Maciel, Wilmer Mata, Gabriel Arevalo, Marianna Zeichen, Timothy Glass
OBJECTIVE: To present our technique of robotic retrorectus parastomal hernia repair. BACKGROUND: Parastomal hernias represent a significant problem with high recurrence and long-term complications. An estimated of 120,000 new stomas are created per year with a prevalence of up to 800,000 patients in the U.S. 40-60% of these ostomies will never be reversed. Parastomal hernias cause skin breakdown and make adherence of ostomy appliances difficult, creating the need for frequent bag exchanges...
September 24, 2018: Journal of Robotic Surgery
Francesca Caroppo, Marta B Brumana, Giulia Biolo, Edoardo Giorato, Maria Barbierato, Anna Belloni Fortina
BACKGROUND: Peristomal allergic contact dermatitis is an emerging problem and contact sensitization is probably more common than previously thought. Our objective was to identify sensitization to the most common topical equipment for ostomy in patients with history of peristomal dermatitis. METHODS: 26 patients with suspected peristomal contact dermatitis were patch tested with our standard series and with products for stoma care (adhesive pastes, powders, adhesive skin barriers)...
September 20, 2018: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
Katherine Zimnicki, Barbara Pieper
Care of the patient with an ostomy is included in the curriculum of prelicensure nursing programs, but no studies examining student nurses' knowledge about stoma care have been published. The purpose of this project was to examine the ostomy knowledge, experiences, and confidence of nursing students in order to assess and improve the curriculum. At the end of the fall 2016 semester, students enrolled in 3 separate nursing courses in an undergraduate program were asked to participate in a project to examine students' ostomy knowledge, their experiences, and their confidence in providing care...
August 2018: Ostomy/wound Management
Alaina M Lasinski, Lindsay Gil, Anai N Kothari, Michael J Anstadt, Richard P Gonzalez
Previous literature demonstrates the safety of primary repair in penetrating colon injury requiring resection, without the creation of a diverting ostomy. It is unknown whether a similar approach can be applied to patients with blunt colon injury. The aim of this study was to measure outcomes in patients who underwent colon resection with and without ostomy creation after blunt trauma injury to help direct future management. Using the National Trauma Data Bank for years 2008 to 2012, we identified patients with blunt trauma mechanisms who underwent colectomy...
August 1, 2018: American Surgeon
John M David, Gillian Gresham, Salma K Jabbour, Matthew Deek, Shant Thomassian, John M Robertson, Neil B Newman, Joseph M Herman, Arsen Osipov, Peyman Kabolizadeh, Richard Tuli
Background: Neoadjuvant chemoradiation (NeoCRT) is standard of care for the treatment of locally advanced rectal cancer (LARC). Contemporary radiation techniques and pre-treatment imaging may impact toxicities and pathologic response (PR). Herein we compare intensity modulated radiotherapy (IMRT) and advanced pre-treatment imaging in the neoadjuvant treatment of LARC and resulting impact on toxicities and pathologic outcomes relative to 3 dimensional conformal radiotherapy (3DCRT). Methods: LARC patients treated at 4 large academic centers in the US from 2007-2016 were reviewed...
August 2018: Journal of Gastrointestinal Oncology
Alexander V Fisher, Stephanie A Campbell-Flohr, Laura Sell, Emily Osterhaus, Alexandra W Acher, Kristine Leahy-Gross, Maria Brenny-Fitzpatrick, Amy J H Kind, Pascale Carayon, Daniel E Abbott, Emily R Winslow, Caprice C Greenberg, Sara Fernandes-Taylor, Sharon M Weber
BACKGROUND: Transitional care protocols are effective at reducing readmission for medical patients, yet no evidence-based protocols exist for surgical patients. A transitional care protocol was adapted to meet the needs of patients discharged to home after major abdominal surgery. APPROACH: The Coordinated-Transitional Care (C-TraC) protocol, initially designed for medical patients, was used as the initial framework for the development of a surgery-specific protocol (sC-TraC)...
December 2018: Joint Commission Journal on Quality and Patient Safety
Dong Wook Shin, Jeong-Won Lee, Jin Hyung Jung, Kyungdo Han, So Young Kim, Kui Son Choi, Jong Heon Park, Jong Hyock Park
Purpose Using the linked administrative database in Korea, we investigated (1) whether cervical cancer screening participation differed by the presence of varying degrees and types of disability; (2) trends in the cervical cancer screening rate relative to disabilities over time; and (3) factors associated with cervical cancer screening. Methods We linked national disability registration data with national cancer screening program data. Age-standardized participation rates were analyzed for each year during the period 2006 to 2015, according to the presence, type, and severity of disabilities...
September 20, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Burkhard Stoffels, Nils Sommer, Christine Berteld, Tim Vilz, Martin von Websky, Jörg C Kalff, Dimitrios Pantelis
INTRODUCTION: Complications following the creation of permanent intestinal ostomies are common and lead to serious problems in the stoma care of affected patients. The aim of this prospective, single-centre follow-up study was to record the rate of late complications in our own patient group and to identify potential risk factors. METHODS: All patients who received a permanent intestinal ostomy in our clinic within the period 2006 - 2016 were included in the study...
August 1, 2018: Zentralblatt Für Chirurgie
Jeanette Fingren, Elisabet Lindholm, Charlotta Petersén, Anne-Marie Hallén, Eva Carlsson
Having ostomy surgery changes a person's life. To assess adjustment to life with an ostomy and quality of life (QOL) 1 year after ostomy surgery, a prospective, explorative study was conducted among patients of a stoma clinic at a university hospital in Sweden. All consecutive patients who had undergone nonemergent or emergency surgery involving formation of an ostomy and who received regular follow-up at the ward and at the outpatient clinic during the first year by an enterostomal therapist (ET) were prospectively included in the study; their demographic information (including age, gender, diagnosis/reason for an ostomy, nonemergent or emergency surgery, ostomy type, preoperative counselling/siting [Yes/No], self-sufficiency in stoma care, professional activity, and whether they lived with a spouse/partner) was recorded upon admission to the study...
June 2018: Ostomy/wound Management
Hongtao Xian, Yu Zhang, Yang Yang, Xiaoxue Zhang, Xinran Wang
Physiological, psychological, and social problems may affect adaptation to living with a stoma. A descriptive, cross-sectional study was conducted between March 2017 and June 2017 among patients culled from a manufacturer's database to identify factors that influence psychosocial adjustment in Chinese patients with an enterostoma. Patients with a history of ostomy surgery ≥1 month prior and who were ≥18 years of age, completed a primary school education, and able to communicate in Chinese were eligible to participate unless they had a history of psychosis, cognitive impairment, or participation in other research programs...
July 2018: Ostomy/wound Management
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