Physiologic and Metabolic Effects of Intestinal Stomas

  • John Rombeau


Surgical construction of both ileostomies and colostomies continues to evolve. This is due, in part, to improved laparoscopic training, which is now becoming available throughout the world. Moreover, laparoscopy provides the opportunity to perform intestinal stomas in a safe, minimally invasive, and efficacious manner in patients with increased operative risks, and significant comorbidities. These high-risk patients are in turn predisposed to increased postsurgical physiologic and metabolic complications. Residual intestinal disease, previous bowel resection, the anatomic site of the ostomy, and loss of continence all produce physiologic and metabolic complications. To treat these complications efficaciously, it is imperative for surgeons to understand the normal physiologic and metabolic functions of the small intestine and colon in addition to the specifics of stomal dysfunction.


Small Bowel Bile Salt Short Bowel Syndrome Uric Acid Stone Bacterial Fermentation 
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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Veterans AffairsPalo Alto Health Care SystemPalo AltoUSA

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