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Enterostomal Therapy in the Management of the Patient with Crohn’s Disease

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Crohn’s Disease

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Abstract

The patient living with Crohn’s disease is likely at some time in the course of disease to undergo surgical management and in certain cases the surgical management will include the creation of a fecal diversion. Living with a stoma can be a daunting experience for the patient and to help them through the adjustment phase several important components need to be included in the plan of care. This chapter will cover the following issues that must be included in the ostomy patient’s care: thorough pre-operative patient education, stoma site marking, post-operative management, selection of the pouching system, post discharge follow-up, and the management of select peristomal and stoma complications: peristomal skin irritation, peristomal fistula, peristomal pyoderma gangrenosum, stoma stricture, and high output stoma.

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Author information

Authors and Affiliations

  1. Advanced Practice Nurse: Wound Ostomy and Skin Care, Department of General Surgery, The University of Chicago Medicine, 5841 S. Maryland Avenue, MC1083, 60637, Chicago, IL, USA

    Janice C. Colwell RN, MS, CWOCN, FAAN

Authors
  1. Janice C. Colwell RN, MS, CWOCN, FAAN
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Correspondence to Janice C. Colwell RN, MS, CWOCN, FAAN .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Washington Medical Center, Seattle, Washington, USA

    Alessandro Fichera

  2. Department of Surgery, University of Washington Medical Center, Seattle, Washington, USA

    Mukta K. Krane

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© 2015 Springer International Publishing Switzerland

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Colwell, J.C. (2015). Enterostomal Therapy in the Management of the Patient with Crohn’s Disease. In: Fichera, A., Krane, M. (eds) Crohn’s Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-14181-7_20

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  • DOI: https://doi.org/10.1007/978-3-319-14181-7_20

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14180-0

  • Online ISBN: 978-3-319-14181-7

  • eBook Packages: MedicineMedicine (R0)

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