Digestive, urinary, what is the role of feces?


An ostomy is performed when the digestive system (intestines, colon, and ureters) is unable to empty stool or urine, for example. The stoma can be digestive (intestinal) or urinary. Indications, diseases involved, intervention, complications …

in medical language, A stoma is an opening in the body. exist Multiple types stoma. It could be the stoma gastrointestinal or intestinal tract (in this case, the opening is made in the colon or small intestine to empty stool or remove a polyp for example), or it could be urinary To excrete urine that cannot be excreted normally. What causes the vulnerability? How is the stoma performed? What are the risks? Multiples? What is the life expectancy with an aperture? Learn all about it with Dr. Sophie Bittle, gastro-rectal surgeon at the Alleray-Labrouste Clinic.

Definition: What is a stoma?

The loophole is Diverting stool or urine into the skin by surgery. These operations are performed on people whose disorders, trauma or illness prevent them from meeting their needs normally. The stoma can be temporary or permanent. About 16,000 stomas are performed in France each year.

What are the types of stoma?

There are two types of stoma:

  • The digestive stoma or bowel that corresponds to a deviation in the intestine (enterostomy) or colon (colostomy)
  • Urinary stoma (or ureterostomy) which corresponds to a ureteral deviation.
stroma chart
Diagram of the opening (surgical opening) © designua – 123RF

What is the digestive stoma?

The digestive stoma corresponds toStent piece of the digestive tractWhether it is the small intestine or the colon, to the skin. Most often, the colostomy is located in the left part of the abdomen, and the enterostomy is in the right. The colon or ileum is opened to the outside of the body to allow the release of stool and gases. It could be the digestive stoma temporary or permanent.

What is a urostoma?

Gastrostomy © 123RF – Vadim Zaitsev

The urinary stoma is set Urinary tract skin contact. This means that a new hole has been created in the skin to allow urine to be expelled from the body. A urostomy can be performed on the right or left of the lower abdomen, depending on the condition being treated and the patient’s anatomy.

What diseases can cause a stoma?

A stoma may be done when part of the intestine needs to be removed or bypassed. These interventions can be performed as part of the treatment of the following diseases (non-exhaustive list):

  • Colon Cancer
  • Rectal cancer
  • anal cancer
  • ulcerative colitis or Crohn’s disease
  • Familial adenomatous polyposis
  • bowel obstruction (intestinal obstruction)
  • diverticulitis
  • Congenital malformations of the intestine …

What does stoma occlusion mean?

A blocked stoma doesn’t mean much, Sometimes a blockage can form at the outlet just under the skin and it is sufficient to insert a gloved finger to remove the obstruction-It’s very rare. Signs of obstruction (vomiting, abdominal pain, impossibility to get gases and feces into the pocket), these should be referred urgently and the scanner will look for the cause of the obstruction, possibly not related to the stoma but to the disease that led to the placement of the stoma”says Dr. Sophie Bittle.

When should you consult (if at all)?

Therefore, consultation is necessary When there is no gas coming out of the pocketthat stool production has stopped, that you are vomiting and can no longer eat. “the The degree of urgency varies according to the type of vulnerabilityBecause the stoma in the small intestine is excreted continuously, while the stoma in the colon passes stool into the ostomy bag sometimes every day, but not necessarily continuously. Specifies a gastrointestinal and rectal surgeon.

“The forbidden stoma is not It is not a frequently occurring phenomenon. The diagnosis is made when the patient complains of pain and notices the cessation of gas and stool emissions. If it is indeed an obstruction, placing a finger in the stoma is usually sufficient to cure it”, indicates the specialist.

What is the treatment for stoma obstruction?

the Processing is manual Insertion of a finger into the opening to remove the blockage. When it comes to an anatomical problem, for example if the skin becomes blocked, surgery is necessary.

What are the indications for an ostomy bag?

The indications for stoma are numerous, the most common being:

► single Acute abdominal diseases such as peritonitis : A gastroenterologist cannot make a gastrointestinal incision in the abdomen because it will not hold. So it connects the intestines to the skin while the stomach heals. After a few weeks, he will be able to make an incision in the digestive tract to restore continuity in better conditions.

Some scheduled surgeries : For example, in the case of rectal cancer, when anastomosis between the colon and the anus is indicated, a stoma may be made on the small intestine while the junction between the colon and the anus is healing.

“There is, too Stomach feeding, which consists of placing a tube in the patient to feed him. When we put the stomach on the skin, it is a gastrostomy, and when we put the jejunum, that is, the first part of the small intestine, it is in the skin, the jejunostomy.” Dr. Sophie Bittle adds.

How long to wear a temporary stoma?

The stoma is temporary when it is reversible. When to wear them depends on when the dysfunctional part of the intestine has healed. On average, the stoma is worn for an estimated average of 3 to 9 months.

What are the possible complications of an ostomy?

Complications of a digestive stoma include:

  • turbulent transit (Diarrhea, constipation, abdominal pain, gas…)
  • prolapse (exiting the intestine through the opening)
  • stenosis
  • eviscerate

Complications of a urostomy include:

  • Displacement or obstruction of the probe
  • risk of urinary tract infections
  • theSkin opening infection

What is the life expectancy with an aperture?

It is not the stoma that prevents life, but the pathology for which it was performed can affect the vital prognosis“, Notsays our expert. This intervention leads to a change in body image, as people with stomas are embarrassed by gas noises that come out in this way without being able to control it, and smells.. “But when patients are independent enough to manage their stoma, they can live completely normally. The rule should be changed every three days and the pocket emptied when it is full,” Our interlocutor reassures.

Thanks to Dr. Sophie Bittle, gastro-rectal surgeon at the Alleray-Labrouste Clinic in Paris.


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