WEB WOC Ostomy Care Questions with
Correct Answers Guaranteed Pass
3 major surgical procedures for colon and rectal cancer - Answer -1. colectomy without a stoma
2. low anterior resection with temporary stoma
3. abdominoperineal resection with permanent stoma
abdominoperineal resection - Answer -removal of the distal colon and rectum through both
abdominal and perineal approaches
*for low rectal tumors
*creates permanent sigmoid or descending colostomy
*wide resection done = risk for sexual dysfunction
ACE procedure - Answer -Malone antegrade continence enema (ACE) uses the appendix and
cecum to create a catheterizable stoma to instill an antegrade enema to empty the colon.
complete bowel obstruction management - Answer -become NPO, go to ER, once blockage is
relieved, increase volume of oral intake from clear liquids up to solid slowly
complete bowel obstruction s/s - Answer -no output
continent ileostomy (kock pouch) - Answer -total proctocolectomy performed and abdominal ileal
pouch is made. The continence mechanism is a nipple valve constructed in the pouch by intussusception.
crohn's disease - Answer -chronic inflammation of the intestinal tract
*Affects any portion of the GI tract
*Initially develops at terminal ileum, Cramping or steady RLQ pain, fever, malaise, weight loss, bleeding
may be occult, extracolonic manifestations
*Transmural (affects ALL layers of bowel wall) perforation of the bowel or fistula) mucosal inflammation
and ulceration - skip areas a hallmark
*Complications include strictures, FISTULAS, and abscess formation, bowel obstructions
, *Not cured with surgery, but a remission may result. Not generally a candidate for IPAA or other type of
continent diversion
descending colostomy complications - Answer -*monitor, prevent, and manage constipation
*may cause erectile dysfunction
descending colostomy disease and procedure - Answer -colorectal cancer, trauma, bowel
perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or permanent end colostomy with
Hartmann's pouch (sewing shut top of rectum with ability to reconnect to GI tract later)
descending colostomy function and management - Answer -*function may not begin for up to 5
days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy location - Answer -LLQ
Detubularized - Answer -Technique for constructing a continent colonic urinary reservoir.
Detubularization of the intestine is a necessary surgical technique to disrupt the peristalsis of the
intestine. This allows the intestine to become a reservoir instead of propelling the contents forward/out.
diverticulitis - Answer -inflammation or infection of the diverticula
s/s: Chronic fatigue, mild abdominal pain, bloating, constipation, diarrhea or fluctuating bowel habits
*Acute attack = abdominal pain LLQ
surgeries: resection of diseased bowel with colorectal anastomosis (no stoma) or temporary diverting
ostomy and hartmann's pouch
early stoma complications - Answer -(those that occur within 30 days of surgery)
Correct Answers Guaranteed Pass
3 major surgical procedures for colon and rectal cancer - Answer -1. colectomy without a stoma
2. low anterior resection with temporary stoma
3. abdominoperineal resection with permanent stoma
abdominoperineal resection - Answer -removal of the distal colon and rectum through both
abdominal and perineal approaches
*for low rectal tumors
*creates permanent sigmoid or descending colostomy
*wide resection done = risk for sexual dysfunction
ACE procedure - Answer -Malone antegrade continence enema (ACE) uses the appendix and
cecum to create a catheterizable stoma to instill an antegrade enema to empty the colon.
complete bowel obstruction management - Answer -become NPO, go to ER, once blockage is
relieved, increase volume of oral intake from clear liquids up to solid slowly
complete bowel obstruction s/s - Answer -no output
continent ileostomy (kock pouch) - Answer -total proctocolectomy performed and abdominal ileal
pouch is made. The continence mechanism is a nipple valve constructed in the pouch by intussusception.
crohn's disease - Answer -chronic inflammation of the intestinal tract
*Affects any portion of the GI tract
*Initially develops at terminal ileum, Cramping or steady RLQ pain, fever, malaise, weight loss, bleeding
may be occult, extracolonic manifestations
*Transmural (affects ALL layers of bowel wall) perforation of the bowel or fistula) mucosal inflammation
and ulceration - skip areas a hallmark
*Complications include strictures, FISTULAS, and abscess formation, bowel obstructions
, *Not cured with surgery, but a remission may result. Not generally a candidate for IPAA or other type of
continent diversion
descending colostomy complications - Answer -*monitor, prevent, and manage constipation
*may cause erectile dysfunction
descending colostomy disease and procedure - Answer -colorectal cancer, trauma, bowel
perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or permanent end colostomy with
Hartmann's pouch (sewing shut top of rectum with ability to reconnect to GI tract later)
descending colostomy function and management - Answer -*function may not begin for up to 5
days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy location - Answer -LLQ
Detubularized - Answer -Technique for constructing a continent colonic urinary reservoir.
Detubularization of the intestine is a necessary surgical technique to disrupt the peristalsis of the
intestine. This allows the intestine to become a reservoir instead of propelling the contents forward/out.
diverticulitis - Answer -inflammation or infection of the diverticula
s/s: Chronic fatigue, mild abdominal pain, bloating, constipation, diarrhea or fluctuating bowel habits
*Acute attack = abdominal pain LLQ
surgeries: resection of diseased bowel with colorectal anastomosis (no stoma) or temporary diverting
ostomy and hartmann's pouch
early stoma complications - Answer -(those that occur within 30 days of surgery)
