GUIDE WITH DETAILED RATIONALES AND
VERIFIED ANSWERS
⩥ Ileal Conduit / colon conduit. Answer: acolon / use transverse or
sigmoid colon if pre existing small bowel disease and small boel damage
by pelvie radiation. LLQ or RLQ
Loop end stoma may be utilized in the obese patient.
Due to malignancy caused by aggressive high grade urothelial or
transitional cell carcinoma of the bladder.
Ileal or, less frequently seen, colon conduit is used to divert urine in
malignant disease, easy to care for, fewer complications than other
diversion.
Management: INCONTINENT STOMA
stents. If a rod or bridge used for support of loop end stoma, it is
removed upon healing in 5 days - 3 weeks.
COMPLICATIONS / DISADVANTAGES
Renal function deterioration
Hyperchloremic hypokalemic metabolic acidosis
Use of a pouching system
A MALIGNANCY CAUSED BY AGGRESSIVE HIGH GRADE
UROTHELIAL OR TRANSITIONAL CELL CARCINOMA OF THE
BLADDER.
, ⩥ The patient who is NPO for several days is at risk for atrophy of
which of the following structures in the mucosal surface of the sb?.
Answer: Villi
⩥ The section of the bowel with the greatest bacteria is. Answer: distal
portion of the colon
⩥ A patient receiving an ileal pouch likely has what disease?. Answer:
Colorectal cancer
⩥ for a patient experiencing a recurrence of Crohns what s/s?. Answer:
Obstructive abd pain
⩥ Ulcerative colitis commonly exhibits s/s?. Answer: superficial
mucosal involvement
UC s/s is freq bloody stools with fecal urgency and iflammation of the
colon limited to superficial mucosal lining. Fistula formation is typical
with Crohns dz, never UC
⩥ When a stoma is noted to be primarily matured, what do you expect?.
Answer: The bowel was everted and sutured to the dermal surface
during surgery.
Primarily matured stoma, Brooke style and everted are all terms to
describe the surgical approach to maturing a stoma. The bowel is verted
or cuffed like a sock and sutured to subcuticular dermal tissue at the end