WEB WOC Ostomy Care | Newest Questions
and Answers | 2026 Update | Expert Verified
• jejunostomy location -✓✓ LUQ
*frequently not marked by the WOC nurse
• jejunostomy disease and procedure -✓✓ ischemic bowel, crohn's, trauma,
necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without
small bowel resection, loop or end stoma
• jejunostomy function and management -✓✓ *function begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
• jejunostomy complications -✓✓ *monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
• ileostomy location -✓✓ RUQ
• ileostomy disease and procedure -✓✓ crohn's, ulcerative colitis, familial
adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic bowel
,total proctocolectomy with end ileostomy, total proctocolectomy with continent
ileostomy, temporary ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
• ileostomy function and management -✓✓ *function begins in 24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
• ileostomy complications -✓✓ *high risk for bowel obstruction-instruct pt to chew
food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
• transverse colostomy location -✓✓ RUQ or LUQ
• transverse colostomy disease and procedure -✓✓ diverticulitis, colon cancer,
crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy,
usually temporary loop stoma
• transverse colostomy function and management -✓✓ *function begins within 48
hours
*initially gas, then mushy or semi-formed
, *may have urge to poop with mucous from rectum
*no effect on nutritional absorption
• transverse colostomy complications -✓✓ *waistline location can be difficult to
manage
• descending colostomy location -✓✓ LLQ
• descending colostomy disease and procedure -✓✓ 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 -✓✓ *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 complications -✓✓ *monitor, prevent, and manage
constipation
*may cause erectile dysfunction
and Answers | 2026 Update | Expert Verified
• jejunostomy location -✓✓ LUQ
*frequently not marked by the WOC nurse
• jejunostomy disease and procedure -✓✓ ischemic bowel, crohn's, trauma,
necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without
small bowel resection, loop or end stoma
• jejunostomy function and management -✓✓ *function begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
• jejunostomy complications -✓✓ *monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
• ileostomy location -✓✓ RUQ
• ileostomy disease and procedure -✓✓ crohn's, ulcerative colitis, familial
adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic bowel
,total proctocolectomy with end ileostomy, total proctocolectomy with continent
ileostomy, temporary ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
• ileostomy function and management -✓✓ *function begins in 24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
• ileostomy complications -✓✓ *high risk for bowel obstruction-instruct pt to chew
food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
• transverse colostomy location -✓✓ RUQ or LUQ
• transverse colostomy disease and procedure -✓✓ diverticulitis, colon cancer,
crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy,
usually temporary loop stoma
• transverse colostomy function and management -✓✓ *function begins within 48
hours
*initially gas, then mushy or semi-formed
, *may have urge to poop with mucous from rectum
*no effect on nutritional absorption
• transverse colostomy complications -✓✓ *waistline location can be difficult to
manage
• descending colostomy location -✓✓ LLQ
• descending colostomy disease and procedure -✓✓ 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 -✓✓ *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 complications -✓✓ *monitor, prevent, and manage
constipation
*may cause erectile dysfunction
