Stoma Care

Stoma Care is a comprehensive and authoritative guide for
all nurses and health care professionals with an interest in bowel
conditions that may lead to stoma formation.

It explores the anatomy and physiology of the urinary and
gastrointestinal system, and looks at topics including familial
adenomatous polyposis, continence issues, nutrition, and conditions
leading to stoma formation, complications, fistulae and intestinal
failure. It also discusses the role of the nurse in surgery and in
pre-and post-operative care.

Autorentext

Jennie Burch is a?Clinical Nurse Specialist at St Mark's Hospital, Harrow, UK.

Zusammenfassung
Stoma Care is a comprehensive and authoritative guide for all nurses and health care professionals with an interest in bowel conditions that may lead to stoma formation. It explores the anatomy and physiology of the urinary and gastrointestinal system, and looks at topics including familial adenomatous polyposis, continence issues, nutrition, and conditions leading to stoma formation, complications, fistulae and intestinal failure. It also discusses the role of the nurse in surgery and in pre-and post-operative care.

Inhalt
List of contributors. Acknowledgements.

Preface.

Introduction.

1 Stomas: The Past, Present and Future (Jennie Burch).

Introduction.

The history of stomas.

Stomas.

Stoma care nursing.

Roles of the stoma specialist nurse.

Present day stoma care.

Support groups.

The future of stoma care.

References.

2 Anatomy and Physiology of the Urinary and Gastrointestinal System (Jennie Burch).

Introduction.

The skin.

Wound healing process.

The abdominal wall.

The peritoneum.

The gastrointestinal tract.

The digestive process.

The bowel wall.

Blood supply.

Lymphatic supply.

Mouth.

Oesophagus.

Stomach.

Small intestine.

Duodenum.

Jejunum and ileum.

Large intestine.

Caecum.

Ascending colon.

Transverse colon.

Descending colon.

Sigmoid colon.

Rectum.

Anal canal.

Accessory organs associated with the GI tract.

The liver.

The gallbladder.

The pancreas.

The spleen.

Urinary system.

References.

3 Colorectal Cancer and Adjunct Therapy (Deep Tolia-Shah).

Introduction.

Incidence.

Possible causal factors.

Symptoms and clinical presentations.

Assessment, staging investigations and the multidisciplinary team.

Multidisciplinary team.

Pre-operative staging.

Surgery.

Histopathology.

Adjuvant chemotherapy.

Effects of chemotherapy on stomas.

Radiotherapy.

Palliative chemotherapy.

Surveillance and follow-up.

Screening.

Conclusion.

Further information and websites.

References.

Further reading.

4 Infl ammatory Bowel Disease (Jennie Burch).

Introduction.

Crohn's disease.

Ulcerative colitis.

Infl ammatory bowel disease statistics.

Signs and symptoms for ulcerative colitis.

Crohn's disease: signs and symptoms.

Aetiology of IBD.

Diagnosing IBD.

Medical therapy for IBD.

Dietary therapy for IBD.

Surgery for Crohn's disease.

Surgery for ulcerative colitis.

Malignancy in ulcerative colitis.

Malignancy in Crohn's disease.

Extra-intestinal manifestations.

Other medical issues in IBD.

Fertility in IBD.

Patient education.

Conclusion.

References.

5 Familial Adenomatous Polyposis (Jacquie Wright and Kay Neale).

Introduction.

The Polyposis Registry and research.

Diagnosing FAP.

Bowel screening of relatives 'at-risk'.

Surgery.

Colectomy with IRA.

Restorative proctocolectomy.

Total/panproctocolectomy.

Upper GI disease.

Extra-colonic manifestations (ECMs).

Desmoid disease.

An accessible expert centre.

References.

6 Continence (Julie Duncan and Christine Norton).

Introduction.

Normal bladder and bowel control.

Risk factors for incontinence.

Obstetric trauma to the pelvic floor.

Age.

Investigations.

Treatment of incontinence.

Practical management.

Surgical interventions.

Conclusion.

Useful websites.

References. **7 Othe...