Summary

There are a number of types of ostomies, including urinary, ileostomy, and colostomy. The most common type of ostomy is the sigmoid colostomy, which is placed due to cancer, intestinal tract disease, or congenital anomalies of the intestinal tract. In some cases, trauma can lead to the placement of an ostomy. Ostomies may be permanent or temporary. Sigmoid colostomies are usually permanent and may use a pouching system depending on patient preference, appropriateness for irrigation and cap management, and other factors.

The initial placement of an ostomy requires close monitoring for complications and size. Management requires adequate patient education for ongoing management of their ostomy, the supplies, tips to maintain normal activities, and ability to assess and report signs and symptoms of complications. Patient adjustment depends greatly on their understanding of what to expect, how to manage their ostomy and associated equipment and supplies, and coping strategies.

Resources

The United Ostomy Associations of America, Inc. provides both patient and caregiver information for ostomy topics of interest.

Electronic format for guidebooks, reference cards, brochures, fact sheets, and patient information from WOCNs:
http://www.uoaa.org/ostomy_info/

Location of support groups around the United States and elsewhere:
http://www.uoaa.org/supportgroups.shtml

An Intenational Ostomy Association provides basic information on ostomies and links to publications and other resources:
http://www.ostomyinternational.org/

In addition, several manufacturers and suppliers, including Byram Healthcare have web sites with useful information for the patient with an ostomy.
www.byramhealthcare.com