Crohn's Disease: The Complete Guide to Medical Management

Gary R. Lichtenstein, MD, FACP, FACG, AGAF

Chapter 36: Medical Management of the Patient with an Ostomy (continued)

Aaron Brzezinski, MD, FRCP(C)

Intestinal stomas in inflammatory bowel disease (IBD) patients are used to treat complications of the disease such as obstruction, fistula, and neoplasia; in refractory disease, they protect a distal anastomosis or serve as the permanent end of the gastrointestinal tract. Stomas can be constructed either from small intestine or from the colon and are either temporary or permanent. Temporary stomas can be constructed as a loop; permanent stomas are usually an end ileostomy or a colostomy. Early complications occur within 1 month of surgery, and late complications can occur years after stoma…