Pocket Guide to IBD, Second Edition

Marla Dubinsky, MD; Sonia Friedman, MD

Chapter 15: The Patient With An Ostomy (continued)

Nimisha K. Parekh, MD

Patients with ulcerative colitis undergoing an ileal pouch–anal anastomosis will have a temporary ostomy, and certain patients with Crohn’s disease may undergo a temporary or permanent ileostomy or colostomy. Between 6% and 66% of these patients will have stoma-related issues. Living with a stoma can be difficult for a patient due to fear and change in body image, as well as complications. Routine follow up to check the function of the stoma, the integrity of the pouching system, and the patient’s physical and emotional well-being is essential for the prevention of, and…