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OstomyOOstomyOstomyEnglishGastrointestinalChild (0-12 years);Teen (13-18 years)Small Intestine;Large Intestine/ColonSmall intestine;Large intestineProceduresCaregivers Adult (19+)NA2013-11-19T05:00:00ZKimberly Colapinto RN (EC), MN, CETN (C);Theresa Allan RN, ET7.0000000000000073.0000000000000983.000000000000Health (A-Z) - ProcedureHealth A-Z<p>An ostomy is an opening to collect urine or stool outside the body. Learn some basic tips to help care for your child's ostomy.</p><h2>What is an ostomy?</h2><p>An ostomy is an opening from the inside of the body to the outside, on the abdomen (tummy). It can be temporary or permanent.</p><p>An ostomy helps your child get rid of stool or urine if their intestine or urinary tract does not work properly. It is created during surgery (an operation).</p><p>Ostomies have different names depending on where they are on your child's body. For example, an opening from the intestine to the abdomen is an ileostomy or a colostomy. An opening from the urinary tract to the abdomen is called a urostomy. </p> <figure> <span class="asset-image-title">Gastrointestinal (GI) </span> <span class="asset-image-title"></span><span class="asset-image-title">tract</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_digestive_system_V3_EN.jpg" alt="Location of salivary glands, esophagus, stomach, liver, gallbladder, pancreas, small and large intestines and anus" /><figcaption class="asset-image-caption">The</figcaption><figcaption class="asset-image-caption"></figcaption><figcaption class="asset-image-caption"> gastrointestinal tract begins at the mouth and ends at the anus.</figcaption> </figure><h2>Key points</h2> <ul> <li>An ostomy is an opening from the inside of the body to the outside, through the abdomen. The end of the ostomy is called the stoma.</li> <li>Stool or urine is collected outside the body in a bag called an ostomy pouch. Always carry a spare pouch in case of leaks.</li> <li>Call your nurse if you have questions about the ostomy, the pouch or any skin irritation around the stoma.</li> <li>Call your doctor if your child has diarrhea, a fever or much longer delays between bowel movements than normal, if their vomit is green or if the stoma does not stop bleeding.</li> </ul><h2>When to get medical help </h2> <h3>Call your child's nurse if: </h3> <ul> <li>your child has a rash or other problems with the skin around the stoma</li> <li>the ostomy pouch leaks a lot</li> <li>you have any questions about the ostomy and ostomy pouch</li> </ul> <h3>Call your child's doctor if: </h3> <ul> <li>your child develops <a href="/Article?contentid=7&language=English">diarrhea</a></li> <li>a lot more stool than usual collects in the pouch over a few hours</li> <li>your child is unusually sleepy</li> <li>your child is not making urine</li> <li>your child has a <a href="/Article?contentid=30&language=English">fever</a> of 38.5°C (101°F) or higher</li> <li>there is a major change in the stoma's size or colour for more than a few minutes</li> <li>the stoma bleeds more than a small amount or will not stop bleeding</li> <li>your child has less frequent bowel movements</li> <li>your child is crying non-stop or otherwise seems to be in <a href="/pain">pain</a></li> <li>your child's belly becomes firm and bloated</li> <li>your child has green <a href="/Article?contentid=746&language=English">vomit</a>, even once</li> </ul> <h2>Important phone numbers </h2> <p>My child's surgeon is: ________________________________</p> <p>Phone number: ________________________________</p> <p>My child's ostomy nurse is: ________________________________</p> <p>Phone number: ________________________________</p><h2>What the end of the ostomy looks like</h2><p>The end of the ostomy - the part you can see - is called a stoma. This looks different in every patient, but it is usually:</p><ul><li>round or oval</li><li>red, like the inside of your cheek</li><li>moist and shiny.</li></ul><p>The stoma can be small or large. It usually changes size during the first six weeks after surgery but stays the same size from then on.</p><p>There are no nerve endings in the stoma. This means that your child will not feel pain when the stoma is touched or when stool comes out of it.</p><p>Stomas can sometimes bleed a little during washing or if they are bumped. This is normal. They can sometimes also bleed when they are irritated. You can stop any <a href="/Article?contentid=1043&language=English">bleeding</a> by applying gentle pressure to the stoma with a soft cloth.</p> <figure><span class="asset-image-title">Ostomy </span><span class="asset-image-title">pouch</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_ostomy_pouch_EN.png" alt="Abdomen with a red, moist and painless stoma and an abdomen with an ostomy pouch over stoma collecting stool and urine" /><figcaption class="asset-image-caption">The</figcaption><figcaption class="asset-image-caption"> stoma does not have any nerve endings and can be washed while your child is having a bath or shower. The ostomy pouch catches any stool and urine that leave the body through the stoma and acts as a barrier to protect the skin.</figcaption> </figure> <h2>How stool or urine is collected outside the body</h2><p>A bag, called an ostomy pouch, is placed over the stoma to catch urine or stool. The ostomy pouch protects the skin around your child's stoma and protects their clothing from becoming soiled (dirty). It can have one or two pieces and come with accessories such as a belt.<br></p><p>You can get lots of different ostomy products from many different companies. Your ostomy nurse will tell you where to buy ostomy pouches and accessories before you leave the hospital.</p><h2>Sources</h2> <p>American Pediatric Surgical Nurses Association, 2006. <a target="_blank" href="http://www.apsna.org/resource/resmgr/teaching_materials/ostomy_family_information_sh.doc">Ostomy Information Teaching Sheet</a>.</p>
StomieSStomieOstomyFrenchGastrointestinalChild (0-12 years);Teen (13-18 years)Small Intestine;Large Intestine/ColonSmall intestine;Large intestineProceduresCaregivers Adult (19+)NA2013-11-19T05:00:00ZKimberly Colapinto RN (EC), MN, CETN (C);Theresa Allan RN, ET7.0000000000000073.0000000000000983.000000000000Health (A-Z) - ProcedureHealth A-Z<p> Une stomie est une ouverture dans l’abdomen permettant de recueillir l’urine ou les selles à l’extérieur du corps. Cet article offre des conseils de base pou</p><h2>En quoi consiste une stomie?</h2><p>Une stomie est une ouverture temporaire ou permanente entre l'intérieur et l'extérieur de l'abdomen (sa partie visible à l'extérieur de l'abdomen porte le même nom).</p><p>Une stomie permettra à votre enfant d'évacuer ses selles si ses intestins ne fonctionnent pas correctement ou encore son urine si ce sont ses voies urinaires qui sont déficientes. La stomie se fait par chirurgie.</p><p>Les stomies portent différents noms selon l'endroit où elles sont pratiquées. Par exemple, une ouverture entre l'intestin et l'abdomen se nomme iléostomie ou colostomie et une ouverture entre les voies urinaires et l'abdomen s'appelle une urostomie.</p> <figure> <span class="asset-image-title">Appareil digestif</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_digestive_system_V3_FR.jpg" alt="Glandes salivaires, œsophage, estomac, foie, vésicule biliaire, pancréas, gros intestin, intestin grêle et anus" /><figcaption class="asset-image-caption">Le tractus gastro-intestinal commence à la bouche et finit à l’anus.</figcaption> </figure><h2>À retenir</h2> <ul> <li>Une stomie est une ouverture entre l'intérieur et l'extérieur de l'abdomen. La partie visible sur l'abdomen porte le même nom.</li> <li>Les selles ou l'urine sont recueillies à l'extérieur du corps dans un sac appelé poche pour stomie. Assurez-vous de toujours apporter une poche de remplacement avec vous en cas de fuite.</li> <li>Communiquez avec votre infirmier si vous avez des questions au sujet de la stomie, de la poche ou de toute irritation de la peau autour de la stomie.</li> <li>Communiquez avec votre médecin si votre enfant a une diarrhée, une fièvre ou que les intervalles entre ses selles sont beaucoup plus longs qu'à la normale, s'il a des vomissures vertes ou si sa stomie n'arrête pas saigner.</li> </ul><h2>Quand obtenir un avis médical</h2> <h3>Communiquez avec l'infirmier de votre enfant :</h3> <ul> <li>en cas d'éruption cutanée ou d'autres irritations de la peau autour de la stomie,</li> <li>en cas de fuite abondante de la poche pour stomie,</li> <li>pour toute question au sujet de la stomie ou de la poche.</li> </ul> <h3>Communiquez avec le médecin de votre enfant :</h3> <ul> <li>si votre enfant a une diarrhée,</li> <li>si, en quelques heures seulement, une quantité de selles beaucoup grande que d'habitude est recueillie dans la poche,</li> <li>si votre enfant est anormalement fatigué,</li> <li>si votre enfant n'urine pas,</li> <li>si votre enfant a une fièvre (38,5 °C (101 °F) ou plus),</li> <li>si vous constatez un changement important de la taille ou de la couleur de la stomie qui dure plus de quelques minutes,</li> <li>si les saignements de la stomie sont plus abondants ou persistent,</li> <li>si les selles de votre enfant sont moins fréquentes,</li> <li>si votre enfant pleure sans arrêt ou présente d'autres signes de douleur,</li> <li>si le ventre de votre enfant durcit et gonfle,</li> <li>si votre enfant a des vomissures vertes, même si cela se produit une seule fois.</li> </ul> <h2>Numéros de téléphone importants</h2> <p>Le chirurgien de mon enfant est : ________________________________</p> <p>Numéro de téléphone : ____________________</p> <p>L'infirmier chargé de la stomie de mon enfant est : ________________________</p> <p>Numéro de téléphone : ________________________________</p><h2>À quoi ressemble l'extrémité visible de la stomie?</h2><p>L'extrémité visible de l'ouverture à l'extérieur de l'abdomen (ventre) s'appelle également stomie. Bien que celle-ci ait une apparence différente chez chaque personne stomisée, elle est habituellement :</p><ul><li>de forme ronde ou ovale,</li><li>d'un rouge du même ton que</li><li>l'intérieur de la joue.</li><li>humide et luisante.</li></ul><p>La stomie peut être petite ou grande. Sa taille change généralement au cours des six semaines suivant la chirurgie, puis demeure la même par la suite.</p><p>La stomie ne comporte aucune terminaison nerveuse, ce qui signifie que votre enfant ne sentira aucune douleur au toucher ni à la sortie des selles.</p><p>La stomie peut parfois saigner légèrement quand on la lave ou si elle est percutée, ce qui est normal. Des saignements peuvent aussi se produire lorsqu'elle est irritée. Vous pourrez arrêter tout saignement en appliquant une légère pression sur la stomie à l'aide d'un linge doux.</p> <figure> <span class="asset-image-title">Types de stomie</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_ostomy_types_FR.png" alt="Une iléostomie dans l’intestin grêle et une colostomie dans le gros intestin" /><figcaption class="asset-image-caption">Une iléostomie est une ouverture de la dernière partie de l’intestin grêle, qui porte le nom d’iléum, jusqu’à l’abdomen. Une colostomie relie le côlon à l’abdomen. La partie visible de ces ouvertures s’appelle stomie.</figcaption></figure> <h2>Comment les selles ou l'urine sont recueillies à l'extérieur du corps</h2><p>Un sac appelé poche pour stomie est placé sur la stomie pour recueillir les selles ou l'urine. Cette poche protégera aussi la peau autour de la stomie de votre enfant et empêchera ses vêtements de se souiller. Elle peut comporter une ou deux pièces et être accompagnée d'un accessoire comme une ceinture.</p><p>De nombreuses entreprises vendent toute une gamme de matériel pour stomisés. L'infirmier s'occupant de la stomie de votre enfant vous indiquera où vous procurer les poches et les accessoires avant que votre enfant quitte l'hôpital.</p> <figure> <span class="asset-image-title">Poche pour stomie </span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_ostomy_pouch_FR.png" alt="Stomie rouge, humide et non douloureux sur l’abdomen et une stomie avec une poche attachée pour les selles et l’urine" /> <figcaption class="asset-image-caption">La stomie ne comporte aucune terminaison nerveuse et peut être lavée pendant la douche ou le bain. La poche recueille les selles et l’urine évacuées et protège la peau autour de la stomie. </figcaption></figure><h2>Sources</h2> <p>American Pediatric Surgical Nurses Association, 2006. <a target="_blank" href="http://www.apsna.org/resource/resmgr/teaching_materials/ostomy_family_information_sh.doc">Ostomy Information Teaching Sheet</a>.</p>

 

 

Ostomy1027.00000000000OstomyOstomyOEnglishGastrointestinalChild (0-12 years);Teen (13-18 years)Small Intestine;Large Intestine/ColonSmall intestine;Large intestineProceduresCaregivers Adult (19+)NA2013-11-19T05:00:00ZKimberly Colapinto RN (EC), MN, CETN (C);Theresa Allan RN, ET7.0000000000000073.0000000000000983.000000000000Health (A-Z) - ProcedureHealth A-Z<p>An ostomy is an opening to collect urine or stool outside the body. Learn some basic tips to help care for your child's ostomy.</p><h2>What is an ostomy?</h2><p>An ostomy is an opening from the inside of the body to the outside, on the abdomen (tummy). It can be temporary or permanent.</p><p>An ostomy helps your child get rid of stool or urine if their intestine or urinary tract does not work properly. It is created during surgery (an operation).</p><p>Ostomies have different names depending on where they are on your child's body. For example, an opening from the intestine to the abdomen is an ileostomy or a colostomy. An opening from the urinary tract to the abdomen is called a urostomy. </p> <figure> <span class="asset-image-title">Gastrointestinal (GI) </span> <span class="asset-image-title"></span><span class="asset-image-title">tract</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_digestive_system_V3_EN.jpg" alt="Location of salivary glands, esophagus, stomach, liver, gallbladder, pancreas, small and large intestines and anus" /><figcaption class="asset-image-caption">The</figcaption><figcaption class="asset-image-caption"></figcaption><figcaption class="asset-image-caption"> gastrointestinal tract begins at the mouth and ends at the anus.</figcaption> </figure><h2>Key points</h2> <ul> <li>An ostomy is an opening from the inside of the body to the outside, through the abdomen. The end of the ostomy is called the stoma.</li> <li>Stool or urine is collected outside the body in a bag called an ostomy pouch. Always carry a spare pouch in case of leaks.</li> <li>Call your nurse if you have questions about the ostomy, the pouch or any skin irritation around the stoma.</li> <li>Call your doctor if your child has diarrhea, a fever or much longer delays between bowel movements than normal, if their vomit is green or if the stoma does not stop bleeding.</li> </ul><h2>Emptying and changing your child's ostomy pouch</h2> <p>Your child's pouch needs to be emptied when it is one-third to half full.</p> <p>If your child has a lot of <a href="/Article?contentid=822&language=English">gas</a> in their pouch, you will need to open the pouch often to let the gas out so that the pouch does not come loose. Depending on the amount of gas, you may need to use an ostomy pouch with a gas filter.</p> <p>You will normally need to change an ostomy pouch every one to four days. However, your child can wear the same pouch for <em>up to</em> one week if the pouch does not leak and there is no <a href="/En/HealthAZ/ConditionsandDiseases/SkinHairandNailDisorders/Pages/Rash-Without-Itching.aspx">rash</a> or other redness on the skin around the ostomy. </p> <p>If the pouch does leak, be prepared to change it as soon as possible. This will help make sure your child does not get a rash from the stool touching their skin. Have enough supplies at home and always carry an extra ostomy pouch outside the home just in case. </p> <p>Before your child leaves hospital, your ostomy nurse will give you more detailed instructions about how to care for, empty and change your child's ostomy pouch. </p> <h2>Will my child still be able to do their normal activities with an ostomy? </h2> <p>Yes. Having an ostomy does not limit your child's activities. They can lie on their stomachs and do all the same activities they did before surgery. Talk to your doctor about this before you leave the hospital. </p> <p>Your child can have a bath or shower with the pouch on or off, as water will not hurt the stoma or be sucked into it. If you leave the pouch off, though, dry your child's skin carefully afterwards. A new pouch will only stick to dry skin. </p><h2>When to get medical help </h2> <h3>Call your child's nurse if: </h3> <ul> <li>your child has a rash or other problems with the skin around the stoma</li> <li>the ostomy pouch leaks a lot</li> <li>you have any questions about the ostomy and ostomy pouch</li> </ul> <h3>Call your child's doctor if: </h3> <ul> <li>your child develops <a href="/Article?contentid=7&language=English">diarrhea</a></li> <li>a lot more stool than usual collects in the pouch over a few hours</li> <li>your child is unusually sleepy</li> <li>your child is not making urine</li> <li>your child has a <a href="/Article?contentid=30&language=English">fever</a> of 38.5°C (101°F) or higher</li> <li>there is a major change in the stoma's size or colour for more than a few minutes</li> <li>the stoma bleeds more than a small amount or will not stop bleeding</li> <li>your child has less frequent bowel movements</li> <li>your child is crying non-stop or otherwise seems to be in <a href="/pain">pain</a></li> <li>your child's belly becomes firm and bloated</li> <li>your child has green <a href="/Article?contentid=746&language=English">vomit</a>, even once</li> </ul> <h2>Important phone numbers </h2> <p>My child's surgeon is: ________________________________</p> <p>Phone number: ________________________________</p> <p>My child's ostomy nurse is: ________________________________</p> <p>Phone number: ________________________________</p><h2>What the end of the ostomy looks like</h2><p>The end of the ostomy - the part you can see - is called a stoma. This looks different in every patient, but it is usually:</p><ul><li>round or oval</li><li>red, like the inside of your cheek</li><li>moist and shiny.</li></ul><p>The stoma can be small or large. It usually changes size during the first six weeks after surgery but stays the same size from then on.</p><p>There are no nerve endings in the stoma. This means that your child will not feel pain when the stoma is touched or when stool comes out of it.</p><p>Stomas can sometimes bleed a little during washing or if they are bumped. This is normal. They can sometimes also bleed when they are irritated. You can stop any <a href="/Article?contentid=1043&language=English">bleeding</a> by applying gentle pressure to the stoma with a soft cloth.</p> <figure><span class="asset-image-title">Ostomy </span><span class="asset-image-title">pouch</span><img src="https://assets.aboutkidshealth.ca/akhassets/IMD_ostomy_pouch_EN.png" alt="Abdomen with a red, moist and painless stoma and an abdomen with an ostomy pouch over stoma collecting stool and urine" /><figcaption class="asset-image-caption">The</figcaption><figcaption class="asset-image-caption"> stoma does not have any nerve endings and can be washed while your child is having a bath or shower. The ostomy pouch catches any stool and urine that leave the body through the stoma and acts as a barrier to protect the skin.</figcaption> </figure> <h2>How stool or urine is collected outside the body</h2><p>A bag, called an ostomy pouch, is placed over the stoma to catch urine or stool. The ostomy pouch protects the skin around your child's stoma and protects their clothing from becoming soiled (dirty). It can have one or two pieces and come with accessories such as a belt.<br></p><p>You can get lots of different ostomy products from many different companies. Your ostomy nurse will tell you where to buy ostomy pouches and accessories before you leave the hospital.</p><h2>Sources</h2> <p>American Pediatric Surgical Nurses Association, 2006. <a target="_blank" href="http://www.apsna.org/resource/resmgr/teaching_materials/ostomy_family_information_sh.doc">Ostomy Information Teaching Sheet</a>.</p>https://assets.aboutkidshealth.ca/akhassets/IMD_ostomy_pouch_EN.pngOstomyFalse

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