Mistakes in ostomy management and how to avoid them

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Mistakes in ostomy management and how to avoid them

Revital Barkan, Ian White, Iris Dotan

Summary

AI Generated

Ostomy management encompasses the care and maintenance of an ostomy to ensure patient health, comfort, and quality of life through involvement of the patient, support system, and specialized healthcare team.

Ostomy management involves various aspects focused on the individual's health, comfort, and quality of life.
Management should involve the patient, a close support system including family and friends, and a healthcare team.
The healthcare team includes ostomy nurses and healthcare professionals specializing in ostomy care.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Ambe PC, Kurz NR, Nitschke C, et al. Intestinal Ostomy: Classification, Indications, Ostomy Care and Complication Management. Deutsches Ärzteblatt international 2018. [Link]

Shimabukuro A. The Impact of an Ostomy Training Workshop on Occupational Therapy Practitioners’ and Students’ Confidence in Client Education on Ostomy Management. Doctoral dissertation, University of Nevada, Las Vegas, USA, 2023. [Link]

Clark M, Chur-Hansen A and Mikocka-Walus A. Systematic review with meta-analysis: Current and emerging models of preoperative psychological preparation for individuals undergoing stoma surgery. Journal of Psychosomatic Research 2023; 168: 111211. [Link]

Liu Y, Wang L and Zhu L. The Impact of Stoma Management Education on the Self-care Abilities of Individuals with an Intestinal Stoma. Gastrointestinal Nursing 2023; 21: S14-S21. [Link]

Romero GGN. Early Preoperative Ostomy Education to Reduce Peristomal Skin Complications and Ostomy Pouch Leaks. Doctoral dissertation, University of California, Los Angeles, USA, 2021. [Link]

Xavier Morais G, Balbinot Reis Girondi J, Nazareth Amante L, et al. Knowledge, perceptions and care needs of preoperative surgery for the realization of intestinal ostomy. ESTIMA, Brazilian Journal of Enterostomal Therapy 2020: e2519. [Link]

Dorigo G. Peristomal skin changes: therapeutic education on prevention and nursing interventions on management. infermieristica journal 2023; 2: 157-168. [Link]

Ambe PC, Kugler CM, Breuing J, et al. The effect of preoperative stoma site marking on risk of stoma‐related complications in patients with intestinal ostomy — A systematic review and meta‐analysis. Colorectal Disease 2022; 24: 904-917. [Link]

Doctor K and Colibaseanu DT. Peristomal skin complications: causes, effects, and treatments. Chronic Wound Care Management and Research 2016; Volume 4: 1-6. [Link]

10.

Di Gesaro A. Self-care and patient empowerment in stoma management. Gastrointestinal Nursing 2012; 10: 19-23. [Link]

11.

Dehvan F, Nobahar M, Ghorbani R, et al. The relationship between adaptability and life satisfaction among ostomy patients. Nursing Practice Today 2019. [Link]

12.

Shoja M, Arsalani N, Fallahi-Khoshknab M, et al. The barriers and facilitators to nursing care for patients with permanent colostomy in outpatient centers: A qualitative study. Journal of Education and Health Promotion 2024; 13. [Link]

13.

Yan H, Su Y and Wang L. Impact of Ahmadi Continuing Nursing Model on self-care ability, stoma complications and quality of life of colostomy patients. BMC Gastroenterology 2024; 24: 421. [Link]

14.

Borwell B. Continuity of care for the stoma patient: psychological considerations. British Journal of Community Nursing 2009; 14: 326-331. [Link]

15.

Spiers J, Smith JA, Simpson P, et al. The treatment experiences of people living with ileostomies: an interpretative phenomenological analysis. Journal of Advanced Nursing 2016; 72: 2662-2671. [Link]

16.

Garza D. Wound and Stoma Care Education for Primary Care Providers. Doctor of Nursing Practice (DNP) Projects, University of San Francisco, San Francisco, USA, 2020. [Link]

17.

Marinova P and Marinova R. Patient-centred stoma care support: colostomy patients. British Journal of Community Nursing 2024; 29: 494-502. [Link]

18.

Abd El-Rahman W, Mekkawy M, Sayed S, et al. Effect of Nursing Instructions on Self Care for Colostomy Patients. Assiut Scientific Nursing Journal 2020; 8: 96-105. [Link]

19.

Whiteley I and Gullick J. The embodied experience of pregnancy with an ileostomy. Journal of Clinical Nursing 2018; 27: 3931-3944. [Link]

20.

Blackwell S, Selinger C, Brookes M, et al. PMO-32 Pregnancy outcomes after stoma surgery for IBD: the results of a multi-centre retrospective audit. In: Abstracts of the BSG Annual Meeting, 8–12 November 2021 11/2021 2021, pp.A93.92-A93. BMJ Publishing Group Ltd and British Society of Gastroenterology. [Link]

21.

Rosiou K and Selinger CP. Obstetric Considerations in Pregnant Women with Crohn’s Disease. Journal of Clinical Medicine 2023; 12: 684. [Link]

22.

Giddings HL, Wong J and Meagher AP. Should we inform women about the recognised risks of childbirth? Australian and New Zealand Journal of Obstetrics and Gynaecology 2022; 62: 37-39. [Link]

23.

Krogsgaard M, Kristensen HØ, Furnée EJB, et al. Life with a stoma across five European countries—a cross-sectional study on long-term rectal cancer survivors. Supportive Care in Cancer 2022; 30: 8969-8979. [Link]

24.

Nightingale JMD. How to manage a high-output stoma. Frontline Gastroenterology 2022; 13: 140-151. [Link]

25.

Mitchell A, England C and Atkinson C. Provision of dietary advice for people with an ileostomy: a survey in the UK and Ireland. Colorectal Disease 2020; 22: 2222-2231. [Link]

26.

Fernández-Gálvez A, Rivera S, Durán Ventura MDC, et al. Nutritional and Educational Intervention to Recover a Healthy Eating Pattern Reducing Clinical Ileostomy-Related Complications. Nutrients 2022; 14: 3431. [Link]

27.

Migdanis A, Migdanis I and Koukoulis GD. Nutritional Considerations in Colorectal Surgery in Diverting Ileostomy Patients: A Review. Cureus 2023. [Link]

Abstract

Ostomy management refers to the care and maintenance of an ostomy and involves various aspects to ensure the individual’s health, comfort, and quality of life. This should involve the patient, a close support system (family and/or friends), and a healthcare team, including ostomy nurses and healthcare professionals specialising in ostomy care.

Topics

Primary Care

Published

2025

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Hepatobiliary

Published

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Mistakes in the management of hepatocellular carcinoma and how to avoid them

Spyridon Pantzios, Ioannis Elefsiniotis, Christos Triantos

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Ambe PC, Kurz NR, Nitschke C, et al. Intestinal Ostomy: Classification, Indications, Ostomy Care and Complication Management. Deutsches Ärzteblatt international 2018. [Link]

Liu Y, Wang L and Zhu L. The Impact of Stoma Management Education on the Self-care Abilities of Individuals with an Intestinal Stoma. Gastrointestinal Nursing 2023; 21: S14-S21. [Link]

Romero GGN. Early Preoperative Ostomy Education to Reduce Peristomal Skin Complications and Ostomy Pouch Leaks. Doctoral dissertation, University of California, Los Angeles, USA, 2021. [Link]

Dorigo G. Peristomal skin changes: therapeutic education on prevention and nursing interventions on management. infermieristica journal 2023; 2: 157-168. [Link]

Doctor K and Colibaseanu DT. Peristomal skin complications: causes, effects, and treatments. Chronic Wound Care Management and Research 2016; Volume 4: 1-6. [Link]

10.

Di Gesaro A. Self-care and patient empowerment in stoma management. Gastrointestinal Nursing 2012; 10: 19-23. [Link]

11.

Dehvan F, Nobahar M, Ghorbani R, et al. The relationship between adaptability and life satisfaction among ostomy patients. Nursing Practice Today 2019. [Link]

12.

13.

Yan H, Su Y and Wang L. Impact of Ahmadi Continuing Nursing Model on self-care ability, stoma complications and quality of life of colostomy patients. BMC Gastroenterology 2024; 24: 421. [Link]

14.

Borwell B. Continuity of care for the stoma patient: psychological considerations. British Journal of Community Nursing 2009; 14: 326-331. [Link]

15.

Spiers J, Smith JA, Simpson P, et al. The treatment experiences of people living with ileostomies: an interpretative phenomenological analysis. Journal of Advanced Nursing 2016; 72: 2662-2671. [Link]

16.

Garza D. Wound and Stoma Care Education for Primary Care Providers. Doctor of Nursing Practice (DNP) Projects, University of San Francisco, San Francisco, USA, 2020. [Link]

17.

Marinova P and Marinova R. Patient-centred stoma care support: colostomy patients. British Journal of Community Nursing 2024; 29: 494-502. [Link]

18.

Abd El-Rahman W, Mekkawy M, Sayed S, et al. Effect of Nursing Instructions on Self Care for Colostomy Patients. Assiut Scientific Nursing Journal 2020; 8: 96-105. [Link]

19.

Whiteley I and Gullick J. The embodied experience of pregnancy with an ileostomy. Journal of Clinical Nursing 2018; 27: 3931-3944. [Link]

20.

21.

Rosiou K and Selinger CP. Obstetric Considerations in Pregnant Women with Crohn’s Disease. Journal of Clinical Medicine 2023; 12: 684. [Link]

22.

Giddings HL, Wong J and Meagher AP. Should we inform women about the recognised risks of childbirth? Australian and New Zealand Journal of Obstetrics and Gynaecology 2022; 62: 37-39. [Link]

23.

24.

Nightingale JMD. How to manage a high-output stoma. Frontline Gastroenterology 2022; 13: 140-151. [Link]

25.

Mitchell A, England C and Atkinson C. Provision of dietary advice for people with an ileostomy: a survey in the UK and Ireland. Colorectal Disease 2020; 22: 2222-2231. [Link]

26.

27.

Migdanis A, Migdanis I and Koukoulis GD. Nutritional Considerations in Colorectal Surgery in Diverting Ileostomy Patients: A Review. Cureus 2023. [Link]

Abstract

Liver cancer is the sixth most common cancer and the third leading cause of cancer-related death. Hepatocellular carcinoma (HCC) accounts for about 90% of cases and mostly arises in chronic liver disease, especially cirrhosis. Viral hepatitis remains a leading cause, but alcohol-related disease and MASLD are rising. With immune checkpoint inhibitors transforming HCC management, it is timely to highlight common mistakes across screening, staging, diagnosis and treatment.

Topics

Digestive Oncology Hepatobiliary

Published

2026

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Mistakes in abdominal distension and how to avoid them

Elizabeth Barba Orozco, Alberto Ezquerra-Durán

Summary

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Summary is not available for this content yet.

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Ambe PC, Kurz NR, Nitschke C, et al. Intestinal Ostomy: Classification, Indications, Ostomy Care and Complication Management. Deutsches Ärzteblatt international 2018. [Link]

Liu Y, Wang L and Zhu L. The Impact of Stoma Management Education on the Self-care Abilities of Individuals with an Intestinal Stoma. Gastrointestinal Nursing 2023; 21: S14-S21. [Link]

Romero GGN. Early Preoperative Ostomy Education to Reduce Peristomal Skin Complications and Ostomy Pouch Leaks. Doctoral dissertation, University of California, Los Angeles, USA, 2021. [Link]

Dorigo G. Peristomal skin changes: therapeutic education on prevention and nursing interventions on management. infermieristica journal 2023; 2: 157-168. [Link]

Doctor K and Colibaseanu DT. Peristomal skin complications: causes, effects, and treatments. Chronic Wound Care Management and Research 2016; Volume 4: 1-6. [Link]

10.

Di Gesaro A. Self-care and patient empowerment in stoma management. Gastrointestinal Nursing 2012; 10: 19-23. [Link]

11.

Dehvan F, Nobahar M, Ghorbani R, et al. The relationship between adaptability and life satisfaction among ostomy patients. Nursing Practice Today 2019. [Link]

12.

13.

Yan H, Su Y and Wang L. Impact of Ahmadi Continuing Nursing Model on self-care ability, stoma complications and quality of life of colostomy patients. BMC Gastroenterology 2024; 24: 421. [Link]

14.

Borwell B. Continuity of care for the stoma patient: psychological considerations. British Journal of Community Nursing 2009; 14: 326-331. [Link]

15.

Spiers J, Smith JA, Simpson P, et al. The treatment experiences of people living with ileostomies: an interpretative phenomenological analysis. Journal of Advanced Nursing 2016; 72: 2662-2671. [Link]

16.

Garza D. Wound and Stoma Care Education for Primary Care Providers. Doctor of Nursing Practice (DNP) Projects, University of San Francisco, San Francisco, USA, 2020. [Link]

17.

Marinova P and Marinova R. Patient-centred stoma care support: colostomy patients. British Journal of Community Nursing 2024; 29: 494-502. [Link]

18.

Abd El-Rahman W, Mekkawy M, Sayed S, et al. Effect of Nursing Instructions on Self Care for Colostomy Patients. Assiut Scientific Nursing Journal 2020; 8: 96-105. [Link]

19.

Whiteley I and Gullick J. The embodied experience of pregnancy with an ileostomy. Journal of Clinical Nursing 2018; 27: 3931-3944. [Link]

20.

21.

Rosiou K and Selinger CP. Obstetric Considerations in Pregnant Women with Crohn’s Disease. Journal of Clinical Medicine 2023; 12: 684. [Link]

22.

Giddings HL, Wong J and Meagher AP. Should we inform women about the recognised risks of childbirth? Australian and New Zealand Journal of Obstetrics and Gynaecology 2022; 62: 37-39. [Link]

23.

24.

Nightingale JMD. How to manage a high-output stoma. Frontline Gastroenterology 2022; 13: 140-151. [Link]

25.

Mitchell A, England C and Atkinson C. Provision of dietary advice for people with an ileostomy: a survey in the UK and Ireland. Colorectal Disease 2020; 22: 2222-2231. [Link]

26.

27.

Migdanis A, Migdanis I and Koukoulis GD. Nutritional Considerations in Colorectal Surgery in Diverting Ileostomy Patients: A Review. Cureus 2023. [Link]

Abstract

Abdominal distension and bloating are among the most frequently misunderstood complaints in gastroenterology. They are often used as interchangeable terms, a conceptual mistake that continues to drive diagnostic errors and ineffective treatment. According to Rome IV, bloating and distension may represent either a primary disorder of gut–brain interaction (DGBI) or occur as symptoms with other DGBIs, such as irritable bowel syndrome (IBS), functional dyspepsia (FD) or functional constipation (FC).

Topics

Neurogastroenterology & Motility

Citation

Barba-Orozco E and Ezquerra-Durán A. Mistakes in abdominal distension and bloating and how to avoid them. UEG Education 2026; 26: 5-9.

Published

2026

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Abstract

Topics

Oesophagus

Published

2026

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Abstract

Topics

Nurses

Published

2026

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Abstract

Topics

Oesophagus

Published

2026

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