The significance of lifelong follow-up for the ostomate: the nurse's perspective of ileostomy site adenocarcinomas.
The development of adenocarcinoma at an ileostomy site is an extremely uncommon and late complication that can occur for people living with a permanent ileostomy. Predominantly it is found in individuals who had their stoma surgery for ulcerative colitis, familial adenomatous polyposis or Crohn's di...
| Publicado en: | World Council of Enterostomal Therapists Journal Vol. 45; no. 1; pp. 20 - 27 |
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| Autor principal: | |
| Formato: | glossary pictorial research tables/charts Journal Article |
| Publicado: |
Cambridge Publishing
Mar2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184065279&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184065279 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08194610 YUD jtl: World Council of Enterostomal Therapists Journal issn: 08194610 maglogo: N pubinfo: dt: Mar2025 vid: 45 iid: 1 pid: 66266 pub: Cambridge Publishing artinfo: ui: 184065279 184065279 184065279 10.33235/wcet.45.1.20-26 184065279 ppf: 20 ppct: 7 formats: fmt: @attributes: type: P tig: atl: The significance of lifelong follow-up for the ostomate: the nurse's perspective of ileostomy site adenocarcinomas. aug: au: Vickers, Kelly J. affil: Northern Adelaide Local Health Network, Lyell McEwin and Modbury Hospitals, Haydown Road Elizabeth Vale South Australia 5112 sug: subj: Nurse Attitudes Ileostomy Adverse Effects Adenocarcinoma Physiopathology Adenocarcinoma Pathology Colitis, Ulcerative Surgery Crohn Disease Surgery Ostomy Care After Care Nursing Role Middle Age Male Female Adenomatous Polyposis Coli Surgery Ileitis Human Retrospective Design Record Review Middle Aged: 45-64 years Male Female ab: The development of adenocarcinoma at an ileostomy site is an extremely uncommon and late complication that can occur for people living with a permanent ileostomy. Predominantly it is found in individuals who had their stoma surgery for ulcerative colitis, familial adenomatous polyposis or Crohn's disease, at an average time of 27 years after the stoma was created. There have only been 70 reported cases in the literature worldwide, most of these in the last 20 years. The extended latent period for the adenocarcinoma to occur from time of stoma creation could help explain this increase in incidence. The exact cause of this malignancy is not clear but it has been suggested that factors such as chronic mechanical and chemical irritation from stoma appliances, disease predisposition, malignant transformation of adenomas, changes in bacterial flora and Ileitis/backwash ileitis, could contribute to their development. Primary adenocarcinoma at an ileostomy has been reported in the literature by surgeons and medical practitioners. Despite this, there remains limited information on the care and management from key stakeholders such as stomal therapy nurses, when caring for a people living with a permanent ileostomy. This article provides a different understanding and description from the perspective of a stomal therapy nurse, describing two cases of primary adenocarcinoma at the ileostomy site. pubtype: Academic Journal doctype: glossary pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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