Patient evaluation of the conventional ileostomy |
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Authors: | Robin S McLeod MD Ian C Lavery MD Judith R Leatherman BS Patricia A Maryland PhD Victor W Fazio MD David G Jagelman MD Frank L Weakley MD |
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Institution: | (1) Department of Colorectal Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, 44106 Cleveland, Ohio;(2) Department of Biostatistics, Cleveland Clinic Foundation, 9500 Euclid Avenue, 44106 Cleveland, Ohio;(3) Department of Office of Strategic Planning, Cleveland Clinic Foundation, 9500 Euclid Avenue, 44106 Cleveland, Ohio |
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Abstract: | A survey of 322 ileostomates was undertaken to assess the impact of an ileostomy and determine problems that are encountered
by patients. Most patients (72 percent) felt they led normal lives with the ileostomy and encountered fewer restrictions in
life-style than with their disease. However, only 35 percent of patients felt their ileostomies functioned perfectly. Skin
irritation (49 percent), offensive noise and odor (42 percent), detection of the appliance (17 percent), and difficulty in
handling the appliance (29 percent) were some of the problems encountered. Psychologic problems were related to poor body
image (22 percent) and sterility or impotence (12 percent). All of these problems, however, were less than had been anticipated.
Various sources of information were available to the ileostomate. However, about 50 percent of patients felt they received
inadeoquate preoperative information or counseling. |
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Keywords: | Heostomy Quality of life Psychologic adjustment to an ileostomy |
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