Colorectal Surgery - Duke University Medical Center

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Ostomy Internet Resources What are websites that can tell me about my ostomy and supplies • ConvaTec: Information and support. http://www.convatec.com/en/cvtus-ostomyus/cvtportalhpo/0/portalacc/1961/1433/0/ostomy.html • Coloplast: http://www.coloplast.com/Pages/home.aspx • Hollister: Information and support. Click on any of the topics in the learning center. http://www.hollister.com/ • Great Comebacks: A program which recognizes inspirational people with ostomies. http://www.greatcomebacks.com/ • Nu-Hope: http://nu-hope.com/ How can I order ostomy supplies through the mail • Byram Health Care: http://www.byramhealthcare.com/ • Edgepark Surgical Supplies: https://www.edgepark.com/ • Liberty <strong>Medical</strong> Supplies: http://www.libertymedical.com/ostomy-supplies How can I locate a support group • Crohn’s, Colitis and Ostomy Meeting Place: http://www.ccomp.org/ • Evansville Ostomy News: http://www.ostomy.evansville.net/ • The International Ostomy Association: http://www.ostomyinternational.org/ • Triangle Ostomy Association: http://www.raleighuoa.org/ • United Ostomy Associations of America, Inc: http://www.uoaa.org/supportgroups.shtml • Bladder Cancer Advocacy Network: http://www.bcan.org/ • Bladder Cancer Web Café: http://blcwebcafe.org What are the names of some companies that offer special clothing • Options: Undergarments with built in ostomy support system. www.optionsostomy.com • Ostomy Secrets: Stylish underwear for both men and women who are wearing a pouch. http://www.ostomysecrets.com/ • Yentls Secrets: Covering for any shape or brand of ostomy pouch in various colors. http://www.yentlssecrets.com/Home_Page.html An excellent 16 minute video on Living with an Ostomy can be viewed at: http://www.ostomy.org/living_with_an_ostomy.shtml 24
This page is only for people who have a J-pouch Learning to Live with your Ileal J-pouch What can I expect at first • At first you may have up to 15 small bowel movements (BM) a day. • You may have some leakage and need to get up several times at night. • You may have trouble telling the difference between gas and stool. What can I expect later on • Eventually, most patients have about 6 BMs daily, do not have significant leakage, and are not troubled by night time incontinence. • It may take up to a year to train your Ileal J-pouch. • You may need to take anti-diarrheal medicine (Imodium or Lomotil). • 95% of patients are very satisfied with their choice of an ileal J-pouch after a year. What can I do to help • Practice Pelvic Muscle Exercises to help your J-pouch hold stool without leaking (see Page 4). o Start practicing before surgery o Ask your surgeon when you can resume the exercises after your surgery. • Perform Perianal Skin Care to prevent skin irritation. o Gently cleanse and pat dry skin thoroughly at least once a day. o Use pH-balanced skin cleanser and warm water. o Alcohol-free moist wipes or soft tissues are ideal for cleansing and are less abrasive than toilet paper. o Use of a barrier product is essential to protect perianal skin. § An ointment with petrolatum, dimethicone, or zinc oxide. • It is not necessary to clean it all off after each bowel movement. Remove only the soiled layer and apply a fresh coat on top. § Or an alcohol-free barrier film wipe (e.g. 3M Cavilon) • One application will last 24 hours o Pads or panty liners should be changed frequently to keep skin clean and dry. • Train your pouch o You should not respond to every urge to have a BM. This will help to increase the size of the J-pouch. Start by waiting a few minutes. Build up to waiting an hour. o You can also help to control pouch function with diet and, if your doctor agrees, anti-diarrhea medication. 25
Page 1 and 2: Colorectal Surgery: Instructions fo
Page 3 and 4: Information provided by this pamphl
Page 5 and 6: Your surgeon has told you that you
Page 7 and 8: Abdominal perineal resection (APR)
Page 9 and 10: Ileocolonic anastamosis Sometimes y
Page 11 and 12: What is a colostomy This is an open
Page 13 and 14: • You will be told what medicine,
Page 15 and 16: What can I expect after surgery Whe
Page 17 and 18: Will I have to eat certain foods af
Page 19 and 20: When should I call the doctor • B
Page 21 and 22: Which Foods Make Stool Softer and M
Page 23: How to Adjust the Dosage of Loperam
Page 27: Pelvic muscle exercises Please do n

Colorectal Surgery - Duke University Medical Center

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