ENDOSCOPIC ULTRASOUND GUIDED COLO-ENTEROSTOMY FOR SMALL BOWEL OBSTRUCTION: A MULTI-CENTER RETROSPECTIVE COHORT STUDY
Shuji MitsuhashiBrianna ShinnDivya ChalikondaAmy TybergHaroon ShahidAvik SarkarMichel KahalehF.A.I.S.A.L. KAMALAustin ChiangAnand KumarAlexander SchlachtermanDavid E. LorenThomas E. Kowalski
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Keywords:
Enterostomy
Endoscopic Ultrasound
Center (category theory)
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Objective
To investigate the status quo of health education for patients with enterostomy in Xuzhou and analyze the requirements of patients and their family members about knowledge of enterostomy stoma.
Methods
Self-designed questionnaires were applied to investigate 200 patients with enterostomy in tertiary hospitals of Xuzhou and then the results were analyzed.
Results
More than 90% of the patients with enterostomy obtained professional guidance from doctors and nurses during hospitalization.Over 80% patients showed some understanding about knowledge of enterostomy, while 100% of the patients had a strong desire to learn and master the knowledge about enterostomy.50% of the patients learned the knowledge from enterostomal therapist in the department of ostomy and over 70% patients preferred to accepting the new network health education model.
Conclusions
Health education in various forms should be actively developed for patients with enterostomy to improve the mastering for related knowledge in terms of enterostomy and reduce the incidence of complications related to enterostomy and enhance the quality of life.
Key words:
Enterostomy; Knowledge about enterostomy; Health education; Department of ostomy
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Treated were 129 patients, who earlier underwent cholecysto-enterostomy in periampullary tumors. At the period of from 3.5 to 5 weeks after the first operation, these patients need thorough clinico-instrumental examination, they should be given aid at a specialized in-patient department.
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Objective
To design and make a mind map of enterostomy health education and provide a reference for health education of patients with enterostomy.
Methods
The mental map group was set up, and the contents of health education for patients with enterostomy were initially established by referring to the literature and combining with the clinical practice. The first draft of mental health education mentality of enterostomy was made by drawing software. After consulting and verifying by experts finalized.
Results
The formed intestinal orifice health education mind map consisted of 4 parts of admission education, preoperative education, postoperative education, discharge guidance and small modules contained in each part.
Conclusions
The mind map is comprehensive and can be used for health education of patients with enterostoma.
Key words:
Enterostomy; Mind map; Health education; Design and production
Enterostomy
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To apply preventive T-shaped enterostomy in protective defunctioning stoma. Technique of enterostomy closure was only made in abdominal wall rather than abdominal cavity. A total of 78 patients undergoing protective ostomy from January 2005 to April 2012 were divided into two groups of routine enterostomy (group A, n=52) and protective T-shaped enterostomy (group B, n=26). The length of operation and average hospital stay in group A with stoma closure were (98±16) min and (15.3±5.2) days while those of group B (52±9) min and (9.5±2.3) days. The inter-group differences were statistically significant respectively (P<0.05). Therefore protective T-shaped enterostomy, showing advantages in operative skills, operative trauma and postoperative recovery time, is an effective technique and its application should be further promoted.
Key words:
Enterostomy; Abdominal wall
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This is a clinical approach regarding 43 resection of intestine, performed in emergency condition, terminated as enterostomy, with represent 20% of enterectomyes performed in emergency condition and 1.6% of urgent operations. The decision of enterostomy has been taken in the conditions of peritoneal sepsis, occlusion or the association of the two circumstances. The results are comparatively analyzed between the cases with enterostomy that has been made from the beginning (66% success, 33% gone wrong), and those with enterostomy made at the second intervention (14% success, 86% gone wrong). One discusses problems of leading, technique and post-operating nursing. The intestinal reintegration has been made possible at 16 patients after a timing of three of four weeks.
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