10/ Stomal Prolapse
🔹Rate : 5%- 10 %
🔹The elongation of the intestinal portion of the stoma.
🚨Acute prolapse → Incarceration and Ischemia→
☹️Pain, obstipation, and purple/ black discoloration of stoma. 🚨emergency surgery. #CRSurgery

7/🔹 Ostomy Leakage
Risk factors: Obesity, skin creases, flat stoma
Prevention: Proper Pre-op marking, surgical technique
Rx: Antidiarrheals, appliance change, more tips👇
#IBD #OstomyCare #CRSurgery

4/ Ileostomy is often a step to #IPAA #CRSurgery
2⃣Stage✂️: Total colectomy +IPAA & DLI➡️DLI closure
✅If Stable healthy pt (eg ✂️for dysplasia)
3⃣Stage✂️:colectomy+EI➡️proctectomy +IPAA+DLI➡️DLI closure
✅If active dis, malnourished, steroids & IS (eg ASUC)
📸More details👇