Pouches and stomas

Colectomy for ulcerative colitis can be followed by ileal pouch formation to enable restoration of bowel continuity. Patients with familial adenomatous polyposis may also undergo pouch formation. The most common long-term problem with pouches is pouchitis, though this can often be treated with antibiotics. Stomas come in many forms but the most common types are ileostomy or colostomy, both of which can be permanent or temporary. The indications and complications of each are discussed. The expertise of a stoma nurse is vital to the management of these patients.