Located in the right lower quadrant.

Family Ostomy System Education Points:

Infants/toddlers tend to swallow air when feeding and may benefit from emptying air from the pouch every three to four hours or using a pouch with filter to slowly release air.

Effluent

The stoma generally begins to function the second to third day after surgery. There is continuous output that is often liquid or pasty in nature. The output is somewhat odorous and contains intestinal enzymes that are irritating to peristomal skin if leakage of effluent under the skin barrier occurs.

• May be constructed as double-barrel or loop stoma.
• Often located near waistline.
• Most often constructed as loop stoma with rod or catheter placed as support device during surgery and removed 10 to14 days later.

Family Ostomy System Education Points:

• Infants/toddlers tend to swallow air when feeding and may benefit from emptying air from the pouch every three to four hours or using a pouch with filter to slowly release air.
• Deodorizing agents are available.

May be constructed as end, loop, or double barrel stoma.

Family Ostomy System Education Points:

• Infants/toddlers tend to swallow air when feeding and may benefit from emptying air from the pouch every three to four hours or using a pouch with filter to slowly release air.
• Deodorizing agents are available.
• A colostomy does not prevent constipation, so the frequency of output is unpredictable. You may wish to discuss with the healthcare professional how to monitor daily output.

Effluent

The stoma generally begins to function the third to fifth day after surgery. Consistency of effluent will be semisolid to firm. Gas and fecal odor are formed by large bowel bacterial action on undigested carbohydrates. If leakage under skin barrier occurs, it can irritate peristomal skin.

Ureterostomy is a diversion in the most distal place possible in the ureter and brought out through the abdominal wall and anastomosed to the skin. It may be unilateral or bilateral depending upon kidney function. Ureteral stents are usually sutured in place to maintain patency. They are often not pouched due to proximity near the costal margin, which is not ideal for pouch adherence. They usually have a dressing around the tube insertion site and empty into a drainage bag or the diaper. Peristomal skin irritation is uncommon.

Ileal conduit is when the ureters are diverted through a small segment of the ileum (the “conduit”), which has been disconnected from the intestinal tract, and urine is expelled from it. It is the most common urostomy created.