• Title/Summary/Keyword: Colostomy

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Congenital Anal Atresia in a Korean Native Calf (한우송아지에서 선천적 항문 무형성증의 외과적 교정례)

  • Lee, Sang-Mook;Kim, Juug-Eun;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.380-382
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    • 2006
  • A 6-day-old male Korean native calf was referred to Veterinary Teaching Hospital, College of Veterinary Medicine Kyungpook National University because of dyschezia with atresia me. Clinical signs included anorexia, dyschezia, abdominal distention and depression. In radiographic examination, the intestinal loops are filled with gas and there is a fistula connecting the large intestine to the urethra. Colostomy was performed immediately and atresia am was healed on 28 day after colostomy without Buy other complication.

Effects of Self Efficacy Promoting Programs on Self Efficacy, Self Care Behavior and Psychosocial Adaptation in Patients with a Colostomy (자기효능 증진 프로그램이 결장루 형성술 환자의 자기효능, 자가 간호 행위 및 심리사회적 적응에 미치는 효과)

  • Kim, Kyoung-Mi;Baek, Eun-Seon;Kang, Nam-Hee;Yoon, Kyung-Eun;Bae, Na-Young;Cha, Bo-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.3
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    • pp.288-296
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    • 2007
  • Purpose: This study was conducted to investigate the effects of self-efficacy promoting program on self-efficacy, self-care behavior and psychosocial adaptation in patients with a colostomy. Method: A non-equivalent control group pre test post test design was used. The self efficacy promoting programs was composed of a CD image program based on varicaious experience, education and telephone coaching program based on verbal persuasion, and Stoma care practice, and Self care performance based on performance accomplishment. This study was carried out from July 2, 2005 to April 20, 2006 and 21 patients with a colostomy at one of 2 hospitals participated. Descriptive statistics, ${\chi}^2-test$, and Mann-whitney U test were used to analyze the data. Results: There were significantly different for specific self efficacy, self care and psychosocial adaptation between the experimental group and control group. Conclusion: The self efficacy promoting program for patients with stomas was effective in improving degree of specific self efficacy, self care and psychosocial adaptation.

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A Study on the Social Support System of Colostomy Patients and Their Quality of Life (결장루보유자의 사회적지지정도와 생활 적응정도에 관한 조사연구 -한국 ostomy 협회 회원 중심으로-)

  • 김채숙;강규숙
    • Journal of Korean Academy of Nursing
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    • v.16 no.3
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    • pp.22-30
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    • 1986
  • The objective of the study was to determine the degree of social support and the quality of life of the 200 colostomy patients who are members of the Korea Ostomy Association. Data was collected by means of a questionnaire which was distributed Foully six Percent of the 200 colostomy patients returned the questionnaire during the period from Mar. 3-Mar. 31. 1986. The results of the study were as follows: 1. The score of the social support was 93.4598 (S.D-20.1787) and the highest score for respect Iron other people was 102.00. 2. The mean score of the quality of life was 3.11 (S.D. 0.58) The highest score for Pull attention received from the family was 3. 85 and the lowest score for insufficient sexual activity was 2.34. 3. The correlation between social support and the quality of life was (r=.1787, p<.05) when the quality of life score was high the social support score was also high. 4. The variables that were found to have a significant correlation to the social support were a9e (r=.2039, p<.05) and number of people who could help them (r=.2847 p<.01) 5. The variables that were found to have a significant correlation to the quality of life were the level of the living standard (F=4.534, p< .05) and the individuals perception of their health. status(F=18.943, p<.001) =Recommendations= The results of this study show that there is a significant correlation between the social support of the individual and the quality of life. It is important for nurses to support self-help groups of colostomy patients as this will contribute highly to the betterment of the quality of the life of patients who have colostomies.

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Stomal Complications in Children (소아 장루의 합병증)

  • Park, Joong-Jai;Lee, Joo-Hong;Jung, Jong-Do;Choi, Young-Cheol;Chung, Woo-Shik;Jun, Si-Youl
    • Advances in pediatric surgery
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    • v.8 no.1
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    • pp.11-15
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    • 2002
  • This is a 20 year analysis of the problems associated with enterostomy formation, and closure. Forty-three stomas were established in 43 patients: 23 for anorectal malformations, 11 for Hirschsprung's diseases, 4 for necrotizing enterocolitis, 3 for multiple ileal atresias, 1 for volvulus neonatorum with perforation, and 1 for diaphragmatic hernia with colon perforation. Thirty boys and 13 girls were included (mean age 4.8 months). Stoma complications were encountered in 13 patients (30.2 %): stomal prolapse, stenosis, obstruction, paracolic hernia, retraction, dysfunction, and skin excoriation, Four patients (9.3 %) required stomal revision. Occurrence of complications was not related to age and primary disease, but sigmoid colostomy showed lower complication rate than transverse colostomy (20.0 % vs 42.9 %, p<0.05). There were five deaths but, only one (2.3 %) was directly related to the enterostomy complication. Twenty-one stomas were closed in our hospital and complications occurred in seven patients (33.3 %). The most common complication was wound sepsis in 5 children. In conclusion, because the significant morbidity of stomal formation still exists, refinements of the surgical technique seem to be required, Sigmoid loop colostomy is preferred whenever possible.

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Model Construction of Sexual Satisfaction in Patients with a Colostomy (결장루 보유자의 성만족 구조모형)

  • Park, Seung-Mi;Kim, Keum-Soon
    • Journal of Korean Academy of Nursing
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    • v.39 no.4
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    • pp.539-548
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    • 2009
  • Purpose: This study was designed to construct and test the structural equation model on sexual satisfaction in patients with a colostomy. Methods: The model construction was based upon Roy's adaptation model. Stoma-related discomfort (SRD), age, frequency of sexual intercourse, treatment modality, and gender affect sexual satisfaction and are mediated by physical, psychosocial, and interdependence modes. Each mode was conceptualized as sexual function, body image/ depression, and marital intimacy. The patients were 112 colostomates with colorectal cancer who were asked to complete a mail-back survey on their demographic data, SRD, body image, depression, marital intimacy, sexual function, and sexual satisfaction. Data were analyzed using SPSS WIN 15.0 and AMOS WIN 7.0. Results: Significant variables for sexual satisfaction in the final model were body image affected by SRD, depression affected by body image and SRD, marital intimacy affected by depression, and sexual function affected by marital intimacy. Conclusion: The results of this study suggest that specific guidelines for SRD are necessary to improve sexual satisfaction among colostomates. Nurses should be vigilant in monitoring depression and body image disturbance, and providing appropriate interventions to increase marital intimacy. Treatment modality, gender, and age should be considered in developing education programs pertaining to sexuality.

Perianal Ulcerative Hemangioma Treated with a Colostomy (대장창냄술로 치료된 궤양 동반 항문 주위 혈관종 1례)

  • Choi, Jung-Yun;Bin, Joong-Hyun;Hahn, Seung-Hoon;Kim, So-Young;Kim, Hyun-Hee;Lee, Won-Bae;Lee, Do-Sang
    • Neonatal Medicine
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    • v.15 no.2
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    • pp.172-175
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    • 2008
  • Hemangioma is the most common benign tumor of infancy. Greater than 60% of hemangiomas occur on the head and neck, and have an uncomplicated course. In contrast, most complicated hemangiomas develop in the urogenital or anogenital areas. These lesions are frequently associated with pain, bleeding, recurring infections, and ulcerations. Sometimes, perianal ulcerative hemangiomas are difficult to treat with multiple therapies, such as laser and steroid therapy. We managed a case of a severe perianal ulcerative hemangioma in a male newborn who did not respond to conservative management. He was successfully treated after a colostomy.

Effects of Cecal Ligation and Colostomy on Food and Water Intake and loafer Excretion in Chickens Fed Restrictedly and Freely (닭에 있어서 사료섭취의 자유 및 제한급여시킬 때의 사료섭취량, 음수량 및 수분 배설량에 미치는 맹장결찰 및 인공항문 수술의 효과)

  • Son, J.H.
    • Korean Journal of Poultry Science
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    • v.29 no.4
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    • pp.259-263
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    • 2002
  • It was examined whether the ceca and the back-flow of urine into the lower intestine are involved in water intake and excretion in chickens and food intake affects those. Colostomy significantly increased water intake, total water excretion and the ratio of the water intake to food intake in the ceca-ligated chickens under restrict and ad libitum feeding conditions (P<0.05), but the increases were much larger in chickens fed ad libitum than in those fed restrictedly. Cecal ligation increased water intake, total water excretion and the ratio of water intake to food intake in the colostomised chickens which were fed freely (P<0.05). but not in those fed restrictedly, None of colostomy and cecal ligation affected the resultant water balances in chickens under both feeding conditions. Colostomy increased food intake in the ceca-ligated chickens (P<0.05), but no increase by cecal ligation was observed in colostomised chickens. It is concluded that the lower intestine takes a very important role in water recovery from urine to maintain water balance in chickens.

Surgical Experience with Pull-through Operation in Hirschsprung's Disease of the Descending Colon (하행결장에 발생한 Hirschsprung씨 병의 Pull-through수술 경험)

  • Hong, Jeong
    • Advances in pediatric surgery
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    • v.10 no.1
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    • pp.60-62
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    • 2004
  • Leveling colostomy with a frozen-section biopsy in a Hirschsprung's disease is an important factor for a successful procedure. Two neonatal cases of Hirschsprung's disease in the descending colon are reported. In both cases, loop ileostomy was established because of the unavailability of frozen-section biopsy on an emergency basis. At the time of definitive procedure of the first case, transition zone at the splenic flexure was noted and was compatible with the frozen section biopsy. In the second case, an unexpected longer resection at a higher level than transition zone was required because of the poor vascularity after dissection. In conclusion, a leveling colostomy should be selected as a choice in long-segment Hirschsprung's disease. Confirming preservation of the marginal artery of Drummond is particularly important in case of Hirschsprung's disease in the descending colon.

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Radiographic Diagnosis for Determination of Operation Site in Calves with Congenital Atresia Ani (송아지 항문폐쇄증의 수술 부위 결정을 위한 방사선 진단)

  • 김남수;최인혁
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.486-491
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    • 1999
  • One day to one week-old 3 female Korean native calves were referred to the Veterinary Teaching Hospital, Chonbuk National University, with atresia ani. The authors performed radiographic and ultrasonographic diagnosis with physical examination, general hematology and blood chemical examination as investigation. The atresia ani were type I, II, III in each 3 calves. In abdominal radiography and ultrasonography, there were ventral displacement of descending colon(gas and feces filled) and typical enlargement of the blind end of colon in all cases. Operation site was determined by radiographic and ultrasonographic findings in these cases. Surgical treatment, two cases were translocation of the colon to the body wall exiting as a colostomy and one case was corrected by making a circumcision through the skin covering the site of the anus.

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Anorectal Malformation - Postoperative Care and Functional Results - (항문직장기형 - 수술 후 관리 및 기능적 결과 -)

  • Kim, Jae-Chun
    • Advances in pediatric surgery
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    • v.12 no.1
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    • pp.115-125
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    • 2006
  • Postoperative management of anorectal malformation consists of colostomy management and then management after definitive surgery. Colostomy management requires attention to certain details, i. e. complete decompression of the distal limb to avoid secondary megarectosigmoid and prevention and treatment of urinary tract infections in patients with rectourethral fistula. Management after definitive surgery requires the care of catheters placed in the rectourethral fistula or cloacal defect. Prevention and treatment of various complications after definitive operation, i. e. wound infection, anal stenosis or stricture, anal mucosal prolapse, and management of functional disorders, i.e. constipation, fecal incontinence and urinary incontinence are also necessary. In this review, recent trends for the prevention and treatment of the above mentioned problems after operation for anorectal malformation are presented.

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