Bowel resection (Colostomy/Ileostomy)
Cancer is a disease that affects everyone everywhere, rich and poor, black and white, brown and yellow, Mexican, American, Russian, and Singaporean, unbiased without preference. Cancer is a much studied and researched topic and although great advances in medicinal treatments through research have been discovered and developed, a cure has yet to be discovered. Cancer can affect any organ in the body and thus can present itself at anytime anywhere in our bodies. There are known substances (carcinogens) that place the general population at risk to develop cancer, however exposure to carcinogens and cancerous agents are not the only reason for cancer and tumor development.
Nearly all colorectal cancers that begin as adenomatous polyps are adenocarcinomas. Most tumors develop in the rectum and sigmoid colon, although any portion of the colon may be affected. The tumor typically grows undetected, producing few manifestations. By the time manifestations occur, the disease may have spread into deeper layers of the bowel tissue and adjacent organs. Colorectal cancer spreads by direct extension to involve the entire bowel circumference, the sub-mucosa, and outer bowel wall layers. Neighboring structures such as the liver, greater curvature of the stomach, duodenum, small intestine, pancreas, spleen genitourinary tract, and abdominal wall also may be involved in the direct extension. Metastasis to regional lymph nodes is the most common form of tumor spread. This is not always an orderly process; distal nodes may contain cancer cells while regional nodes remain normal. Cancerous cells from the primary tumor may spread by way of the lymphatic system or circulatory system to secondary sites such as t...
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...ile colitis) following ileostomy closures is uncommon, but should be suspected when patients do not follow the usual postoperative clinical course following this elective surgery. Although most CDC patients will not die from the infection, the infections associated with an escalating frequency of complications
and this correlates with the age and comorbidity of the patient”.
In conclusion, the patient undergoing a bowel resection procedure is not only at risk for possible complications intraoperative, but also postoperative may be at risk for contracting other infections that may increase length of stay, added medical bills, increase anxiety and predispose the patient to other infections and diseases while he/she remains in the hospital.
LeMone. P., Burke. K., & Bauldoff. G. (2011). Medical surgical nursing: Critical thinking in patient care.