eMedicine Specialties > Pediatrics: Surgery > General Surgery

Stomas of the Small and Large Intestine: Workup

Author: Robert K Minkes, MD, PhD, Professor of Surgery, University of Texas Southwestern; Chief of Surgical Services, Children's Medical Center of Dallas-Legacy
Coauthor(s): Mark V Mazziotti, MD, Assistant Professor of Pediatric Surgery, Department of Surgery, Baylor College of Medicine, Texas Children's Hospital; Jacob C Langer, MD, Professor, Department of Surgery, University of Toronto Faculty of Medicine
Contributor Information and Disclosures

Updated: Oct 1, 2008

Workup

Laboratory Studies

  • Laboratory investigations depend on the indication for a stoma.

Imaging Studies

  • Imaging studies may be performed as part of the evaluation of the specific disease process and may include the following:
    • Plain radiography
    • Contrast enema examination (particularly before closure of stomas)
    • CT scanning
    • Ultrasonography
  • Prior to reversal of most ostomies in infants, consider performing a distal contrast study to evaluate the unused portion of the bowel. This is particularly important in babies treated for neonatal necrotizing enterocolitis with a diverting ostomy. Such patients may have an unrecognized distal intestinal stricture. Repair of the stricture is essential prior to, or during, the procedure for reversal of the ostomy.

Diagnostic Procedures

  • Intestinal biopsy: In selected cases in which a colostomy or ileostomy was performed for intestinal obstruction of unclear etiology, a mucosal biopsy might be helpful to rule out the possibility of Hirschsprung disease.

More on Stomas of the Small and Large Intestine

Overview: Stomas of the Small and Large Intestine
Workup: Stomas of the Small and Large Intestine
Treatment: Stomas of the Small and Large Intestine
Follow-up: Stomas of the Small and Large Intestine
Multimedia: Stomas of the Small and Large Intestine
References
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References

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Further Reading

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Keywords

stomas of the small and large intestine, ostomy, ostomies, enterostomy, enterostomies, jejunostomy, jejunostomies, ileostomy, ileostomies, colostomy, colostomies, mucus fistula, mucus fistulae, GI stomas, gastrointestinal stomas, mucous fistula, mucous fistulae, intestinal stomas, gastrointestinal access, gastrointestinal decompression, gastrointestinal diversion, gastrointestinal evacuation, GI access, GI decompression, GI diversion, GI evacuation, inflammatory bowel disease, intestinal obstruction, imperforate anus, small bowel stomas, intestinal perforation, necrotizing enterocolitis, Hirschsprung disease, meconium ileus, complex hindgut anomalies, intestinal malrotation, intestinal volvulus, intestinal atresia, intestinal stenosis, intestinal webs, esophageal atresia, Gardner syndrome, typhlitis, intestinal pseudo-obstruction

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Contributor Information and Disclosures

Author

Robert K Minkes, MD, PhD, Professor of Surgery, University of Texas Southwestern; Chief of Surgical Services, Children's Medical Center of Dallas-Legacy
Robert K Minkes, MD, PhD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Coauthor(s)

Mark V Mazziotti, MD, Assistant Professor of Pediatric Surgery, Department of Surgery, Baylor College of Medicine, Texas Children's Hospital
Mark V Mazziotti, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Jacob C Langer, MD, Professor, Department of Surgery, University of Toronto Faculty of Medicine
Jacob C Langer, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Surgeons, American Pediatric Surgical Association, Association for Academic Surgery, Canadian Medical Association, Ontario Medical Association, Royal College of Physicians and Surgeons of Canada, Society for Surgery of the Alimentary Tract, and Society of University Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Kurt D Newman, MD, Vice Chairman, Department of Pediatric Surgery, Children's National Medical Center; Professor, Departments of Surgery and Pediatrics, George Washington University School of Medicine
Kurt D Newman, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Surgeons, American Pediatric Surgical Association, and Society of Surgical Oncology
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from broker recommendation; Avanir Pharma Stock Investment from broker recommendation

Managing Editor

Andre Hebra, MD, Chief, Division of Pediatric Surgery, Medical University of South Carolina; Professor of Surgery and Pediatrics, Medical University of South Carolina
Andre Hebra, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, Association for Academic Surgery, Society of Laparoendoscopic Surgeons, South Carolina Medical Association, Southeastern Surgical Congress, and Southern Medical Association
Disclosure: Nothing to disclose.

CME Editor

H Biemann Othersen Jr, MD, Professor of Surgery and Pediatrics, Emeritus Head, Division of Pediatric Surgery, Medical University of South Carolina
H Biemann Othersen Jr, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American Association for the Surgery of Trauma, American Burn Association, American Cancer Society, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, American Society for Parenteral and Enteral Nutrition, American Surgical Association, American Thoracic Society, British Association of Paediatric Surgeons, Society for Surgery of the Alimentary Tract, Society of Critical Care Medicine, South Carolina Medical Association, Southeastern Surgical Congress, Southern Medical Association, Southern Society for Pediatric Research, and Southern Thoracic Surgical Association
Disclosure: Nothing to disclose.

Chief Editor

Harsh Grewal, MD, FACS, FAAP, Professor of Surgery and Pediatrics, Temple University School of Medicine; Chief, Section of Pediatric Surgery, Temple University Children's Medical Center
Harsh Grewal, MD, FACS, FAAP is a member of the following medical societies: American Academy of Pediatrics, American College of Surgeons, American Pediatric Surgical Association, Association for Surgical Education, Children's Oncology Group, Eastern Association for the Surgery of Trauma, International Pediatric Endosurgery Group, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoendoscopic Surgeons, and Southwestern Surgical Congress
Disclosure: Nothing to disclose.

 
 
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