Basic indications for stoma
Colorectal/rectal cancer
Colon or rectal cancer can cause obstruction , bleeding , or the need to remove part of the intestine. In these cases, a stoma bypass protects the patient and facilitates recovery.
Crohn's Disease & Ulcerative Colitis (IBD)
Inflammatory bowel disease leads to a stoma when the disease is severe or drug-resistant and there are complications such as strictures, fistulas or perforation. The stoma bypasses the affected section and allows healing.
Traumatic / Emergency situations
In cases of perforation, ischemia, or severe intestinal trauma, a stoma can be an emergency, life-saving solution until radical treatment is available.
Other causes (less common)
- Ischemic enteropathy, radiotherapy lesions
- Complications of previous surgeries
- Congenital anomalies
Urostomy
In urinary tract diseases (e.g. bladder cancer or serious injury) urine diversion through a urostomy may be required.
Temporary or permanent stoma?
The decision depends on:
- the extent and location of the damage
- the patient's general condition
- whether the cause is reversible or chronic
- the possibility of future reconnection
Temporary stomas are often used to "protect" anastomoses; permanent ones are chosen when the risk of recurrence or anatomical limitations are high.
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Common complications & prevention
- Parastomal hernia
- Prolapse, stenosis, retraction
- Skin irritation, leaks/seal instability
- Rarer: hemorrhage, necrosis
Proper base/bag selection, personalized cut/port size, and care education reduce the risk of complications.
Useful tips & guidance
- Care team: surgeon, gastroenterologist and ostomy nurse collaborate for preoperative marking, education and monitoring.
- Information & participation: learn about the options, risks and benefits before making a decision.
- Monitoring: especially in IBD, regular check-ups are required.
- Psychological support: support groups and counseling facilitate the transition.
- Proper skin care & materials: choose products that suit the morphology of your stoma.
Do you need help with your ostomy supplies?
The Traumacare team provides personalized consulting, product samples, EOPYY support and shipments throughout Greece/abroad.
Frequently Asked Questions (FAQ)
Can a stoma be temporary?
Yes, when an anastomosis needs to be protected or inflammation/wound needs to be healed. Reconnection is done at a later time if the clinical situation allows.
What are the most common complications?
Paraventricular hernia, stenosis, prolapse and skin irritation. Proper application of materials and training reduce the risk.
When do Crohn's disease and ulcerative colitis lead to a stoma?
In severe, drug-resistant disease or with complications such as fistulas, strictures or perforation.