PubMed · 2608107
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I Anderson. 1989. Stomatherapy.. https://pubmed.ncbi.nlm.nih.gov/2608107/
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Repeated or prolonged organic obstruction of the small intestine in the neonatal period can lead to severe refeeding problems, despite a transient ostomy. These problems are thought to result from a postobstructive enteropathy (POE) of the apparently normal small intestine segment above the obstruction. Ten infants with a POE, characterized by limited oral caloric and carbohydrate intakes and increased ostomy effluent, were compared with 8 controls with an enterostomy and a normal postoperative refeeding pattern. There was no statistical difference in the histomorphometric appearance of the mucosa or its digestive or absorptive capacity (brush-border hydrolases, glucose transport) between the two groups. The effluent and duodenal floras of the two groups were similar. However, all POE patients showed significant abnormal peristalsis characterized by barium and carmin transit times. This suggests that repeated or prolonged obstruction in the neonatal period could lead to a POE, caused by chronic motricity abnormalities of the small intestine above the obstruction. Although this POE is more frequent after small bowel atresia, it may also occur with other conditions causing prenatal and postnatal intestinal obstruction.
In our hospital nurses were unsure about products to order for ostomy patients. To address nurses' concerns, a group of representatives from the Central Supply Department and Nursing Department as well as the clinical nurse specialist and patient care specialist was formed. The group developed an inservice on wheels entitled, "Send Me One of Everything" which was rotated throughout the hospital. This article describes the setup of the cart, methods used to update skills, and evaluation of the process. The inservice on wheels was an effective way to update the staff and decrease waste.