Show Menu
Cheatography
  1. Home >
  2. Education >

Stomas & Feeding Tubes Cheat Sheet (DRAFT) by

MNT Stoma types and outputs

This is a draft cheat sheet. It is a work in progress and is not finished yet.

STOMAS

surgically created opening in the abdominal wall that allows part of the intestine to be diverted outside the body. It enables waste to exit the body
Stoma type
  
Expected output post operat­ively (48-72hrs)
Post adaptation
Jejuno­stomy
opening in the jejunum (middle the small intest­ine). bypass stomach & upper small intestine. Where oral input isn’t possible, but L.I functions.
<6L/d
<6L/d
Ileostomy
Opening in the ileum (the last part of the S.I) – bypass L.Inte­stine. End: ileum separated from colon and brought out to form stoma. Loop: a loop of small intestine pulled through abdominal incision, then opened and stitched to skin to form stoma
<2L/d Generally, will be functional within 24 hrs
600-80­0mL/day
Colostomy
Colon brought through abdomen
May have no output initially for up <72­hours May need low insoluble fibre first few weeks are surgery, then re-int­roduce
200-60­0mL/d thick stool Rare to have high stoma output

Stoma troubl­esh­ooting

Reduce output High output = 1500ml­/day+
↑ salt
Thicken output
rice, potatoes, pasta, white bread, smooth peanut butter, cheese, oats
↑ output
caffeine, sugary drinks, artificial sweete­ners, alcohol, spicy foods
Too much gas
avoid cabbage, onions, legumes, broccoli, caulif­lower, asparagus, peas, sugary drinks, chewing gum, drinking through straw, smoking

Stoma troubl­esh­ooting

Reduce output High output = 1500ml­/day+
↑ salt
Thicken output
rice, potatoes, pasta, white bread, smooth peanut butter, cheese, oats
 

Tube Feeding (EN)

EN Feeding Routes

Tube
Notes
Risks
Nasoga­stric (Nose > Stomach)
>2 weeks. Normal GI function. ✓ Medica­tions in tube. Bedside insertion. Common and preferred.
Aspiration risk. Discom­fort.
Nasodu­odenal (Nose > duodenum)
>2 weeks. Normal SI, abnormal stomach. Bedside insertion. ✓ Medica­tions in tube
Discom­fort. Requires pump
Gastro­stomy “G Tube” (Straight into stomach) 2+ weeks. Normal GI function, bypass mouth.
Reduced risk of displa­cement. ✓ bolus feeds. x most medica­tions in tube. Flush w/ water after each feed.
Surgery – risk of infection
Jejuno­stomy (PEJ) (Straight into jejunum)
2+ weeks. Normal GI function, but need to bypass parts of the GI tract. ↑ tolerance. Eg. pancre­atitis.
Surgery – risk of infection. Requires pump admini­str­ation. Risk of clogging smaller lumen of tube.

Feeding Rates (EN)

Contin­uous: nasodu­ode­nal­-je­junal
100-12­0mL­/hour
Contin­uous: nasoga­stric
250ml/hour
Bolus
150mL for small/old people, 400-600mL for bigger people­/young people