Documente Academic
Documente Profesional
Documente Cultură
SALURAN PENCERNAAN
Viable bacteria per gram 0 - 103 0 - 104 105 - 108 1010 - 1012
Urinary calculi :
– 3%-13%
– Dehydration & Sodium loss
Gallstone formation :
– Extensive terminal ileal resection
– Enterohepatic circulation disrupted
– Prophylactic Cholecystectomy
Colostomy
First day : liquid, steadily increase
10-14 days : become quite viscous
High fiber food : increase fecal weight
Proximal : quite liquid, excessive bile acid in
colon > promote colonic water & electrolyte
secretion
More distally : more solid
DESENDEN
PROXIMAL KOLOSTOMI
COLOSTOMY
SIGMOID
TRANSVERSUM
KOLOSTOMI
KOLOSTOMI
Summary