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The Challenging Stoma

CME Credit Hours: 1.5

The stoma is the ultimate patient dissatisfier and can drive up length of stay, readmissions and complications—and exact even higher rates of intangibles such as patient anxiety, cost, and frustration. This session was built to better arm surgical care teams with resources to help ostomates live a high-quality life even in the most challenging situations. From preoperative planning and patient activation to technical considerations of operative construction, and management of common complications, this session is intended to provide surgeons pragmatic, practice-ready advice on helping patients who are experiencing one of the most life-altering events they will ever endure.

Objectives

At the conclusion of this session, participants should be able to:

  1. Explain principles of pre-operative stoma site marking
  2. Incorporate “best practice” stoma creation principles
  3. Diagnose and manage common postoperative stoma-related complications

Co-Directors 

Jennifer Beaty, MD, Omaha, NE
Michael McGee, MD, Chicago, IL


Introduction
Jennifer Beaty, MD, Omaha, NE

An Ounce of Prevention: Preoperative Patient Preparation for Stoma Creation
Crina Floruta, RN, NP, Cleveland, OH

It Won’t Reach!” Intraoperative Considerations for Stoma Creation
Peter Cataldo, MD, Burlington, VT

It Keeps Leaking and I’m Really Dizzy!” Diagnosis and Management of Early Postoperative Stoma Complications                                    
Samantha Hendren, MD, MPH, Ann Arbor, MI

“There’s a Big Bump Under my Bag!” Diagnosis and Management of Late Postoperative Stoma Complications
Virginia Shaffer, MD, Atlanta, GA

The Bottom of the Barrell: Challenging Case Presentations and Panel Discussion
Jennifer Beaty, MD, Omaha, NE
Michael McGee, MD, Chicago, IL

Adjourn