Highlights
- •Types of colostomies include end, loop, double barrel and end colostomy with mucous fistula
- •Ostomy evaluation is usually performed via fluoroscopy
- •Earlostomy complications include infection, abscess, leak, ischemia, stomal retraction and obstruction.
- •Delayed ostomy complications include hernia, prolapse, colitis, stenosis, and peristomal varices.
Abstract
Colostomies are commonly created in conjunction with colorectal surgery performed
for both malignant and benign indications. Familiarity with the different types of
colostomies and their normal imaging appearance will improve radiologic detection
and characterization of colostomy complications. The radiologist plays a large role
in assessment of colostomy patients either via fluoroscopic technique or multidetector
computed tomography (CT) in order to help identify ostomy complications or to aid
the surgeon prior to colostomy reversal. In this article, we will review: (1) the
types of colostomies and indications for their creation; (2) the proper radiographic
technique of ostomy evaluation; and (3) the potential complications of colostomies
and their imaging manifestations.
Keywords
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Article info
Publication history
Published online: February 20, 2019
Accepted:
February 15,
2019
Received in revised form:
February 13,
2019
Received:
November 14,
2018
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
