title: [Stoma physiology].
abstract: In addition to psychological stress, stomas may lead to metabolic consequences. Colostomies normally cause only minor physiological problems; however, patients with ileostomies are at risk for severe metabolic disturbances. The small intestine essentially manages the balance of water and electrolytes and the absorption of nutrition. In special circumstances such as "high output" or short-bowel syndrome, dangerous consequences like kidney disorders may arise. Basic therapeutic strategies such as enteral or parenteral substitution are discussed.
authors.affiliation: Chirurgische Abteilung, St. Josefs-Hospital, Dortmund.
authors.forename: J
authors.initials: J
authors.lastname: Stern
authors.forename: M
authors.initials: M
authors.lastname: Brüwer
authors.forename: F X
authors.initials: FX
authors.lastname: Huber
authors.forename: C
authors.initials: C
authors.lastname: Decker-Baumann
mesh_terms: D003125:Colostomy; D004734:Energy Metabolism / Q000502:physiology*; D005769:Gastrointestinal Motility / Q000502:physiology; D006801:Humans; D007081:Ileostomy; D007408:Intestinal Absorption / Q000502:physiology; D011183:Postoperative Complications / Q000503:physiopathology*; D012307:Risk Factors; D012778:Short Bowel Syndrome / Q000503:physiopathology; D014882:Water-Electrolyte Balance / Q000502:physiology*
vernacular_title: Stomaphysiologie.