title: Bariatric surgery and implications for stoma care.
abstract: In the UK, 62% of the population are now described as being either overweight or obese. People with weight-management issues are more likely to suffer from cardiovascular disease and diabetes, as well as having an increased risk of cancer, including bowel cancer. Following the initial National Institute for Health and Care Excellence guidance in 2006, revised in 2014, health professionals have a more proactive role in identifying people with weight-management issues and supporting them to achieve a weight that helps reduce their health risks. This includes referrals to bariatric surgeons for consideration for surgery if appropriate. One particular surgical procedure, the Roux-en-Y, is not reversible and alters the capacity of the stomach and function of the small bowel in order to achieve weight loss. Using a case study, this article will highlight the role of the stoma nurse in managing a patient, who previously had a Roux-en-Y procedure for weight loss and subsequently needed formation of a loop ileostomy after surgery for bowel cancer.
authors.affiliation: Clinical Nurse Specialist, Stoma Care, Hollister Ltd.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Swash
mesh_terms: D000368:Aged; D004032:Diet; D005260:Female; D015390:Gastric Bypass; D006801:Humans; D007081:Ileostomy / Q000451:nursing*; D024802:Nurse's Role; D012004:Rectal Neoplasms / Q000601:surgery*; D017592:Skin Care
keywords: Bariatric surgery; Nurse's role; Obesity; Stoma