ABSTRACT
Preop A small bowel contrast study is indicated to look for additional disease in patients
with Crohn’s disease or to identify small bowel polyps in patients with FAP. An enterostomal therapist is helpful for marking an optimal site for the ileostomy and providing preoperative teaching regarding ileostomy care. To allow for a secure fit of the ostomy appliance, the site should be located over the rectus muscle and should be at the apex of any abdominal fold that occurs with the patient in the sitting position. The patient should be able to see the stoma site while sitting or standing. Patients should receive mechanical bowel cleansing and intravenous antibiotics 30 minutes prior to operation. Deep vein thrombosis prophylaxis with subcutaneous heparin and/or sequential compression devices should be used based on patient s risk factors.
