Stomas ● May be colostomy or ileostomy ● May be temporary or permanent ● Temporary or defunctioning stomas are usually fashioned as loop stomas ● An ileostomy is spouted; a colostomy is flush ● Ileostomy effluent is usually liquid, whereas colostomy effluent is usually solid ● Ileostomy patients are more likely to develop fluid and electrolyte problems ● An ileostomy is usually sited in the right iliac fossa ● End-colostomy is usually sited in the left iliac fossa ● Whenever possible, patients should be counselled and sited by a stoma care nurse before operation