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Introduction

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Patients may require a gastrointestinal (GI) diversion for several reasons, including congenital causes and acquired lesions. The most common type of GI diversion is the ostomy where a purposeful anastomosis is created between a segment of the GI tract and the external skin. An ostomy can be established almost anywhere along the GI tract, including the large intestine (colostomy), distal small intestine (ileostomy), and the esophagus (esophagostomy or spit fistula). These GI diversions may be temporary or permanent, and the emergency department (ED) physician should be comfortable with the evaluation and management of the different types of ostomies and their potential complications.

Emergency Management of the Hi-Tech Patient in Acute and Critical Care

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