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Stomatherapists are an excellent resource for families and physicians when managing ostomies. However, patients will still present to the ED with ostomy‐related complications, and all ED physicians should be familiar with the types of GI diversions and their complications.

Pouches are used to collect the ostomy effluent, contain odor, and protect the peristomal skin. There are one‐ and two‐piece pouch systems available, and they come in both reusable and disposable varieties. Patients typically empty the pouch when it is one‐third full and change pouches 1–2 times a week.

Diet is also important in the routine management of ostomies. Patients may prefer to modify their diet to avoid gas‐producing foods and must be cognizant of the amount of fluid they must intake to compensate for the volume lost through the effluent, which is determined by location of the stoma relative to the ileocecal valve.