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Nutrition clinique et métabolisme
Volume 26, n° 2
pages 82-88 (juin 2012)
Doi : 10.1016/j.nupar.2012.03.004
Received : 5 December 2011 ;  accepted : 20 February 2012
Prise en charge clinique d’un patient porteur d’une stomie du grêle
Clinical management of a patient with enterostoma

Mouna Hanachi a, Martine Floch b, Pascal Crenn a,
a EA 4497, UVSQ-AP–HP, unité de nutrition clinique, département de médecine aiguë spécialisée, hôpital Raymond-Poincaré, 104, boulevard Raymond-Poincaré, 92350 Garches, France 
b Pôle digestif, hôpital Lariboisière, AP–HP, 2, rue Ambroise-Paré, 75010 Paris, France 

Auteur correspondant.

Les entérostomies d’évacuation (iléostomie, jéjunostomie) peuvent occasionner des complications mécaniques, nutritionnelles et métaboliques, et avoir des répercussions psychologiques, sociales et professionnelles. Une bonne connaissance de ces complications est nécessaire pour les prévenir et les traiter précocement. L’éducation du patient et une prise en charge multidisciplinaire impliquant le chirurgien, le stomathérapeute, le médecin nutritionniste et le diététicien garantissent la qualité des soins.

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Jejunostoma and ileostoma can cause significant mechanical, nutritional and metabolic complications, and can have psychological, social and professional impacts. Early follow-up from the preoperative phase, technical and psychological long-term supports are essential to a good patient’s adaptation and quality of life. Complications must be known and prevented. This requires the mobilization of a multidisciplinary team including surgeons, stoma nurses, dieticians and nutritionists.

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Mots clés : Iléostomie, Jéjunostomie, Insuffisance intestinale, Complications

Keywords : Ileostomy, Jejunostomy, Intestinal failure, Complications

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