Abstract
The management of ileostomy was discussed in seven patients treated by open drainage and ileostomy for severe acute pancreatitis and severe peritonitis. Ileostomy was useful in avoiding the deterioration due to colonic perforation during the peritoneal lavage and in reducing the bacterial flora in the colon. The problems in stoma care arose in view of 1. stoma site. 2. complication of stoma. 3. skin trouble and 4. stoma appliance. There were many skin troubles in patients who didn't receive stoma site marking preoperatively. Preoperative stoma site marking diminished the risk of skin trouble. The application of devices such as Tegaderm or Surgidrain-opentop were useful appliance in preventing the absorption of exudate from the open wound. The conclusions were obtained as follows；1. Stoma site marking should be done preoperatively. 2. Stoma should be placed at a sufficient distance from the wound edge. 3. Stoma appliance should be selected according to the condition of stoma.
