A patient with cancer of the rectum is scheduled for surgery and the placement of a permanent ostomy. Which type of ostomy is most likely to be performed on this patient?
1. Ileostomy
2. Double-barrel colostomy
3. Sigmoid colostomy
4. Transverse loop colostomy
3
Rationale 1: An ileostomy is performed when the patient has a disorder in the area of the ileum.
Rationale 2: Double-barrel colostomies are performed in the transverse colon.
Rationale 3: A sigmoid colostomy is the most common permanent colostomy performed, particularly for cancer of the rectum. It is usually created during an abdominoperineal resection.
Rationale 4: A transverse loop colostomy is performed in the transverse colon.
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