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- ArticleKirsch JJ.Fortschr Med. 1978 Jul 27;96(28):1387-8.The medical care of the increasing number of ostomy patients is necessary in three inseparable areas:--provision of the stoma,--treatment of basis disease,--psychological support. The major medical and technical advances of recent years allow a normal social life. A precisely defined program of examinations at regular intervals is necessary to ensure adequate treatment; especially after Ca-operations. Psychological support must be directed towards the prevention of social isolation. In order to improve the present situation in the German Federal Republic the graduate training of the doctors must be intensified. In order to deal with problematical cases special ostomy out-patient clinics with suitably trained personnel should be set up in certain hospitals.