Ileostomy

From WikiMD's medical encyclopedia

Ileostomy

Ileostomy
An example of an ileostomy.

An ileostomy is a surgical procedure that creates a stoma (an artificial opening) by diverting the ileum, which is the lowest part of the small intestine, to an opening in the abdominal wall. This allows feces to bypass the colon, rectum, and anus, exiting the body through the stoma and being collected in an external pouch.

Reasons for an Ileostomy

Ileostomies are performed for various reasons, including:

  • Inflammatory bowel diseases such as Crohn's disease
  • Colorectal cancer
  • Familial adenomatous polyposis
  • Ulcerative colitis
  • Trauma or injury to the colon or rectum
  • Congenital defects

Types of Ileostomies

There are several types of ileostomies, including:

  • Temporary ileostomy: Created to allow the lower part of the bowel to heal after surgery or injury.
  • Permanent ileostomy: Performed when the entire colon, rectum, or both are removed and not reversible.

Surgical Process

The procedure involves: 1. Making an incision in the abdomen. 2. Bringing the end of the ileum through this incision. 3. Creating the stoma, which is sutured to the skin. 4. In some cases, a portion of the ileum may be used to create an internal pouch connected to the anus, allowing for more natural waste elimination.

Post-operative Care

After surgery, patients receive instructions on how to care for the stoma and change the ileostomy bag. Proper care is crucial to prevent infection and ensure the stoma functions correctly.

Living with an Ileostomy

Living with an ileostomy involves adjustments, including:

  • Learning stoma care and pouch management
  • Dietary changes to avoid blockages
  • Monitoring for signs of dehydration
  • Engaging in most activities and sports with few restrictions

Potential Complications

Complications can include:

  • Stoma blockage
  • Skin irritation around the stoma
  • Dehydration
  • Pouch leaks

Recent Advancements

Advancements in ileostomy care and surgical techniques continue to improve quality of life for patients. These include skin-friendly adhesives, odor control technologies, and minimally invasive surgical techniques.

See Also

External Links

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