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Doctor insights on: Any Contraindications Ileostomy

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Are there any contraindications to having the continent ileostomy?

Are there any contraindications to having the continent ileostomy?

Crohn's disease: A continent ileostomy uses about 18" of your intestine to create the internal pouch. If you have a chronic inflammatory process that can effect other areas of your small intestine in the future your risks of future surgery and having too little small bowel for nutritional support increase. If the small bowel is normal then continent ileostomy can be considered.

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Dr. Wayne Myles
282 Doctors shared insights

Ileostomy (Definition)

A portion of the small intestine attached to the abdominal wall in order to be able to go to the bathroom if something happened to ...Read more


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When would one need ileostomy?

Some diseases: Conditions when all of the colon needs to be removed such as crohn's or ulcerative colitis. Emergency surgery when there is a colon blockage such as from cancer, or emergency due to colon ischemia, or other emergencies when the colon cannot be reconnected.

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What exactly is an ileostomy reversal?

What exactly is an ileostomy reversal?

Reconnect intestine: This generally refers to the removal of an ileostomy (loop of intestine attached to the skin so stool can drain into a bag on the abdomen) and reconnection of the ileum to the colon or intestine (or in some cases creating an ileal pouch). It really depends on the exact circumstance of the ileostomy and what else was done.

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Does it hurt to get an ileostomy done?

Some: An ilesotomy is a bowel surgery and will require incisions of some sort (laparoscopic versus open procedure). You can expect to have some degree of postoperative pain - usually that is controlled well with iv, im, and/or oral medications.

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Is there any pain involved in an ileostomy?

Yes: Ilestomy is surgical procedure you have to cut the skin and the abdominal wall to reach to the gut

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Are there different types of loop ileostomy?

Not really: A loop ileostomy is an ostomy where both upstream and downstream ends of the bowel come through the same opening in the abdominal wall. It can be different in terms of what segment of bowel is used. It usually allows for a simpler closure of the ileostomy and a shorter recovery time following pouch surgery.

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Are there different types of ileostomy bags?

Yes: For sure and an enterstomal therapist should be able to assist you with finding the perfect appliance for you.

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How long is the recovery time from an ileostomy?

Depends: If you are having a full abdominal surgery with intestinal removal, then a few days in the hospital and 6 week recovery with gradual increasing activities would be common. If it is only an operation for repairing or revising an ileostomy, then it would be a shorter surgery and return to home the same day with quicker return to normal. If the surgery is laparoscopic, then recovery would be faster.

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What is the definition or description of: ileostomy?

Small intestine skin: A portion of the small intestine attached to the abdominal wall in order to be able to go to the bathroom if something happened to the colon or rectum.

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How can I find out about diet for a person with an ileostomy?

How can I find out about diet for a person with an ileostomy?

Check with: The surgeon who performed the surgery, your ostomy nurse or the united ostomy association. The internet site for the latter has many useful tips for ileostomy patients.

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In regards to tests performed for possible ileostomy reversal, what does this mean: scan to check that timing for reversal is correct?

Anastomosis intact: Purpose of an ileostomy is to allow function of small bowel when there is a colonic problem. If total colectomy, then an end ileostomy is performed If ileostomy is used to protect a distal colon resection where continuity is provided by a an anastomosis that may have compromised circulation the ileostomy protects the anastomosis. Until healing demonstrated by x-ray studies.

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What exactly is a continent ileostomy?

Controllable: An ileostomy is placement of the end of the small intestine out of an opening made in the abdominal wall. Most of these will drain or empty spontaneously, without any control. A valve can be constructed at the opening of the intestine (stoma) which will allow no drainage unless a catheter is passed into the opening--we call this a "continent" ileostomy.

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How long does the continent ileostomy take?

Depends: If you mean how long does it take to make one the surgery can take 2-4 hours.

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What is a laparoscopic ileostomy take down?

Laparoscopic: Surgery is minimally invasive surgery through 3-4 small incisions using special lighting, camera & small instruments to perform an abdominal surgery. In this case to remove a person's ileostomy and bag and repair or reconnect the small intestines internally. Would be done under full general anesthesia.

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I have an ileostomy, can I get appendicitis?

I have an ileostomy, can I get appendicitis?

Yes: Unless you have had your appendix taken out, anything is possible.

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Is there another name for continent ileostomy?

Koch + J S W pouch: This is a complex subject and I understand your confusion. The conventional continent ileostomy is called a koch pouch and its opening is located on the abdomen. Other surgeons have described a variety of other procedures where the end is attached to the rectum using an lido-anal pull through technique with a pouch formed using a variety of configurations known the j, s, or w pouch modifications.

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Are there different types of ileostomy surgery?

Are there different types of ileostomy surgery?

Yes: There is primarily one type of ileostomy commonly performed, the straight or brooke ileostomy. I am not sure if many are performing a koch pouch ileostomy anymore, which is a type of pouch used under the skin.

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What should I wear to cover the ileostomy stoma?

What should I wear to cover the ileostomy stoma?

A cover that fits: There a wide variety of different ostomy covers available. Most importantly get one that fits well. Other consideration could be appearance and material (that may reduce noises).

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