Doctor insights on:
Any Contraindications 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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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). ...Read more
2 weeks to 1month: Ileostomy is usually performed for obstructing cancer or blockage. Also for ulcerative colitis. After having an ileostomy the incision will heal from the inside. The sutures will last about 1 month. Watch your diet and fluid intake. Too much output from ileostomy can make you dehydrated. ...Read more
Easy: If the rectum is still open thru there or thru the ostomy ...Read more
Not for ulc. Colitis: If the ileostomy was done for rx of ulcerative colitis that wasn't responding to meds, then not needed. May need occasional meds for symptomatic rx, e.g. Antidiarrheals. Joint issues, eye issues, skin issues often resolve after removal of the colon. Liver issues may not. ...Read more
Do yor best: Ileostomy is done to protect what is beyond the ileostomy. Get a binder that can support your stoma and work out your upper body the most. You can use an eliptical or another machine for your legs, that will help keep you fit until they close it. I have done that hundreds of times. Stay healthy! ...Read more
Anatomy: An ileoproctostomy is a connection (anastomosis) between the ileum (distal small bowel) and the rectum. It is done after removing the entire colon. An ileostomy is a creation of an opening on the abdominal wall, then bringing the ileum to it and opening it so that the bowel contents empty into a bag. An ileostomy can be done without removing the entire colon and can be reversed when indicated. ...Read more
Good difference: Brooks ileostomy is when a person loose all their colon or most of it by preserving the rectum, and the end of the ileum come out through the abdominal wall and connect to a bag to collect the stool it comes in different forms and function like continent vs incontinent. Visible vs non visible. Ileoproctostomy is when they connect that distal ileum to what ever left of the Colon mostly the rectum. ...Read more
Yes: It takes another surgical procedure.Get a more detailed answer ›
I am going in for ileostomy reversal surgery in 5 days...How long and how difficult of a recovery can I expect?
I have had an ileostomy for uc since I was 7 and I'm now 27. What can I do to gain weight? I have always been under weight.
See nutritionist: Ulcerative colitis causes inflammation of the lining to the colon and the definitive treatment is removal of the colon. In many patients, there may be some short-term effect on weight, mostly related to high output and dehydration. In long-term patients, if you are unable to gain weight, you should see a nutritionist to review your caloric intake and the balance of minerals and vitamins. ...Read more
I have an ileostomy and have daily rectal mucus that is increasing. Had weekly mucus last year. How can I slow mucus production or stop it?
Please explain in laments terms what exactly the difference is between an Ileostomy and an Ileoproctostomy. What determines having 1 over the other?
Simple term explains: ' Ileostomy ' means end of ileum (small bowel) was brought our side, bowel contents leaks out into a bag Most likely the entire colon including rectum was removed due to disease or some times temporary staged procedure. In ' ileo-proctostmy ' ileum was connected to rectum no bag needed, go to bath room normal way. ...Read more
Hi, ihad loop ileostomy 23may14. the mucas fitula only protruded above the skin one inch. It is now approx.8 inches above. I have been told this is ok.??
Prolapse: It is okay; you are experiencing prolapse of the mucous fistula. This can be troublesome because it makes dressing your appliance harder and it can cause more drying of the tissue. As long as you are not having pain and no issues with your BMs then it is ok to watch. You can try to gently push it in yourself. Fixing the prolapse can be complicated and require extensive surgery. Good luck! ...Read more
Is it safer for a woman to bear a child with a traditional ileostomy versus a continent ileostomy being that the pouch is internal with a continent ileostomy?
Some set backs: Most of the time will be small bowel problems partial or complete obstruction, trditional ileostomy will have least problems. In ci like j pouch as is existing precariouly, with poor blood supply, poor function, pouchitis, pelvic sepsis, etc gravid utereus will give problems to pouch and its function. ...Read more
Depends: This is highly dependent on why this surgery is indicated. If the person is not too elderly or have other risk factors such as crohn's disease or extensive cancer, then a j-pouch may be appropriate. This is performed by a trained surgeon who has the proper knowledge. Some patients do not have a choice due to their disease condition and will need an ileostomy. ...Read more
An ileostomy is usually performed when a major resection of colon is performed and mostif not all of the colon is resected for conditions such as colitis.
A colostomy is a diversion in a portion of the colon to protect a distal colon resection and possible suture line. ...Read more
Ileostomy/colostomy: An ileostomy has mainly liquid output because the stool never passes through the colon to have the majority of water content re-absorbed. A colostomy will usually have more normal appearing, solid stool output. Patients can become severely dehydrated from high ileostomy output, sometimes needing hospitalization. Ileostomy output can also be more irritating to skin, making ostomy care difficult. ...Read more
Liquid diet: For a procedure on the GI tract, the less food content in the bowel at the time of surgery, the easier for surgery to be performed. With colostomy and ileostomy the stoma is created on the abdominal wall in the absence of a needed anastomosis so that there is no problem with food products having to cross an early created anastomosis. A liquid diet prior to this surgery is helpful. ...Read more