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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. ...Read more

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. ...Read more

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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. ...Read more

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What exactly is an ileostomy takedown?

What exactly is an ileostomy takedown?

Repair: Take the ileostomy apart from the skin
close the abdominal, opening

re hook the bowel together inside. ...Read more

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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. ...Read more

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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 ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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Are blockages common after continent ileostomy?

No: No. Not common but can occur in some patients. ...Read more

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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). ...Read more

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Raw broccoli with an ileostomy bag, is that okay?

NO, Why: If you want to take away the smell, first revaluate what you are eating, next put activated carbon tablets in the stomal bag will help you taking the smell off not broccoli. ...Read more

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Docs, usually how long is recovery from an ileostomy?

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

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How does a person with a ileostomy get a colonoscapy?

Easy: If the rectum is still open thru there or thru the ostomy ...Read more

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Can a women bear children after a continent ileostomy procedure?

Can a women bear children after a continent ileostomy procedure?

Yes: Generally colectomy does not affect the ability to become pregnant. C-section my be necessary depending on other factors but certainly not always. ...Read more

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Are medications required routinely after the continent ileostomy?

Are medications required routinely after the continent ileostomy?

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

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What does it mean if there is defunctioning stoma of the ileostomy?

Double stoma: One remains connected to forward intestinal flow- functioning. The other stoma is to empty distal bowel segment=de functioned ...Read more

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How to get fit again in between an ileostomy and an ileostomy reverse?

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

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What's the difference between an ileoproctostomy and an ileostomy reversal?

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

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What's the difference between a Brooke Ileostomy placement and an Ileoproctostomy?

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

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I am going in for ileostomy reversal surgery in 5 days...How long and how difficult of a recovery can I expect?

I am going in for ileostomy reversal surgery in 5 days...How long and how difficult of a recovery can I expect?

4-6 week full recovr: You will feel sore for 7-10 days and then gradually get better. For full healing and strength to return to the wounds it will take 4-6 weeks. You will need to avoid strenuous activity during that time. ...Read more

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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

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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

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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.??

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

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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

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Which is best after colectomy: ileostomy or j-pouch?

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

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Can you give me more info on an ileostomy/colostomy?

Can you give me more info on an ileostomy/colostomy?

Different diversions: 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

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Why is an ileostomy more difficult than a colostomy?

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

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What diet is needed before a colostomy or an ileostomy?

What diet is needed before a colostomy or an ileostomy?

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