Doctor insights on:
Colectomy Vs Colostomy
If it is an elective: Operation, only rarely, depends on location of abnormality for which the colectomy is being done. If you need to have a complete procto-colectomy, yes, you would need a permanent colostomy. In all other cases, a colostomy would usually be a temporary one, even if necessary. If it is a right hemi-colectomy or an ileo-colectomy, chances of a stoma are very low. Ask your surgeon for specifics.
No bag: A colostomy is performed when the bowel is resected and there is a significant length of proximal colon and minimal or no length of distal colon to bring the ends together as with an APR. When a stoma is present, irrigations should be started on a daily basis and a square pad placed over the stoma. With daily performance the colon will eventually function only when irrigation employed.
Colostomy may: Be needed for cancers too close to the rectal muscles to maintain continence, or any time that stool needs to be diverted away from necessary healing in the low pelvis. The former is not reversible, the latter is.See 1 more doctor answer
Yes: Possible to have custom made truss like device if you can find one who will make it for you Such services are extinct. Current appliances are better made, easy to use, for colostomy are very effective will not emit odor, will not fall out.
Colostomy: When it fills up.Get a more detailed answer ›
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.
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.