Is the intubation process of continent ileostomy painful?

Maybe Initially . You need to work closely with your ostomy nurse. Once you've done it a few times - it becomes almost automatic. It really is like inserting a pressure release valve, you will get good at it overtime.
Not painful. You should not experience pain with intubation of a continent ileostomy because the nerve fibers of the small intestine are different from those of the skin, muscle and soft tissues. The small intestine can be burned and cut without you feeling pain; you feel pain from your intestine when it is stretched or distended.

Related Questions

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...
Not necessarily. The medications required will be to treat the original condition for which you had the ileostomy but not necessarily for the ileostomy per se. Read more...

How should I decide when it is time to have continent ileostomy, especially if colitis is controlled?

Based on symptoms. If your disease is controlled on medications then surgery may never be necessary. In most cases surgery is not ever needed. Read more...
If controlled. No need to consider any surgery unless high dose steroids are needed or meds fail or you have evidence of dysplasia increasing the risk of colon cancer. Then I do not support continent ileostomy, as better results are obtained with j pouch or permanent ileostomy. Failed or unsatisfactory cont ileo would cause a loss of significant small bowel to convert with resulting poor absorption/nutrition. Read more...

Are there risks if you are in a strenuous occupation following this continent ileostomy?

Hernias may form. Yes, it is possible to develop a hernia around the stoma if you do anything that uses your abdominal muscles since the ileostomy goes through the rectus muscle. A hernia may develop around the stoma site. I would definitely limit the amount of weight you lift at a time and try to limit the use of your rectus muscles if possible. Read more...

Should you have continent ileostomy if your ulcerative colitis is controlled?

No, unless preCA. Ileostomy is treatment for either ulcerative colitis that is resistant to medical rx, or if the colon needs to be removed for cancerous or pre=cancerous (dysplasia) changes. Otherwise, keep your colon. Read more...
No. If your uc is under control with medicine you don't need any operation. A continent ileostomy is reserved for patients who have already had a total proctcolectomy and want an ileosomy that can be controlled. It is not done as the first operative procedure except in rare circumstances. Did i understand the question? Read more...

What exactly is a continent ileostomy?

Controlled ostomy. A continent ostomy is an ostomy that does not flow or leak continuously into a bag. It is usually skin level, nonobtrusive and can be drained or emptied by placing a drainage tube into a small orifice. It can be used in a variety of diseases, cancer inflammatory bowel disease. Etc. 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...

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...