Understanding Ileostomy

A Comprehensive Guide for Patients

Colorectal Surgery

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Last updated: Mar 24, 2025

What is an Ileostomy?

An ileostomy is a surgical opening (stoma) created in the abdominal wall, through which the end of the small intestine (ileum) is brought to the surface of the skin. This allows waste to exit the body into an external collection pouch.

Why is an Ileostomy Performed?

  • Inflammatory Bowel Disease (IBD)
    • Crohn's Disease
    • Ulcerative Colitis
  • Colorectal Cancer
  • Familial Polyposis
  • Severe Bowel Injury or Trauma

Types of Ileostomy

End Ileostomy

  • Most common type
  • Entire ileum is diverted to the stoma
  • Usually permanent

Loop Ileostomy

  • Temporary solution
  • Loop of ileum brought through the skin
  • Can be reversed later

Living with an Ileostomy

Daily Care

  1. Regular pouch emptying (4-6 times daily)
  2. Careful cleaning of the stoma
  3. Skin care around the stoma site
  4. Regular pouch changes (every 3-7 days)

Diet Considerations

  • Stay well-hydrated
  • Eat regular meals
  • Avoid foods that may cause blockage
  • Monitor salt intake

Potential Complications

  • Skin irritation
  • Dehydration
  • Blockage
  • Stoma problems
  • Electrolyte imbalances

Lifestyle Adjustments

  • Can return to normal activities
  • Swimming and exercise possible
  • Special consideration for clothing
  • Travel requires preparation

When to Seek Medical Help

  • Severe bleeding
  • Persistent nausea or vomiting
  • Significant stoma changes
  • Severe dehydration symptoms
  • Blockage signs

Support Resources

  • Ostomy nurses
  • Support groups
  • Online communities
  • Educational materials

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