It's Ileostomy Time!


il·e·os·to·my
ˌilēˈästəmē/


noun
noun: ileostomy; plural noun: ileostomies

a surgical operation in which a piece of the ileum is diverted to an artificial opening in the abdominal wall.

Some Important Ileostomy Facts:

  • It could be Permanent or Temporary depending upon the reason for surgery
  • No ileostomy is the same, so there is no "one way" to take care of it. Trial and Error is the name of the game. 
  • Effluent (poop) will never be fully formed. The consistency will range from a thin liquid to thick paste.  

Reasons for an Ileostomy:

  • Crohn's Disease
  • Ulcerative Colitis
  • Diverticulitis
  • Familial Polyposis
  • Rectal or Colon Cancer
  • Intestinal Birth Defects
  • Injuries or Accidents that involve the intestines
  • Hirschprung's Disease
  • Bowel Obstructions
      ​​​​​​​​​​
There are three major types of small bowel diversions (when the entire colon is removed). The surgeon and the patient should determine the most appropriate surgery for the patient. Some of the selection criteria for the type of diversion are the disease process, age, general health and the preference of the patient.
These surgeries are:
  1. Ileoanal Reservoir (J-Pouch)
  2. Standard (Brooke) Ilesostomy
  3. Continent Ileostomy (Abdominal Pouch/Koch Pouch/BCIR)
   

Standard (Brooke) Ileostomy

      


   
   
      
The Brooke ileostomy is the second most common type of ileostomy surgery. The terminal ileum is pulled through the abdominal wall and a segment is turned back and sutured to the skin, leaving a smooth, rounded, everted ileum as the end of the ileostomy.

The stoma is usually placed in the right lower quadrant whenever possible and located on a flat surface sufficiently free from irregularities. The fecal output is not controlled and will require wearing a collection pouch.


For more Ileostomy Information, visit www.ostomy.org  

   

Indications:  
• Ulcerative Colitis
• Crohn’s Disease
• Familial Polyposis
• Cancer complications


Discharge:
• Liquid or paste consistency 
• Unpredictable drainage
• Contains residual digestive enzymes


Management:
• Skin protection; 
• Open-end, drainable pouch