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Overview

Ileostomy: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Ileostomy is the name given to surgically made opening in the abdominal wall of a patient. A stoma is formed on the lower right side of the abdomen, and the end of the ileum is brought through this opening. The stoma is usually covered by a plastic bag so that the waste products, those pass through the colon and is excreted out of the body through the rectum and back passage, can be collected.

Ileostomy is done to stop waste materials from traversing the entire length of the small intestine or colon, either temporarily or permanently. There are a number of reasons why a person may have to undergo this treatment. A doctor may recommend ileostomy to allow the small intestine or colon to heal after it has been operated on. It may also be done relieve the inflammation of the colon that occur in people with Crohn’s disease or ulcerative colitis. Finally, ileostomy may also be done before a complex surgery has to be carried out on the anus or the rectum.

Before the procedure, it is of paramount importance to consult a doctor and a nurse so as to discuss where to make the stoma. There are two types of ileostomy – end ileostomy and loop ileostomy.

How is the treatment done?

In end ileostomy, the whole of the colon or large intestine is removed through an incision in the abdomen. In this procedure, a stoma is formed by dividing the end of the small intestine or ileum, bringing it out through the abdomen via a small incision and then stitching it to the skin. The stitches gradually dissolve and the stoma gets healed. Waste material comes out of this opening in the abdomen and gets collected in a bag that goes over the stoma.

A loop ileostomy requires a loop of small intestine to be pulled out and through an incision in the stomach. A stoma is formed by opening up a section of the intestine and stitching it to the skin. In this procedure, there will be two openings of the stoma and they will generally be situated close together. In this case, the colon and the rectum are left as they are. One of the openings of the stoma are connected to the functioning part of the bowel and waste products are eliminated from here. The other opening is connected to the non-functioning part of the bowel.

It has to be kept in mind that the stoma has no valve or valve-like muscle in contrast to the anus. A person will, thus, not be able to control stool that passes from the stoma. For this reason, a pouch is used to cover the stoma where the excretory products are deposited. The pouch sticks to the skin around the stoma and does not cause much discomfort.

Who is eligible for the treatment? (When is the treatment done?)

Ileostomy is a surgical procedure that a doctor can recommend for a patient under certain circumstances. A person becomes eligible for this treatment if a doctor feels that the small intestine or the colon that has been operated on requires some time to heal. Other circumstances when ileostomy is recommended are to relieve the inflammation of the colon in people suffering from Crohn’s disease or ulcerative colitis or before a complex surgery in the anus or rectum.

Who is not eligible for the treatment?

If a person is not suffering from Crohn’s disease or ulcerative colitis and does not have the corresponding inflammation, he/she is not eligible for ileostomy. A doctor will decide whether a person is suffering from any such condition which requires ileostomy. A person is ineligible for this treatment without the consent of a doctor.

Are there any side effects?

Some of the side-effects of ileostomy are bowel obstruction which implies that waste materials cannot find a proper way to get out of the body. This can cause a number of complications. A person who has undergone ileostomy can suffer from Vitamin B12 deficiency because this procedure removes a part of the intestine that absorbs the vitamin. Other side effects may include dehydration and related complications like kidney stones and kidney failure. There might also be irritation and inflammation of the skin around the stoma, narrowing and widening of the stoma and other problems as well.

What are the post-treatment guidelines?

Patients are generally required to stay in hospital for a period of about 2 weeks after ileostomy. People may experience a range of physical and psychological problems ranging from skin irritation to feelings of consciousness and anxiety. However, these are mostly short-term. However in reality, this surgical procedure requires a person to follow a number of guidelines. A person will have to learn how to take care of the skin and also how to operate the pouch around the stoma.

How long does it take to recover?

A person may need to stay in hospital for up to a period of 3 weeks. However, the time to recover depends on the general health of the patient and also on the type of surgery conducted. It can be possible for a person to resume normal activities after a period of 8 weeks. However, it is advisable that he/she undertakes strenuous activities only after 3 months. A person can also experience gas and unpredictable discharge from the stoma during the first few weeks after the surgery. These symptoms, however, will subside as soon as a person will recover from the effects of the operation.

What is the price of the treatment in India?

N/A.

Are the results of the treatment permanent?

Ileostomy is done when the colon and the rectum do not function properly. This implies that the waste materials in the body are not excreted trough the rectum and the anus. The waste materials now leave the body through the stoma and the waste materials are collected in a pouch that covers the stoma. The temporary ileostomy surgery requires removal of a part or your entire colon. Permanent ileostomy requires the removal of the rectum, colon and anus. However, in both the cases, the results are permanent.

What are the alternatives to the treatment?

There are no alternatives to the treatment but colonostomy is another surgical procedure by which the diseased portions of the bowel can be removed. A colonoscopy helps to connect the colon to the abdominal wall, unlike ileostomy, that connects the last part of the small intestine to the abdominal wall. There is another procedure called ‘continent ileostomy’ or Kock pouch wherein the feces are not emptied in to a bag worn outside but pools within the looped portions of healthy bowel.

Vitamin B1 deficiency
Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range: NA

Popular Health Tips

Colostomy v/s Ileostomy - Get The Facts Right

MBBS, MS - General Surgery
General Surgeon, Lucknow
Colostomy v/s Ileostomy - Get The Facts Right

Terms like ileostomy and colostomy really sound a bit too scientific, don’t they? Well, it is true that may seem to be pretty scary to almost anybody who is not professionally familiar with them! That being said, it is quite important to know what these things are, as it is always good to be informed of things like these. After all, one never knows when he or she may need to consider the possibility of having one.

The similarity which exists between these two procedures is due to the fact that both of them require the surgeon to cut an opening into the intestine from the skin of the abdominal wall. To be more specific about each of the procedures, the ileostomy involves the removal of the entire colon as well as the rectum of the person who is undergoing it. When this operation is performed, the small intestine’s end is adapted so as to expel the faeces which are produced as a result of the digestive process.

Now, this does seem like quite a daunting prospect, does it not? Well, it does and with good reason as it is really not a small matter, at all. That is why the surgery is performed on people who suffer from diseases such as Crohn's disease, who have a condition in which entire sections of their gut cannot be linked in a proper manner!


On the other hand, a colostomy refers to a follow-up surgery to a colectomy, in which the surgeon creates an opening which is known as a stoma. A colectomy is when there is a removal of a part of the large intestine. In many cases of colostomies being performed, they are intended to be temporary in nature.

Now, taking into account just how serious these operations are, a person may wonder just what unfortunate thing needs to happen to warrant a surgery of this sort to be performed! Well, essentially, if there is an occurrence of bowel cancer which is significantly bad, then there may be a need which arises as a result of the same.

Advanced medicines do have some interesting facts; contrary to what most people think, a stoma does not hurt. This is because there are no nerves in the area! While a person may hopefully never need either surgery performed on oneself, that surely does not mean that awareness about them should not be widespread.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2767 people found this helpful

Know The Difference Between Colostomy And Ileostomy!

MBBS, DNB (General Surgery)
General Surgeon, Chennai
Know The Difference Between Colostomy And Ileostomy!

Terms like ileostomy and colostomy really sound a bit too scientific, don’t they? Well, it is true that may seem to be pretty scary to almost anybody who is not professionally familiar with them! That being said, it is quite important to know what these things are, as it is always good to be informed of things like these. After all, one never knows when he or she may need to consider the possibility of having one.

The similarity which exists between these two procedures is due to the fact that both of them require the surgeon to cut an opening into the intestine from the skin of the abdominal wall. To be more specific about each of the procedures, the ileostomy involves the removal of the entire colon as well as the rectum of the person who is undergoing it. When this operation is performed, the small intestine’s end is adapted so as to expel the faeces which are produced as a result of the digestive process.

Now, this does seem like quite a daunting prospect, does it not? Well, it does and with good reason as it is really not a small matter, at all. That is why the surgery is performed on people who suffer from diseases such as Crohn's disease, who have a condition in which entire sections of their gut cannot be linked in a proper manner!


On the other hand, a colostomy refers to a follow-up surgery to a colectomy, in which the surgeon creates an opening which is known as a stoma. A colectomy is when there is a removal of a part of the large intestine. In many cases of colostomies being performed, they are intended to be temporary in nature.

Now, taking into account just how serious these operations are, a person may wonder just what unfortunate thing needs to happen to warrant a surgery of this sort to be performed! Well, essentially, if there is an occurrence of bowel cancer which is significantly bad, then there may be a need which arises as a result of the same.

Advanced medicines do have some interesting facts; contrary to what most people think, a stoma does not hurt. This is because there are no nerves in the area! While a person may hopefully never need either surgery performed on oneself, that surely does not mean that awareness about them should not be widespread. In case you have a concern or query you can always consult an expert & get answers to your questions!

3014 people found this helpful

Colostomy And Ileostomy: What You Need To Know?

M. S. , MBBS
General Surgeon, Mumbai
Colostomy And Ileostomy: What You Need To Know?

Terms like ileostomy and colostomy really sound a bit too scientific, don’t they? Well, it is true that may seem to be pretty scary to almost anybody who is not professionally familiar with them! That being said, it is quite important to know what these things are, as it is always good to be informed of things like these. After all, one never knows when he or she may need to consider the possibility of having one.

The similarity which exists between these two procedures is due to the fact that both of them require the surgeon to cut an opening into the intestine from the skin of the abdominal wall. To be more specific about each of the procedures, the ileostomy involves the removal of the entire colon as well as the rectum of the person who is undergoing it. When this operation is performed, the small intestine’s end is adapted so as to expel the faeces which are produced as a result of the digestive process.

Now, this does seem like quite a daunting prospect, does it not? Well, it does and with good reason as it is really not a small matter, at all. That is why the surgery is performed on people who suffer from diseases such as Crohn's disease, who have a condition in which entire sections of their gut cannot be linked in a proper manner!


On the other hand, a colostomy refers to a follow-up surgery to a colectomy, in which the surgeon creates an opening which is known as a stoma. A colectomy is when there is a removal of a part of the large intestine. In many cases of colostomies being performed, they are intended to be temporary in nature.

Now, taking into account just how serious these operations are, a person may wonder just what unfortunate thing needs to happen to warrant a surgery of this sort to be performed! Well, essentially, if there is an occurrence of bowel cancer which is significantly bad, then there may be a need which arises as a result of the same.

Advanced medicines do have some interesting facts; contrary to what most people think, a stoma does not hurt. This is because there are no nerves in the area! While a person may hopefully never need either surgery performed on oneself, that surely does not mean that awareness about them should not be widespread. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

2676 people found this helpful

What's The Difference Between Colostomy And Ileostomy?

MBBS, MS - General Surgery, Fellowship in Minimal Access Surgery
General Surgeon, Agra
What's The Difference Between Colostomy And Ileostomy?

Terms like ileostomy and colostomy really sound a bit too scientific, don’t they? Well, it is true that may seem to be pretty scary to almost anybody who is not professionally familiar with them! That being said, it is quite important to know what these things are, as it is always good to be informed of things like these. After all, one never knows when he or she may need to consider the possibility of having one.

The similarity which exists between these two procedures is due to the fact that both of them require the surgeon to cut an opening into the intestine from the skin of the abdominal wall. To be more specific about each of the procedures, the ileostomy involves the removal of the entire colon as well as the rectum of the person who is undergoing it. When this operation is performed, the small intestine’s end is adapted so as to expel the faeces which are produced as a result of the digestive process.

Now, this does seem like quite a daunting prospect, does it not? Well, it does and with good reason as it is really not a small matter, at all. That is why the surgery is performed on people who suffer from diseases such as Crohn's disease, who have a condition in which entire sections of their gut cannot be linked in a proper manner!


On the other hand, a colostomy refers to a follow-up surgery to a colectomy, in which the surgeon creates an opening which is known as a stoma. A colectomy is when there is a removal of a part of the large intestine. In many cases of colostomies being performed, they are intended to be temporary in nature.

Now, taking into account just how serious these operations are, a person may wonder just what unfortunate thing needs to happen to warrant a surgery of this sort to be performed! Well, essentially, if there is an occurrence of bowel cancer which is significantly bad, then there may be a need which arises as a result of the same.

Advanced medicines do have some interesting facts; contrary to what most people think, a stoma does not hurt. This is because there are no nerves in the area! While a person may hopefully never need either surgery performed on oneself, that surely does not mean that awareness about them should not be widespread.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1803 people found this helpful

Colostomy And Ileostomy - What's The Difference Between Them?

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
Colostomy And Ileostomy - What's The Difference Between Them?

Terms like ileostomy and colostomy really sound a bit too scientific, don’t they? Well, it is true that may seem to be pretty scary to almost anybody who is not professionally familiar with them! That being said, it is quite important to know what these things are, as it is always good to be informed of things like these. After all, one never knows when he or she may need to consider the possibility of having one.

The similarity which exists between these two procedures is due to the fact that both of them require the surgeon to cut an opening into the intestine from the skin of the abdominal wall. To be more specific about each of the procedures, the ileostomy involves the removal of the entire colon as well as the rectum of the person who is undergoing it. When this operation is performed, the small intestine’s end is adapted so as to expel the faeces which are produced as a result of the digestive process.

Now, this does seem like quite a daunting prospect, does it not? Well, it does and with good reason as it is really not a small matter, at all. That is why the surgery is performed on people who suffer from diseases such as Crohn's disease, who have a condition in which entire sections of their gut cannot be linked in a proper manner!


On the other hand, a colostomy refers to a follow-up surgery to a colectomy, in which the surgeon creates an opening which is known as a stoma. A colectomy is when there is a removal of a part of the large intestine. In many cases of colostomies being performed, they are intended to be temporary in nature.

Now, taking into account just how serious these operations are, a person may wonder just what unfortunate thing needs to happen to warrant a surgery of this sort to be performed! Well, essentially, if there is an occurrence of bowel cancer which is significantly bad, then there may be a need which arises as a result of the same.

Advanced medicines do have some interesting facts; contrary to what most people think, a stoma does not hurt. This is because there are no nerves in the area! While a person may hopefully never need either surgery performed on oneself, that surely does not mean that awareness about them should not be widespread. If you wish to discuss about any specific problem, you can consult a general surgeon.

2074 people found this helpful

Popular Questions & Answers

I have mild scalp numbness or pin like sensation on the right side of head alone. I feel this whenever I comb or run my hands in that area. What could be the causes? History: Had a loop ileostomy 6 years ago that was closed within 3 months. The ileostomy had been put temporarily to treat abdominal TB and adhesion. Otherwise have been healthy and normal for past 6 years.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
It is sometimes normal in daily life as it requires good circulation and nourishments Do Take an MRI Brain and EEG And consult Neuro physician and take appropriate Therapy and Management Best wishes.
1 person found this helpful

Dear sir, I am dibayndu adhikary 30 years. I had a ileostomy surgery about 18 months ago and I reconnect it 7 months ago. Now my fitness is better and I can all work but my tools is hard come and I go to each every onday after. I afraid about my Future. Because when I used drainage bags then my life was hell.(intestinal obstruction) please suggest me for enjoy my life.

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
U have to take the help of partner to get it errect and do sex in sitting position till u get fully recovered, start slowly and steadily, u will recover ur vigour, take revital H daily for one month.
1 person found this helpful

Pl. Give me a permanent remedy for ULCERATIVE COLITIS for which Iam taking MESACOL 400 MG FOR THE PAST 20 YEARS.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
It is a remitting and relapsing disease and the medication like Mesacol is the only remedy If your symptoms are severe, you will need to be hospitalized to correct the effects of dehydration and malnutrition that diarrhea causes. Surgery is necessary when there is massive bleeding, chronic and debilitating symptoms, perforation of your colon, or if there is a risk of cancer. A barium enema and a colonoscopy can detect these serious problems. Surgical options include proctocolectomy with ileostomy (the most common surgical treatment) and ileoanal anastomosis.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice