An end ileostomy is an operation that involves removing your whole colon (large intestine) through a cut in your belly. A surgically established connection between the ileum and the abdominal wall is known as an ileostomy. The ileum is the end of the small intestine. A stoma in the abdominal wall is used to suture the lower intestine into place. You may be given a pouch to carry about with you. This pouch will gather all of your digested meals.
This procedure is required if your rectum or colon isn’t functioning properly.
Your digestive system will heal and reattach within your body if your ileostomy is simply temporary.
For a permanent ileostomy, your rectum, colon, and anus are removed or bypassed. You’ll have a pouch in this situation that collects your waste products on a regular basis. It’s conceivable.
REASONS FOR AN ILEOSTOMY
If you have a condition of the large intestine that can’t be treated with medication, you may need an ileostomy. One of the most common reasons for an ileostomy is inflammatory bowel illness (IBD). Inflammatory bowel disease is divided into two types: Crohn’s disease and ulcerative colitis.
Crohn’s disease can affect any part of the digestive tract, from the mouth to the anus, causing ulcers, scarring, and inlining discomfort.
Ulcerative colitis is characterized by inflammation, blisters, and scarring in the large intestine and rectum.
IBD patients typically pass blood and mucus in their stools, lose weight, eat poorly, and have stomach pain.
Other conditions that could warrant an ileostomy are:
Cancer of the rectal or colon is a type of cancer that affects both men and women.
Polyps form in the colon and can lead to cancer in people who have familial polyposis.
Intestinal anomalies during birth
Irritable bowel syndrome (IBS) is caused by damage to the intestines or accidents to the intestines.
Hirschsprung’s illness is a disorder that affects humans.
PROCEDURE
In a hospital, an ileostomy is performed under general anesthetic.
Your surgeon will either make a midline cut or do a laparoscopic procedure using tiny incisions and illuminated instruments after you’ve been knocked out. Before the procedure, you will know which method is ideal for your situation.
Depending on your health, your surgeon may need to remove your rectum and colon.
Ileostomies are available in a variety of shapes and sizes.
In a conventional ileostomy, the surgeon makes a small incision that will be the site of your ileostomy. Your ileum will be dragged through the incision in a loop. When you turn this segment inside out, the interior surface of your intestine is revealed. It’s silky and rosy, like the inside of a cheek. A stoma is a protruding portion of the body. It has the ability to protrude up to 2 inches from the body.
Patients with this form of ileostomy sometimes referred to as a Brooke ileostomy, have no control over when their feces enter the external plastic bag.
Another type of ileostomy is the continent, or Kock, ileostomy. Using a portion of your small intestine, your surgeon builds an internal pouch with an outside stoma that works as a valve. Stitches are used to attach these to your abdominal wall. Several times a day, a flexible tube is placed through the stoma and into the pouch. This tube is where you will dispose of your trash.
The Kock ileostomy offers the benefit of not requiring an external pouch and allowing you to choose when to evacuate your waste. This operation is known as a K-pouch procedure. Because it eliminates the need for an external pouch, it’s a common end ileostomy procedure.
If your colon and rectum have been removed completely, you may need a procedure called the J-pouch. The doctor creates an internal pouch out of the ileum and connects it to the anal canal, allowing you to evacuate your waste regularly without the use of a stoma.
END ILEOSTOMY
The end of the small intestine (ileum) is brought out of the abdomen through a smaller cut and stitched to the skin to establish a stoma.
The stitches fall out with time, and the stoma heals on its own.
Waste material is collected in a bag that fits over the stoma and exits the belly through a hole.
This type of ileostomy is usually, but not always, permanent.
