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An ileostomy is where the small intestine (small bowel) is diverted through an opening in the abdomen (tummy).
The opening is known as a stoma. A special bag is placed over the stoma to collect waste products that would usually pass through the colon (large intestine) and out of the body through the rectum and anus (back passage).
Ileostomy procedures are relatively common in the UK. In England, over 9,000 such operations are carried out each year.
Ileostomies are formed to either temporarily or permanently stop digestive waste passing through the full length of the small intestine or colon.
There are a number of reasons why this may be necessary, including:
Read more about why ileostomy procedures are carried out.
Before an ileostomy is formed, you will normally see a specialist stoma nurse to discuss exactly where you'd like your stoma to be (usually somewhere on the right-hand side of the abdomen) and to talk about living with a stoma.
There are two main types of ileostomy:
Alternatively, it is sometimes possible for an internal pouch to be created that is connected to your anus. This is known as an ileo-anal pouch. This means that, unlike with an ileostomy, there is no stoma and stools are passed out of your back passage in a similar way to normal.
Of these techniques, end ileostomies and ileo-anal pouches are usually permanent. Loop ileostomies are usually intended to be temporary and are reversed during an operation at a later date.
You may need to stay in hospital for up to two weeks after an ileostomy operation, during which time you will be taught how to look after your stoma by a specialist stoma nurse.
Recovering from the procedure can be challenging. Many people will experience both short-term physical and psychological problems, ranging from skin irritation around the stoma to feelings of anxiety and self-consciousness.
However, with practice and support from a designated stoma nurse, many people do adjust and often find that their quality of life improves after surgery, particularly if they have been living for years with a painful digestive condition, such as Crohn’s disease.
As with any surgical procedure, having an ileostomy carries a risk of complications. Some of the problems people with an ileostomy experience include:
Read more about the risks of having an ileostomy.
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