All about an Ileostomy

Ileostomies are another type of ostomy that is used to help with healing the colon or large intestine. 

In a lot of cases, this is usually not done initially, but instead as a last resort, and might be done to save lives. 

While there are stigmas that are negative about this, it’s important to understand what goes into an ileostomy, and of course, what this procedure can do for you. 

Why You Might Need an Ileostomy 

This is typically done if the colon is inflamed, damaged, or not working. 

There are a few reasons why you might need one, however the most common are Crohn’s disease, bowel cancer, and ulcerative colitis. 

Bowel cancer usually uses this as a last resort, when the person has already tried radiotherapy and chemotherapy in order to shrink the cancer, but is unable to fully eliminate it. In some cases, this is a temporary surgery, or a permanent one, depending on what stage the cancer is. 

Can Be Temporary or Permanent 

Depending on the situation and problems, you might need permanent or temporary ileostomies. 

Temporary ones typically happen when you need to heal your digestive tract, and diverts the waste to another area so that the place can heal. It also helps bring it back to full function. Temporary ones are usually called loop ostomies. 

Permeant happens when the large intestine is unable to be connected to the anus again, and usually is when the colon or rectum needs to be taken out or moved, mostly in the case of bowel cancers or severe Crohn’s disease.  These are typically called end ileostomies too. 

Usually, whether it’s a temporary fix or a more permanent one, you need to be mentally and physically ready for this, and the post-op care for this too. 

How does the Procedure Work 

Typically, this begins with an incision near the right of the abdomen which will create the stoma, where the waste will be expelled. 

However, there are three different types, which are the end, ileo-anal, or loop ileostomies. 

End ileostomies involve taking out your entire colon through the incision, and then the ileum, or small intestine is then pulled through there to create a stoma.  This can be both a temporary or permanent fix. 

The second is the loop, which is where a looped part of your small intestine is pulled from the abdomen, opened up, and then attached once again. The rectum and colon are then in place, and you have the openings super close to one another. This is a more temporary option. 

Finally, there is ileo-anal pouches which is where you’re literally given a pouch that’s created by joining the ileum and anus together so that bowel movements are normal.  This is oftentimes called a J pouch, and it does require healing, but it is a temporary and reversable procedure. 

How to Handle Post-Op Care 

Post-op care involves you in the hospital to properly recover. The nurse will also tell you about how to take care of the stoma. 

Typically, the recovery period is about two weeks, but after about 3 months, you can go back to normal activities. 

Complications 

Complications do happen in some cases. 

Typically, they involve obstruction where the ileostomy doesn’t work, and typically, fi this doesn’t happen after 8 hours, you need help. 

You may also experience hydration since your body needs water due to no large intestine. 

You might see mucus come from the rectal area, however, if there is puss and blood, you might have to call your doctor. 

Finally, there is vitamin B12 deficiency.

And there you have it, everything you need to know about an ileostomy.