Ileostomy and colostomy surgery are procedures that create a stoma on the abdomen to provide an alternative route for bowel waste when the normal bowel pathway cannot be used safely. An ileostomy connects the end of the small intestine to the stoma, while a colostomy connects part of the large intestine to the abdominal opening. Depending on the underlying condition, an ostomy may be temporary or permanent.
When Is an Ileostomy or Colostomy Needed?
Your surgeon may recommend ostomy surgery for conditions such as colorectal cancer, inflammatory bowel disease, bowel obstruction, diverticular disease, intestinal injury, or after certain complex abdominal surgeries. The appropriate procedure depends on your diagnosis, bowel health, and overall medical condition.
What Does the Procedure Involve?
During surgery, the surgeon brings a section of the small or large intestine through an opening in the abdominal wall to create a stoma. Waste then passes through the stoma into an ostomy pouch. Surgery may be performed using open or minimally invasive techniques depending on the individual case.
Recovery and Ostomy Care
After surgery, patients gradually return to eating and learn how to care for the stoma and ostomy bag. Recovery varies, but many patients require several weeks to regain their usual strength. Specialized ostomy care can help with pouch fitting, skin care, diet, and adapting to daily life.