How is it performed? of Ileostomy

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Involves removing the whole of the colon, rectum and anus. The end of the ileum is brought out of the abdomen creating a permanent stoma. It is then stitched into place. Waste material comes out into a bag, which is stuck onto the skin and worn under clothes. The bag needs to be emptied at certain times.

Loop Ileostomy. This operation involves creating a stoma at the loop of ileum usually on the right side of the abdomen. The loop is created to direct the waste material from the colon either to aid healing of an injury to the bowel or following removal of a diseased section or the entire colon or to relieve a blockage. This is usually a temporary stoma and may be closed at a second operation.

Ileo-anal pouch Involves removing the colon and the rectum, but not the anus. An ileo-anal pouch is made out of the ileum. The pouch is joined to the anus so bowel actions can be controlled in the normal way. The pouch stores the waste material until the person goes to the lavatory.

The operation is usually done in two stages. The colon and rectum are removed and the pouch is made and joined to the anus. It is often then necessary for the area of the pouch to heal, so a temporary loop ileostomy above the pouch is created. A second, smaller operation is performed after a couple of months to close the ileostomy. Sometimes it is possible to do the operation without creating a temporary ileostomy.