Ileostomy

Last updated 20.09.12

 

 

Definition

-  Surgically openend ileum brough through abdominal wall to create stoma

-  End or loop ileostomy

 

 

 

End Ileostomy

 

Rationale

-  Performed when the terminal part of bowel has been resected

-  May be permanent or temporary

 

Procedure

-  Incision is made at appropriate site on abdomen

-  Proximal end of ileum is brought through the incision

-  Ileum is stitched into place

-  Distal ileum/bowel is closed (blind)

 

End

 

 

 

Loop Ileostomy

 

 

Rationale

-  Temporary measure for faecal diversion

-  Allows resected bowel to recover

-  Suitable alternative to loop ileostomy

-  Used after low anterior resections, ileoanal pouch anastamosis, sigmoid colectomy, Hartmans reversal, rectosigmoid resection w primary anastamosis in Diverticulitis & Crohns Disease

 

Procedure

-  Incision is made at appropriate site on abdomen

-  A loop of ileum is brought through the incision

-  Incision is made through mesentery of loop

-  Retainer is placed though incision in mesentery

-  Ileum is opened & stitched into place

 

Loop

 

 

 

 

 

References