Ileostomy

 

Ileostomy consists in removing or disconnecting a part of the last section of the small intestine (ileum). If these part of the intestine have a disorder or disease, it can be removed.  The end of ileum is removed through the abdominal wall by a hole called a stoma.
The most common type of ileostomy is called terminal ileostomy.

The rectum and anus can be removed or only disconnected.  The stool is usually liquid, due to the absence of the colon which absorb water, and contain digestive juices, so it is very irritating to the skin.  The end ileostomy is usually permanent and is usually done to treat inflammation and intestinal polyps.   Sometimes the end ileostomy is temporary and can be done in oder to give the colon time to heal after injury.

An ileostomy involves removing a part of the small intestine of the body through an opening in the abdomen.  An ileostomy produces more liquid stool as it has not followed the normal route through the digestive system. Digestive enzymes break down almost all they come into contact, including the child's skin. To avoid this, apply a special paste around the stoma and a bag around to collect the stool.

The pulsating movement of muscle contraction, peristalsis, prevents water from entering the stoma.  Anyone with an ileostomy can bathe or swim without fear.
Studies have shown that these patients live in a state of mild dehydration that is causing high levels of serum aldosterone in response to this situation. Other metabolic disorders in these patients are the urinary stone formation due to the constant state of dehydration so it is recommended to drink more fluid. The loss of bile salts through the ileostomy and the interruption of the entero-hepatic circulation either by resection or inflammation of the ileum causes  cholelithiasis.

The indications to perform a permanent ileostomy have been declining  today, patients with ulcerative colitis and familial polyposis of the colon are now solved by making ileal reservoir with ileoanal anastomosis. Typically, these patients require a temporary ileostomy while the reservoir fits and heal in the pelvic cavity, usually in these cases is constructed loop ileostomy, which requires surgery to rebuild local transit. The easy loop ileostomy construction removes a loop of small intestine through an opening in the abdominal wall which can be done with or without stem.

Ileostomy pouch

 Patients should be very careful when they have to change their pouch. It has to be changed when is one third full. If the patient changes his bag when it is completely full, a leak may occur. It is recommended to change the pouch in the bathroom. Before  you do this you should talk to a doctor who will explain how you can clean your pouch.
 Indeed, the stool from the small intestine is more liquid, more abundant. It is better to empty the pocket several times a day. It is advisable to use a protective cream around the stoma because the stools are irritating to the skin.

Ileostomy diet

Unfortunately, when you have an ileostomy you are not allowed to eat all you want. You should avoid foods that produce stool disturbances. In order to have a normal life after surgery you should avoid foods that have a low process of digestion, foods that make you feel bad are foods that produce gas.
So is better not to eat cauliflower, cabbage, seeds nuts, mushrooms, olives. You should also drink a lot of water.

Ileostomy complications

The most common ileostomy complications are diarrhea, stenosis, stoma retraction or prolapse.

Ileostomy reversal

Ileostomy reversal is a surgery that restores the bowel, abdomen and anus normal function. Not all the patients can have this surgery. It depends on the severity of the case.

Ileostomy care

How to dress when one is having an ileostomy?
Even though you have an ileostomy, you should keep your clothing style. You have  to choose an outfit which does not compress the collection bag.