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An Ileostomy Surgery – Procedure of the Surgery – Stoma Tools

An ileostomy is a surgery in which surgeons disconnect the ileum and colon they bring a minor portion of the small intestine to the outer surface of the abdomen. There, they create a small round hole, called a stoma. It collects the stool in a sack, called ostomy pouch or bag.

Ileostomy surgery could be permanent and temporary. It depends on the patient’s condition and disease. Well, the permanent ileostomy is usually for cancer and other Crohn’s disease. Moreover, it is for elderly patients. Well, females too suffer from this disease. If they have an ovary cancer or cyst, they will have to go through the ileostomy surgery. It does not mean that a female cannot give birth to a child after this surgery. They can do everything but after the permission of the doctor. Well, a temporary ileostomy is for those who suffer from minor injuries, blockage in the ileum, or infection in the small intestine. Once their inner organ heals and able to perform their function, doctors reverse the process and close the stoma. So, for temporary ostomates, there will be two surgeries; one for bringing ileum to the abdomen opening and the other is for closing the stoma and bringing the ileum back to the natural location. After that, an ostomate will discharge the stool through the natural path.

The Procedure of the Ileostomy Surgery

Well, after the diagnosis of a disease that needs ileostomy surgery, your doctor will call you for a preoperative session with the team of doctors and nurses. You must go to this session. You can ask questions related to your surgery, condition, ileostomy, and overall health. If you have any confusion, you can ask the doctors and clear it. Well, after this, they will send you to the next procedure. You will have to sign consensual documents. After this, you will have to go to the anesthesia department. They will guide you in detail about this drug that will numb your defected area. You will feel no pain after this injection. Moreover, they will guide you about what to eat and whatnot. Finally, you will have to go to the laboratory to give your blood samples. If your reports give the green signal, then you are ready for the operation.

After the Ileostomy Surgery

Right after the surgery, you feel pain and a big change in your body. There will be a stoma in the abdomen for the collection of output. At that time, the opening will be swollen and big. However, with time it will get small and normal. A patient usually takes seven to eight weeks to reduce the swelling and get a normal stoma size. The hole will be red. There will be a sack/bag affixed to the stoma. It will have some more appliances like; adhesive, skin barrier, and flanges. You will learn the names and uses with the time.

Stoma Appliances

Well, ostomy has a complete pouching system. You will not need only a bag or a pouch. It needs some other accessories to help the pouching system. A patient will need adhesive, adhesive remover, flanges, skin barrier, and wipes.

Moreover, it has some types like; drainable pouching system, a disposable pouching system, a one-piece ostomy pouching system, and a two-piece ostomy pouching system.

Usually, ileostomy patients wear a drainable pouching system. When they feel their bag is one-third full, they go to the toilet, empty the pouch, clean the stoma, wash the peristomal skin, and wear it again. Well, you can wear a disposable bag if you do not have a frequent discharge of stool or diarrhea.

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Everything You Should Know about the Ileostomy Surgery

This article is all about the ileostomy surgery and a new simple life with the stoma.

An ileostomy is bringing a part of the ileum to the abdomen of a patient for the excretion of waste of the body. It changes the natural track of the discharging, after this surgery ostomate discharges through the stoma. It is an opening on the right side of the belly below the navel for the collection of stool. You will have to attach the ostomy pouch to the hole in the abdomen for the collection of waste. Well, this is the surgery of ileum (a part of the small intestine which passes stool to the large intestine or colon), that is why surgeons called it ileostomy. In this operation, doctors will remove a small part of the whole colon or rectum and bring the ileum to the stoma opening.

Why Ileostomy?

A patient needs ileostomy surgery for several reasons:

  • Cancer in the ileum (small intestine)
  • Side effects of the radiation.
  • Crohn’s disease.
  • An inherited disease in the small intestine or rectum.
  • Familial adenomatous polyposis (FAP).
  • A tumor in the ileum.
  • Blockage or obstruction in the small intestine.
  • Any problem in passing the stool to the large intestine.
  • Ulcerative colitis.
  • An ulcer in the rectum.
  • A long-term disease or infection in the ileum.
  • Inflammation in the rectum or ileum.

Recovery Time for Ileostomy Patients

Well, there is no fixed time for the patients. It depends on the disease and the patient. Elder ostomates take a long time of recovery as compared to young people. Moreover, if there is a minor blockage or mild infection, then the healing period will be quick. However, in some intense cases like cancer, radiotin’s side effect, FAP, IBD, Crohn’s disease, or severe infection, it may take a longer time for the full recovery. Moreover, it also depends on the type of surgery. Sometimes it is temporary and for some patients, it is a permanent surgery. Therefore, for permanent ostomates, there will be stoma for their whole life even after the healing of internal organs. But, temporary ostomates will go back to the hospital for the reversal of the path of the ileum. Once their intestine heals and they get rid of their disease, the surgeon will reattach the ileum back to their original location. After that, they will discharge the stool through the natural path.

Ileostomy Tools

An ostomate should learn about some necessary tools like; stoma pouch, adhesive, adhesive remover, flanges, skin barrier, one-piece pouching system, and two-piece pouching system. Well, when you will be in the hospital, your nurse will guide you about the use of these appliances. You should learn everything about that because you will have to wear the bag on your own, once you leave the hospital. Moreover, the stoma pouch comes in several sizes. Everyone’s stoma size is not the same. Moreover, it has different shapes. Some patients have oval while some have round openings. So, choose the appliance according to your skin’s health and stoma need.

Diet for Ileostomy Patients

Well, the ileostomy patients will have to take care of their diet plan. Right after the surgery, there will be some possibilities of nausea, vomiting, diarrhea, bleeding from the stoma, dizziness, and no discharge of stool for six to eight hours. Well, you can treat your condition with the appropriate diet. You should not eat hard to digest foods that can cause constipation or vomiting. Eat small and soft meals like fruits and white rice. But, do not eat watery meals like cucumber, oranges, grapes, and eggplant. They can cause diarrhea and vomiting. Avoid eating onion, garlic, French fries, and dry fruits. Take small meals four to five times a day. Do not eat too much or drink too much water.