An ileostomy is an opening constructed in the terminal ileum to treat regional and ulcerative colitis and to divert intestinal contents in colon cancer, polyps, and trauma. It is usually done when the entire colon, rectum, and anus must be removed, in which case the ileostomy is permanent. A temporary ileostomy is done to provide complete bowel rest in conditions such as chronic colitis and in some trauma cases.

A colostomy is a diversion of the effluent of the colon and may be temporary or permanent. Ascending, transverse, and sigmoid colostomies may be performed. Transverse colostomy is usually temporary. A sigmoid colostomy is the most common permanent stoma, usually performed for cancer treatment.

Important facts:

  • Many studies show that recurrence rates are significantly lower when ileostomy is performed than when resection and re-anastomosis are performed
  • In ileostomy, recurrences are often (but not always) located at the end of the small bowel adjacent to the ileostomy
  • Recent studies suggest that the rate of postoperative recurrence can be delayed or decreased by taking mesalamine, immunosuppressive agents, or antibiotics

To learn more about Basic Ostomy Skin Care, please, refer to the Guide

To learn more about various aspects of surgery in IBD, please, go back to the IBD Surgery page

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References and Acknowledgments