Continent ileostomy for ulcerative colitis
Content provided by Healthwise
Surgery Overview
The surgeon removes the large intestine (colon) 
and creates a pouch and a valve from the lower end of the small intestine (the ileum). The surgeon then connects the valve to an opening (stoma) in the skin of the lower abdomen. After this surgery, you can insert a tube into the valve to release stool from the intestines.
What To Expect After Surgery
People usually spend 4 to 10 days in the hospital, depending on how sick they were before the surgery.
Why It Is Done
The surgery is done for people who have ulcerative colitis. Several circumstances may require surgery for ulcerative colitis.
People with ulcerative colitis may choose this surgery to prevent the risk of cancer.
How Well It Works
This surgery cures ulcerative colitis.
Risks
The main complications are incontinence of gas and stool and inflammation of the ileal pouch (pouchitis) that attaches to the opening in the abdomen.1
- Up to 50% of people develop some fecal incontinence, usually in the first year after surgery. The risk is highest for obese older men who had a traditional ileostomy that was modified to a continent ileostomy.
- About 30% of people develop inflammation of the ileal pouch (pouchitis), which usually can be treated with antibiotics.
What To Think About
It is important to learn how to use and care for an ostomy.
About 1.5 million people in the United States have ostomies.
Complete the surgery information form (PDF) (What is a PDF document?) to help you prepare for this surgery.
References
Citations
Cima RR, Pemberton JH (2006). Ileostomy, colostomy, and pouches. In M Feldman et al., eds., Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 8th ed., vol. 2, pp. 2549–2561. Philadelphia: Saunders Elsevier.
Credits
| Author | Monica Rhodes |
| Editor | Kathleen M. Ariss, MS |
| Associate Editor | Pat Truman, MATC |
| Primary Medical Reviewer | Kathleen Romito, MD - Family Medicine |
| Specialist Medical Reviewer | Arvydas D. Vanagunas, MD - Gastroenterology |
| Last Updated | November 3, 2008 |
| Last updated: | November 03, 2008 |
|---|---|
| Author: | Monica Rhodes |
| Reviewed By: | Kathleen Romito, MD - Family Medicine, Arvydas D. Vanagunas, MD - Gastroenterology |
| Editors: | Kathleen M. Ariss, MS, Pat Truman, MATC |
© 1995-2007, Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
This information is not intended to replace the advice of a doctor. By using AOL Body, you indicate that you have read, understood, and agreed to our Terms of Service, and AOL Body Advertising Policy. Read more about our content partners.
Search
Related Articles
Where Does it Hurt?
If you're experiencing aches and pains we can help you find answers. Find out what your symptoms mean for your health.
