When is an ileostomy needed?
- Loop ileostomy – A loop of ileum is brought to the surface and opened so that there are two ends on the abdomen as a stoma. If the stoma needs to be reversed at a later stage, the two surfaces can be joined together to form a tube once more.
- End ileostomy – If the large bowel has to be removed or there is a problem with the loop ileostomy, the working end of the ileum is brought out as a stoma and the non-working end is closed and placed inside the tummy. If the stoma needs to be reversed at a later stage, the working end is freed and connected to the rest of the intestine.
What happens before the operation to create the stoma?
What does the operation involve?
Are there any risks?
What happens after the operation?
When you get home
- The stoma changes colour and looks purple, black or blue
- There is a lot of blood mixed in with the watery diarrhoea in the ileostomy bag
- The stoma starts to stick out (prolapse) or sinks inwards (retracts)
- Your child is passing more watery diarrhoea than usual and you are having to change the bag more frequently
- Your child is not passing any watery diarrhoea
- The skin around the stoma looks red and sore
- Your child is not gaining any weight