An ileostomy is a surgical procedure that is used when the lower part of the digestive system (the colon) is diseased or damaged and it may not be possible to restore a connection so that stool can leave the body as usual. An ileostomy allows body waste to leave the body through a surgical opening.
In this procedure, a hole is made in the abdomen. Then a portion of the small intestine (the ileum) is brought to an opening in the skin (a stoma). Waste leaves the body through the stoma instead of the anus. The waste is collected in a pouch attached to the stoma with adhesive.
Ileostomies may be done if all of the colon is removed or diseased, such as from ulcerative colitis or Crohn's disease.
Surgery can be stressful for both your child and you. This information will help you understand what you can expect. And it will help you safely prepare for your child's surgery.
Examples of complications are dehydration, infection, blockage of the small intestine, not absorbing medicines so they don't work as they should, and problems with the stoma. Some people need one or more surgeries to treat complications.
During an ileostomy (say "ill-ee-AW-stuh-mee"), the doctor attaches the end of the small intestine to an opening in the skin. This allows waste to leave the body through a new opening called a stoma. A pouch attaches to the skin around the stoma. Stools collect in the pouch. You must empty the pouch several times each day.
Call 911 anytime you think your child may need emergency care. For example, call if:
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Watch closely for changes in your child's health, and be sure to contact your doctor if:
Part of your child's intestine has been removed or separated from the rest of the intestine. This is most often done because of a problem that affects your child's intestines. During the ileostomy, the surgeon made a hole in your child's belly and connected part of the small intestine to that opening in the skin. This opening is called the stoma.
A pouch is attached to the outside of the stoma. Stool collects in the pouch and must be removed several times each day. The stool will be looser or have more liquid than before surgery.
Your child is likely to have cramps that come and go for the next few days. Many children have nausea and may feel tired. This is common during healing. Your child will probably feel better in a week or so. A nurse or other member of your child's care team will show you and your child how to care for the stoma and pouch after you go home.
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