Both ileostomy and colostomy are bowel diversion surgeries in which a doctor creates an opening in the abdominal skin to allow waste products to leave the body, bypassing the damaged area of the intestine. Both of these procedures are forms of ostomy surgery and may seem similar, but they are quite different. The part of the intestine that is used to divert the passage of stool in each procedure is a major difference.
The digestive system is comprised of the small intestine and the large intestine. While the small intestine absorbs nutrition from food, the large intestine provides a passage to eliminate stools from the body. Any damage or disease of the intestine may require diversion of the passage of stool, which is done using ileostomy and colostomy.
During ostomy surgery, the surgeon brings part of the intestine through the walls of the abdomen and attaches it to the skin creating an opening known as a stoma. As a result, bodily waste exits through the abdominal walls rather than the anus. After this surgery, an ostomy pouch is attached to the stoma to collect the waste.
Ostomy surgeries can be permanent. Sometimes they can also be a temporary measure to give the damaged or diseased intestine time to heal. In other words, surgeons can reverse ostomies in some cases.
While there are many similarities between ileostomies and colostomies, the two procedures are distinct from each other. Learning the difference between these procedures eliminates confusion about treatment.
The ileum is the terminal part of the small intestine, and it helps digest food and absorb nutrients and water. During the ileostomy procedure, the surgeon brings the part of the ileum out through an incision on the right lower abdomen, and it is ewn into position through a stoma. In this case, the stoma usually protrudes out of the abdomen. The feces are in liquid form, and the ostomy bag must be emptied multiple times daily.
The reasons for ileostomy may vary; it is often performed due to issues with other sections of the small intestine, such as the duodenum and jejunum. Sometimes, poor functioning of the large intestine (colon) may also require changing the passage of stools by ileostomy.
Ileostomies divert the waste products away from damaged or removed areas of the ileum. Depending on the cause of ileostomy, it can be temporary or permanent. One may need a temporary ileostomy to allow the part of the colon to rest and heal. In other cases, an ileostomy may be permanent.
Health conditions that might warrant an ileostomy include:
In a colostomy, a part of the large intestine (colon) is surgically cut and attached to the opening constructed through the abdominal wall. This creates a new route (stoma) through the abdominal wall for the stools to be eliminated from the body. The body waste is then collected in the colostomy bag attached to the stoma.
The colon, the last part of the digestive tract, absorbs any remaining water and nutrients from the food from the small intestine. Thus, with a colostomy, you often have fully formed stools.
Colostomy will divert stool away from the colon and through a stoma on the abdominal wall. Like ileostomy, the colostomy can be temporary or permanent. Certain diseases or injuries can necessitate a colostomy.
Conditions that require a colostomy include:
|Parameters of comparison||Ileostomy||Colostomy|
|Location||Performed on the ileum||Performed on the colon|
|Stoma location||Usually, on the right side||Usually, on the left side but can be in other locations|
|Stool type||Liquid or pasty stool||Formed stool|
|Recovery time||1-2 weeks||3-10 days|
|Flow rate||High flow rate||Low flow rate|
|Stoma type||Protrudes out a bit||Flush stoma|
After a colostomy or an ileostomy, one cannot control bowel movements and must always wear an ostomy pouch over the stoma. Specially trained wound, ostomy, and continence (WOC) nurses will teach you and your family members how to care for and live with an ostomy. If you have a colostomy or an ileostomy, a pouching system is used to collect stool from the stoma. The pouching system may have 1 or 2 pieces. They can also be closed-end or drainable pouches.
This drainable ostomy pouch has an elastic adhesive that conforms well to unique body shapes and moves with the body to ensure a comfortable fit. The pouch is securely locked to the baseplate through new Click coupling, giving an audible click when firmly closed.
This barrier protects the skin from irritating stoma discharge over an extended wearing time. It is part of a 2-piece pouching system. The Flextend skin barrier is long-lasting with high resistance to erosion. It includes a floating flange that allows fingers to be placed under it to help reduce pressure on the abdomen when attaching the colostomy pouch.
This ostomy bag is designed with a soft and comfortable textile material that is gentle on the skin and offers maximum discretion. The transparent drainable pouch can fit over scarring, hernias, and skin folds. Its oval shape and flex pattern make the pouch flexible. The Click coupling gives an audible click while attaching the bag to the baseplate for enhanced security. This ostomy pouch is ideal for those with an ileostomy, as one can drain the contents multiple times throughout the day.
This drainable ostomy bag is preferred for colostomies or ileostomies. It is a component of the two-piece pouching system. The pouch opens from the bottom to empty contents. The integrated Lock 'n Roll micro seal closure system uses plastic interlocking fasteners to secure the pouch's bottom closure. The AF300TM filter deodorizes and releases gas slowly for ultimate odor control.
Both ileostomies and colostomies are lifesaving surgeries and improve quality of life. Before undergoing any of these surgeries, be sure to discuss certain issues with your doctors, such as medical history, current medicine regimen, and possible risks and complications of surgery.
Health Products For You carries an extensive range of ostomy supplies, including colostomy bags, ileostomy bags, and many other ostomy products at the best prices.
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Sailaxmi Chennuru, has been a Health Products For You contributor since 2017. A business management graduate, the study of anatomy has always been of interest to her.
After working as a medical transcriptionist for several years, she developed a keen interest ...
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