BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuIleostomyEnterostomyAn ileostomy is used to move waste out of the body. This surgery is done when the colon or rectum is not working properly.The word "ileostomy" comes from the words "ileum" and "stoma." Your ileum is the lowest part of your small intestine. "Stoma" means "opening." To make an ileostomy, the surgeon makes an opening in your belly wall and brings the end of the ileum through the opening. The ileum is then attached to the skin. Description Before you have surgery to create an ileostomy, you may have surgery to remove all of your colon and rectum, or just part of your small intestine.These surgeries include:Small bowel resection Small bowel resectionSmall bowel resection is surgery to remove a part of your small bowel. It is done when part of your small bowel is blocked or diseased. The small bo...ImageRead Article Now Book Mark Article Total abdominal colectomy Total abdominal colectomyTotal abdominal colectomy is the removal of the large intestine from the lowest part of the small intestine (ileum) to the rectum. After it is remov...Read Article Now Book Mark Article Total proctocolectomyTotal proctocolectomyTotal proctocolectomy with ileostomy is surgery to remove all of the colon (large intestine) and rectum.Read Article Now Book Mark Article An ileostomy may be used for a short or long time.When your ileostomy is temporary, it most often means all of your large intestine was removed. However, you still have at least part of your rectum. If you have surgery on part of your large intestine, your health care provider may want the remainder of your intestine to rest for a while. You will use the ileostomy while you recover from this surgery. When you do not need it anymore, you will have another surgery. This surgery will be done to reattach the ends of the small intestine. You will no longer need the ileostomy after this.You will need to use it long-term if all of your large intestine and rectum have been removed.Large intestineLarge bowel resection is surgery to remove all or part of your large bowel. This surgery is also called colectomy. The large bowel is also called t...ImageRead Article Now Book Mark Article To create the ileostomy, the surgeon makes a small surgical cut in the wall of your belly. Part of your small intestine that is farthest from your stomach is brought up and used to make an opening. This is called a stoma. When you look at your stoma, you are actually looking at the lining of your intestine. It looks a lot like the inside of your cheek.Sometimes, an ileostomy is done as the first step in forming an ileal anal reservoir (called a J-pouch).Ileal anal reservoirTotal proctocolectomy and ileal-anal pouch surgery is the removal of the large intestine and most of the rectum. The surgery is done in one or two s...Read Article Now Book Mark Article Why the Procedure Is Performed Ileostomy is done when problems with your large intestine can only be treated with surgery.There are many problems that may lead to the need for this surgery. Some are:Inflammatory bowel disease (ulcerative colitis or Crohn disease). This is the most common reason for this surgery. Ulcerative colitisUlcerative colitis is a condition in which the lining of the large intestine (colon) and rectum become inflamed. It is a form of inflammatory bowel ...ImageRead Article Now Book Mark Article Crohn diseaseCrohn disease is a disease where parts of the digestive tract become inflamed. It most often involves the lower end of the small intestine and the be...ImageRead Article Now Book Mark Article Colon or rectal cancer Colon or rectal cancerColorectal cancer is cancer that starts in the large intestine (colon) or the rectum (end of the colon). Other types of cancer can affect the colon. ...ImageRead Article Now Book Mark Article Familial polyposis Familial polyposisA colorectal polyp is a growth on the lining of the colon or rectum.ImageRead Article Now Book Mark Article Birth defects that involve your intestines An accident that damages your intestines or another intestinal emergency Risks Talk with your provider about these possible risks and complications.Risks of anesthesia and surgery in general are:Reactions to medicines Breathing problems Breathing problemsBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airImageRead Article Now Book Mark Article Bleeding, blood clots Blood clotsA pulmonary embolus is a blockage of an artery in the lungs. The most common cause of the blockage is a blood clot.ImageRead Article Now Book Mark Article Infection Risks of this surgery are:Bleeding inside your belly Damage to nearby organs Dehydration (not having enough fluid in your body) if there is a lot of watery drainage from your ileostomy DehydrationDehydration occurs when your body does not have as much water and fluids as it needs. Dehydration can be mild, moderate, or severe, based on how much...ImageRead Article Now Book Mark Article Difficulty absorbing needed nutrients from food Infection, including in the lungs, urinary tract, or belly Poor healing of the wound in your perineum (if your rectum was removed) Scar tissue in your belly that causes a blockage of the small intestine Wound breaking open Before the Procedure Always tell your provider what medicines you are taking, even medicines, supplements, or herbs you bought without a prescription.Before your surgery, talk with your provider about the following things:Intimacy and sexuality Pregnancy Sports Work During the 2 weeks before your surgery:Two weeks before surgery, you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), and others. Ask your provider which drugs you should still take on the day of your surgery. If you smoke, try to stop. Ask your provider for help. StopThere are many ways to quit smoking. There are also resources to help you. Family members, friends, and co-workers may be supportive. But to be su...ImageRead Article Now Book Mark Article Always let your provider know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.The day before your surgery:You may be asked to drink only clear liquids such as broth, clear juice, and water after some point. Your provider will tell you when to stop eating and drinking. Your provider may ask you to use enemas or laxatives to clear out your intestines. On the day of your surgery:Take the drugs you were told to take with a small sip of water. You will be told when to arrive at the hospital. After the Procedure You will be in the hospital for 3 to 7 days. You may have to stay longer if your ileostomy was an emergency operation.You may be able to suck on ice chips on the same day as your surgery to ease your thirst. By the next day, you will probably be allowed to drink clear liquids. You will slowly add thicker fluids and then soft foods to your diet as your bowels begin to work again. You may be eating again 2 days after your surgery. Outlook (Prognosis) Most people who have an ileostomy are able to do most of the activities they were doing before their surgery. This includes most sports, travel, gardening, hiking, and other outdoor activities, and most types of work.If you have a chronic condition, such as Crohn disease or ulcerative colitis, you may need ongoing medical treatment.Open ReferencesReferencesMahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 51.Raza A, Araghizadeh F. Ileostomies, colostomies, pouches, and anastomoses. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 117.Reddy VB, Longo WE. Ileostomy. In: Yeo CJ, ed. Shackelford's Surgery of the Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 84.AllVideoImagesTogIleostomy - stoma and pouch - illustration An ileostomy is used to move waste out of the body through a surgically-created opening called a stoma. This surgery is done when the colon or rectum is not working properly. The word ileostomy comes from the words ileum, which is the lowest part of the small intestine, and stoma, which means opening. To make an ileostomy, the surgeon makes an opening in the belly wall and brings the end of the ileum through the opening. The ileum is then attached to the skin. The stoma is connected to a pouch, which needs to be emptied several times a day and changed periodically.Ileostomy - stoma and pouchillustrationIleostomy - stoma and pouch - illustration An ileostomy is used to move waste out of the body through a surgically-created opening called a stoma. This surgery is done when the colon or rectum is not working properly. The word ileostomy comes from the words ileum, which is the lowest part of the small intestine, and stoma, which means opening. To make an ileostomy, the surgeon makes an opening in the belly wall and brings the end of the ileum through the opening. The ileum is then attached to the skin. The stoma is connected to a pouch, which needs to be emptied several times a day and changed periodically.Ileostomy - stoma and pouchillustrationTalking to your MD Ileostomy - what to ask your doctor Self Care Ileostomy - caring for your stomaIleostomy and your childIleostomy and your dietIleostomy - changing your pouchLiving with your ileostomyTypes of ileostomyRelated Information Total abdominal colectomy(Surgery)Total proctocolectomy and ileal-anal pouch(Surgery)Total proctocolectomy with ileostomy (Surgery)Crohn disease(Condition)Ulcerative colitis(Condition)Colorectal cancer(Condition)Colorectal polyps(Condition)Ileostomy and your child(Self-Care)Ileostomy and your diet(Self-Care)Ileostomy - caring for your stoma(Self-Care)Types of ileostomy(Self-Care)Ileostomy - discharge(Discharge)Living with your ileostomy(Self-Care)Bland diet(Self-Care)Ileostomy - changing your pouch(Self-Care)Crohn disease - discharge(Discharge)Low-fiber diet(Self-Care)Ulcerative colitis(In-Depth)Crohn disease(In-Depth) Review Date: 9/28/2020 Reviewed By: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.