Differences between temporary and permanent ileostomies?

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elddiReMsihT
Regular Member


Date Joined Nov 2010
Total Posts : 111
   Posted 3/2/2011 10:55 PM (GMT -6)   
This question is mainly for curiosity's sake. I've heard it said time and time again that permanent ileostomies are much easier to manage than their temporary counterpart - why is this? What differences are there?
 
I am having a three step j-pouch procedure; I'm between the first and second surgeries right now, so I have an end ileo at the moment, but will have a loop ileo after the second surgery. When people say that permanent ones are better than temporary, do they just mean that end ileos are better than loop ileos? Or would a permanent ileostomy be very different from what I have now?
 
Thanks!

stripey
Veteran Member


Date Joined Feb 2011
Total Posts : 1059
   Posted 3/3/2011 12:38 PM (GMT -6)   
I had a loop ileo first before they realised bowel too badly damaged to reconnect it. However, the loop pulled back on itself and had to be redone into an end ileo few months later.
Crohn's dx 1989, loop ileo 1992, end ileo 1992. Arthritis developed 1990 Stoma abcess 1995. Azathioprine started 1995. Panprocolorectomy 1999. Stillbirth 2000, antiphospholipid syndrome dx 2000. Flare up 2004, stoma abcess and strictoplasty 2004. Low blood pressure dx with impaired kidney function 2006, fludrocortisone pres. flare up 2010, steroids, Humira, codeine.

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 3/3/2011 12:48 PM (GMT -6)   
a loop ileo is when they pull out a loop of the small intestine, cut it like in half but not all the way and leave the two edges of the intestine out on the abdomen. an end ileo is when they cut the loop all the way and pull out only one edge of the small intestine. the only reason an end ileo is easier to take care of is b/c with end ileos they can pull it out more than they can with loop ileos. with loop ileos they are limited on how much they can pull it out, so loop ileos usually don't stick out enough and even tend to rectact more than end ileos.

i hope my explanation was clear, but anyway, you can google loop ileostomy, there are some illustrations on the net that describe it perfectly. only after i saw the illustrations i was then able to understand what it's all about.
Hodaya
06/05/2007 - STARR procedure
colonic inertia w/pelvic floor dysfunction
08/16/2009 - total colectomy w/ileorectal anastomosis
07/08/2010 - loop ileostomy

elddiReMsihT
Regular Member


Date Joined Nov 2010
Total Posts : 111
   Posted 3/3/2011 2:31 PM (GMT -6)   
Yeah, I definitely understand the anatomical differences between the end and loop ileos. 2b, what you said makes sense about it sometimes not sticking out far enough. Do you know if a permanent end ileo is much different from a temporary end ileo, like what is formed after the first step of a three step j-pouch procedure?

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 3/3/2011 3:44 PM (GMT -6)   
sorry, but no, havn't got that far with my research. guess b/c i didn't go through that 3 step process, so i just leared about my own situation only. but i think there are some ppl here that know, hope they pop in here to answer.
Hodaya
06/05/2007 - STARR procedure
colonic inertia w/pelvic floor dysfunction
08/16/2009 - total colectomy w/ileorectal anastomosis
07/08/2010 - loop ileostomy

Trixiemom
Regular Member


Date Joined Nov 2010
Total Posts : 89
   Posted 3/3/2011 4:33 PM (GMT -6)   
I have a loop ileo and as of right now it is a permanant one. My surgeon thought that i might in the future go back to pooping the other way some day. (I think NOT!!) He did say it can stay as a loop for as long as i like as long as there are no problems with it. He made it where the mucus side sticks out a little further. For me it is a perfect loop ileo. Have had no major problems, a few minor ones but nothing that I can't handle. Just my 2 cents worth of info...TRIXIEMOM
have loop ileostomy
diagnosed with colon inertia
I love my ileo and life
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