Can fatter people have an ileostomy??

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Regular Member

Date Joined Feb 2010
Total Posts : 42
   Posted 5/25/2011 2:41 PM (GMT -6)   
I'm not a skinny person , in was wondering is it harder for fatter people to have an ostomy!!
Diagnosed w/UC 4-7-09. Have had 4 colonoscopies. 1 sigmoid colonoscopy n 1 endoscopy. Went from proctitis only in rectum to full pan colitis. No Meds have worked for me not even remicade. Been hospitalized 3xs n 5 mnths. Have Gastritis also. Current Meds: pred 40mg 7days tapper to 5mg. Nexium 40mg. Asacol4800mg. Xanax1mg.Tylenol w/codeine.having proctocolectomy on 5/26/11.

Veteran Member

Date Joined Dec 2010
Total Posts : 3332
   Posted 5/25/2011 3:31 PM (GMT -6)   
I think it is harder .... my surgeon kept saying is is easier to do the surgery if the patient is skinny (I was really skinny from my flare etc). But lots of heavier people get colon cancer or other conditions where they need surgery; it's not a choice.

I've put on a little weight now, and my belly is a bit rounded .... I switched to a convex wafer which helps -- easier to stick to flat skin, but there are belts and other things that can help.

If you can see your stoma, that's a lot easier.

I'd talk to your doctors .... good luck!
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

2b ColonFree
Veteran Member

Date Joined Nov 2008
Total Posts : 2603
   Posted 5/25/2011 5:01 PM (GMT -6)   
i've also been told it can be harder for heavy ppl, but not necessarily. and it also depends whether it's a loop stoma or an end one. an end stoma usually sticks out a lot more than a loop one. i'm a thin woman and i have a loop ileostomy. my stoma has totally retracted since surgery (10 mons ago). so there could be a situation where a thin person with a retracted loop ileostomy can have a harder time than a heavy person with an end ileostomy ;)

but as blueglass said, a convex wafer and wearing an ostomy belt helps a lot.
06/05/2007 - STARR procedure
colonic inertia w/pelvic floor dysfunction
08/16/2009 - total colectomy w/ileorectal anastomosis
07/08/2010 - loop ileostomy

Veteran Member

Date Joined Aug 2006
Total Posts : 6571
   Posted 5/25/2011 8:30 PM (GMT -6)   
I don't think being 10 or 20lbs overweight makes a big difference but more than that might I think its moreso the shape of the body like if you hve fat rolls itsworse than if you just have a round stomach. If that makes sense.
UC for 8 years, before finally kicking its butt and having a permanent ileostomy April 17 2007!
-I have gone to find myself, if i get back before i return, keep me here-
No matter what kind of day you are having, take five minutes to sing loudly and dance like a fool!

Regular Member

Date Joined Apr 2011
Total Posts : 463
   Posted 5/25/2011 9:19 PM (GMT -6)   

I have to agree with the others. I am just a couple weeks post-op from loop ileostomy and i think i have lost a few pounds cuz i now have an indent at each side of the stoma. Have had to use puddy and paste to try to fix from having leaks. But I would imagine the surgery is a necessity not a choice. I thought I wanted one years ago, but there was not enough substantiated reason for getting it then, and no doctor would just perform it for me to have (as i had lived in the bathroom my whole life with irritable bowel and other bowel problems) wasn't until my intestinal motility just stopped. And my tests then came out abnormal, which the doctor was shocked with the results. He really thought I was I think exaggerating with the probs...after the test results i didn't have a choice then.

Your Healingwell Friend,
______________________________________________________________________________________________________Loop ilesotmy, Anxiety, Depression, Bipolar/Borderline, Vaginal Vault Lift, recotocele, enterocele, DDA (dual-diagnosed), Abdominal Hysterctomy w/bladder lift, Ruptured appendix a week after C-section, Benign Tumor Removed, 4-knee surgeries, shoulder surgery

Dave D
Regular Member

Date Joined Aug 2005
Total Posts : 404
   Posted 5/26/2011 7:31 AM (GMT -6)   
After "mountains" of Prednisone I was up to 270 lbs. I'm 6'2". The surgeon said I should lose the weight to decrease the time on the operating table was more important than how the wafer would fit. Then I had a stroke, literally. I went on a high protein diet and walking 1 mile everyday and between that an constant diarrhea got down to 225. The surgery was tough but I only spent about four hours in surgery. (lots of adhesions from previous surgeries.) I'm up to 231 now and could stand to lose some more. My belly is very herniated and I will have to go back this year to fix that. Fitting the appliance is difficult but I' getting that handled now.
My advice is talk to your surgen AND ostomy nurse first. You may be okay but cutting through belly fat takes time in surgery and perching on a mound it is difficult for a wafer then consider if it is worth losing some weight first.
Grandpa Dave is 72.
IBD since 1977
Perforation and resection 1993
Diagnosed as Ulcerative Colitis 1994
IBD since 1977
Received first J-Pouch 1997
Diagnosed as Chron's 2004
Redo, resection, and remove camera capsule 2005
Contracted Scleritis of the Eye 2008
Mild Stroke 2009.
Permenant Ileostomy 2011.

Four Grandkids

Older than dirt

Regular Member

Date Joined Feb 2008
Total Posts : 314
   Posted 5/26/2011 9:17 AM (GMT -6)   
When I had porforations and had to have my osotmy replaced because one of the holes were so close to the stoma anyway it would be stupid to try and save, so from my incision my belly rounded there form past cutting and it was hard at first to get the paper tape from the wafer to stick, until my incision healed I had to change it quite frequently but now its not as rounded and flattened. But at the time I was extremly skinny only about 115 pounds, so its more the change of the belly and theincision and how close it is to the stoma.
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