Yeah, I know about that. But Jack specifically mentioned getting an end ilestomy, as opposed to a loop one. This bit:
I specifically requested this be an end ileostomy so as to avoid the problem of anything bypassing the stoma and to ensure a better appliance fit. It will be reversible though as a permanent one was not even an option yet. He is attaching the end of the colon nearby underneath the abdomen so that it can still be easily reversed.
That just confuses me even more, tbh. Jack dude, you do know if the colon is attached to the stomach, it's a colostomy and not an ileostomy, right? It becomes an ileostomy when the ileum is attached to the stomach, a jejunostomy when the jejunum is attached, and so on. This may sound like pure semantics, but it isn't really: there are differences between a colostomy and an ileostomy. A colostomy is situated on the left hand side of the body, the output is more solid and stool-like, and the bags used are non-drainable ones. Reverse all that for an ileostomy.
Also, how can the stoma be bypassed? Output will always go through it, that's a stoma's purpose :-/
I'm probably misinterpreting or missing something. But I just can't tell what type of operation your surgeon is proposing.
He's actually referring to the fact that the unused colon will be tacked to the inside of the abdominal wall merely to keep it in place inside the body. When I had my colectomy but the rectum was left intact, the rectum was tacked to the inside of the abdomen to keep it from flopping about
Regarding output bypassing the stoma, loop ileostomies have two
openings: one on top, where stool comes out, and one on the bottom that leads down into the rest of the intestine. It's possible, though not common, for output to come out of the top
opening and get sucked down into the bottom
opening, resulting in waste passing into the otherwise unused intestine (and eventually out of the anus). For someone with a functional problem, this could cause a lot of pain.
I myself am still a little confused about
JS's attitude towards a colectomy, but otherwise I think I'm following...
Regarding the two liter pouch, man, I do not think you would like to wear it throughout the night. Unless you can stay in one position and make sure the pouch is supported well, it might get heavy enough to pull on the wafer and affect your seal (leading to possible leakage). I really think you'll find it's preferable to wake up once in the middle of the night and not have to deal with anything special. I have an idea: Drink a big bottle of water right before you go to sleep tonight. You'll wake up needing to pee after a few hours. Hopefully you'll see that stumbling into the bathroom, doing what's necessary, and going back to bed is actually very tolerable
dx'ed UC pancolitis 5/12
past meds: asacol hd, VSL#3, apriso, rowasa, xifaxan, 6mp, cortifoam, pentasa, cimzia, canasa, butyrate, flagyl, cipro, prednisone, remicade, methotrexate, cholestyramine, cortenema
current meds: none!
step one: colectomy, end ileo 1/16/13
step two: j-pouch construction, loop ileo 5/1/13
step three: takedown 7/31/13