Continent ileostomy for ulcerative colitis
surgeon removes the
large intestine (colon) and creates a pouch and a valve from the lower end of
the small intestine (the ileum). The surgeon then connects the valve to an
opening (stoma) in the skin of the lower abdomen. After this surgery, you can
insert a tube into the valve to release stool from the intestines.
What To Expect After Surgery
People usually spend 4 to 10 days in
the hospital, depending on how sick they were before the surgery.
Why It Is Done
The surgery is done for people who
ulcerative colitis. Several circumstances may require
surgery for ulcerative colitis.
with ulcerative colitis may choose this surgery to prevent the risk of
How Well It Works
This surgery cures ulcerative
The main complications are incontinence of gas
and stool and inflammation of the ileal pouch (pouchitis) that attaches to the
opening in the abdomen.1
- Up to 50% of people develop some fecal
incontinence, usually in the first year after surgery. The risk is highest for
obese older men who had a traditional ileostomy that was modified to a
- About 30% of people develop inflammation of
the ileal pouch (pouchitis), which usually can be treated with
What To Think About
It is important to learn how to
use and care for an ostomy.
Bowel disease: Caring for your ostomy
About 1.5 million people in the United States have
Complete the surgery information form (PDF)(What is a PDF document?)
to help you prepare for this surgery.
Cima RR, Pemberton JH (2006). Ileostomy, colostomy, and pouches. In M Feldman et al., eds., Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 8th ed., vol. 2, pp.
2549–2561. Philadelphia: Saunders Elsevier.
||Kathleen M. Ariss, MS
||Pat Truman, MATC
Primary Medical Reviewer
||Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer
||Arvydas D. Vanagunas, MD - Gastroenterology
||November 3, 2008