Proctocolectomy and Ileostomy for Inflammatory Bowel Disease
In proctocolectomy, the
large intestine and rectum are removed, leaving the lower end of the small
intestine (the ileum). The doctor sews the anus closed and makes a small
opening called a stoma in the skin of the lower abdomen. The surgical procedure
to create the stoma (or any other artificial opening) is called an
The ileum is connected to the stoma, creating an opening
to the outside of the body. The surgery that creates the opening to the
intestine is called an ileostomy.
The term inflammatory bowel disease (IBD) describes a group of disorders in which the intestines become inflamed. The likeliest cause is an immune reaction the body has against its own intestinal tissue.
Two major types of IBD are ulcerative colitis and Crohn's disease. Ulcerative colitis is limited to the colon or large intestine. Crohn's disease, on the other hand, can involve any part of the gastrointestinal tract from the mouth to the anus. Most commonly, though, it affects the small intestine...
Cohen JL, et al. (2005). Practice parameters for the surgical treatment of ulcerative colitis. Diseases of the Colon and Rectum, 48(11): 1997–2009. Available online: http://www.fascrs.org/physicians/practice_parameters.
Cima RR, Pemberton JH (2010). Ileostomy, colostomy, and pouches. In M Feldman et al., eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 9th ed., vol. 2, pp. 2015–2025. Philadelphia: Saunders Elsevier.
Primary Medical Reviewer
E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer
Peter J. Kahrilas, MD - Gastroenterology
October 8, 2012
WebMD Medical Reference from Healthwise
October 08, 2012
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