A colostomy is a surgical procedure that provides an individualized solution for people with bowel disease. The procedure creates an opening in the abdomen that allows stool to be collected in a pouch. Whether temporary or permanent, a colostomy promotes a better quality of life and allows a quick return to daily activities.
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Emily Olivia White
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A colostomy is a surgical procedure that creates an artificial opening in the abdomen to divert the passage of stool when the colon (large intestine) is damaged or diseased. This opening, called a stoma, allows stool to pass outside the body into a specially designed pouch.
The stool collected in the pouch can vary in consistency from liquid to solid, and may be accompanied by gas. The location of the colostomy on the abdomen depends on the part of the colon affected and the medical reasons specific to each patient.
There are different types of colostomy, which can be temporary (to allow part of the bowel to heal) or permanent. The choice of colostomy is determined by the surgeon on a case-by-case basis.
An ostomy pouch is a medical device designed to collect fecal or urinary waste from a stoma, a surgical opening created on the surface of the abdomen. The appliance fits snugly against the skin around the stoma, ensuring safe, discreet collection of effluent.
Since the stoma has no sphincter to control evacuation, it requires the use of a collection pouch. This enables us to:
There are two main types of ostomy pouch:
Whether you have a colostomy, ileostomy or urostomy, the ostomy pouch gives you greater freedom and quality of life. Your stomatotherapist will help you choose the most suitable device and give you all the advice you need to use it with complete peace of mind.
A colostomy is generally performed for the following conditions:
There are three types of colostomy:
Types of colostomy | Characteristics |
| Ascending loop colostomy | A colostomy is performed on the ascending colon: The stool is fluid to semi-fluid and contains digestive enzymes that can irritate the epidermis around the stoma. You may need to empty the pouch four to six times a day. |
| Transverse loop colostomy | A colostomy is performed on the transverse colon: stool is usually fluid to semi-fluid because the colon absorbs some of the stool water as it passes through the ascending colon. You will probably need to empty the pouch four to six times a day. |
Sigmoid loop colostomy | This is a colostomy of the sigmoid colon. The stool from a sigmoid colostomy is usually nearly formed because almost all the water in the stool is absorbed as the stool passes through the ascending colon, transverse colon, and descending colon. You will probably need to empty your bowel once or twice a day or every other day. |
After a colostomy, there is a period of adjustment. Here's what to expect:
A new phase begins after a colostomy. The first few days in the hospital are crucial to your recovery. Medication will help with pain and a gradual diet, starting with liquids, will be introduced to help your body recover.
The stoma is normal if it is pink, moist, and bleeds slightly when rubbed. It should not be painful to touch.
A special bag will be placed over the stoma to collect stool. A specialist nurse will teach you the simple but essential gestures for changing this bag and caring for your skin.
You'll also learn how to adapt your hygiene, diet, and physical activity to your new situation.
Living with a colostomy takes some learning and adjustment, but with the support of your care team, you'll soon regain a good quality of life.
Before you go home, you'll be given all the information you need to manage your colostomy on a daily basis:
If your colostomy is temporary, a second operation (anastomosis) will be performed to restore natural bowel transit. The duration of a temporary colostomy varies, but is usually a few months.
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