Ileoanal anastomosis surgery (also known as J-pocket surgery, Ileostomy or colorectal surgery) naturally removes waste after removing the entire large intestine (colon and rectum).
J-sinus surgery is also known as anal ileoanal pouch anastomosis (IPAA). They aim to avoid the need for a permanent opening in the abdomen (stoma) for the passage of stool.
An ostomy may be performed in certain cases of:
- Small intestine cancer
- Colorectal cancer
- In other cases of cancer when they have invaded the colon or rectum (this may, for example, be the case with ovarian cancer)
- Inflammation of the stoma site
- Death of the tissue surrounding the stoma
- Laceration of the stoma
- Shrinkage of the skin around the stoma
- The ileostomy surgery takes about two hours under general anesthesia
- After 3 months
Definition of ileostomy
An ileostomy involves making an opening in the ileum to the outside of the body through an abdominal wall. The opening created during the ileostomy is called the stoma. Thus, the ileostomy is the junction of the terminal ileum to the skin. It can be lateral: most often temporary, it involves cutting an intestinal loop 2 cm above the skin. The ileostomy can also be terminal, permanent, or temporary.
In this case, the small bowel loop is exteriorized through the wall and everted to create a small "proboscis" 2 cm high according to Brooke's method.
The features of an ileostomy
- Red and looks like the inside of the mouth
- Sensitive and can bleed easily when touched
- The ileostomy follows the movement of the bowel, it can widen and shorten during bowel movements
- It is measured by melting points, which disappear during the first two months
- The size of the ileostomy consolidates within 4-6 weeks after surgery
- When you resume eating, you will release intestinal gas through your stoma. After surgery, the ileostomy remains functional about 24 hours after the operation is performed.
The examination before surgery
The nurse will examine you before the operation to locate the coronary artery. Many factors influence the location of cortical defects, including your natural skin, abdominal muscles, scars, bed, waist circumference, hip bone, and the clarity of where you sit.
The course of the ileostomy in Istanbul Turkey
During an ileostomy in Istanbul Turkey, part of your thick intestine, otherwise known as the ileum, is pulled across the surface of the abdomen to create a stoma. Indeed, an ileostomy is usually performed in cases where the colon is reached and put in the right area of your abdomen. Thus, the ileostomy can be temporary or chronic. It depends on the reasons that led to the surgery or how difficult your situation is. In this part of the intestine, the stools are watery. Since an ostomy does not have muscles that are used to control the evacuation, the stool must be assembled through a pocket.
Food and Medicines
Before your operation, and during the consultation, your doctor will tell you to avoid caffeine, alcohol, tobacco, or other drugs. Using any of these products before or after surgery can affect the outcome of the surgery.
Surgeons perform J-pocket surgery using minor penetration methods. Instead of opening the abdomen with a relatively large incision (open surgery),they usually make more than a small incision in the abdomen through which surgical instruments and a long narrow tube are inserted with a camera at its end.
After the operation of ileostomy
Hospitalization is mandatory for optimal results. You might have pain relievers or antibiotics.
Your doctor may recommend that you drink plenty of fluids, such as water, to avoid dehydration. For six to eight weeks, you should avoid certain foods, such as those that are high in fiber, including fruits, raw vegetables, grains, nuts, and corn. These foods can inflame the anal area.
It is strongly recommended that you avoid activities that require exertion for about four to six weeks after surgery.
Types of ileostomy treated in Istanbul
There are two types of ileostomy:
What is a terminal ileostomy?
This is the most common type of ileostomy, in which case the end of the small intestine is pulled over the surface of the abdomen and then sutured to the skin and forms a hole, otherwise known as a stoma.
Chronic or temporary terminal ileostomy: the temporary ileostomy is effective in conditions where the affected part has been removed, and the remaining part must rest before resuming the transit. The relevant solution considered when restoring transit is too risky or impossible.
Consider lateral ileostomy
During a lateral ileostomy, a loop of your thick intestine is placed over the skin. An opening will be made on the surface of the abdomen and the extremities are closed to the skin. In addition, the lateral ileostomy contains two openings side by side. This type of ileostomy is usually temporary to cover a surgical suture of the bowel or calm the patient.
The use of a drainable bag
If you have an ileostomy, you are going to need to wear out a drainable bag. Our doctors specializing in lateral ileostomy in our partner clinics in Turkey will study your case and will offer you the best care plans suitable for your case.
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