Last revised by Daniel J Bell on 11 Jul 2021

An ileostomy is a surgical method in which a loop of the distal small bowel is connected and opened through the outer abdominal wall to artificially create a connection and bypass the large bowel.

There are two types of ileostomies:

  • permanent end ileostomy

A permanent end ileostomy is conducted after proctocolectomy secondary to IBD or familial polyposis.  

  • split ileostomy

A split ileostomy is a temporary type of ileostomy, it is attained if a loop ileostomy cannot effectively divert the fecal stream.

Some of the indications of ileostomy include 1

  • relief of distal bowel obstruction
  • protection of distal anastomosis
  • diversion of the fecal stream

Some of the complications of ileostomies include 3-5:

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