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Mar 23, 2009

Understanding the Difference Between Ostomy and Ileostomy

Topic Explanation:
The discussion revolves around clarifying the differences between an ostomy and an ileostomy. The original poster is seeking information after undergoing a surgery that involved the removal of the colon and is trying to understand the specific terminology and types of surgeries related to ostomies.

Helpful Insights and Advice:
1. Definitions and Differences:
- An ileostomy involves the removal of the entire large bowel (colon), and the end of the small bowel (ileum) is brought out to form a stoma. The output from an ileostomy is usually liquid and can be constant, without control over discharge times.
- A colostomy involves connecting a part of the colon to the anterior abdominal wall, creating a stoma on the abdomen through which feces exit the body. The output can vary from nearly solid to loose, depending on the portion of the colon used and individual health conditions.
- The term ostomy is a general term used to refer to any surgical procedure creating an external opening in the body for the discharge of body wastes. This can include ileostomy (small intestine), colostomy (large intestine), and urostomy (urinary system).

2. Variations in Ileostomy:
- It is possible to have an ileostomy with the large intestine still intact. This variation might involve changes from a loop to a complete ileostomy, depending on individual medical conditions and surgical outcomes.

3. Additional Types of Ostomy:
- A urostomy is typically performed when the bladder is removed. Part of the small intestine is used to create a stoma for urine to exit the body directly into a collection bag.

4. Experiences and Expectations:
- The output consistency from an ileostomy can vary, often described as thick like toothpaste, but can become watery depending on dietary intake.
- Awareness of ileostomy activity can vary; sometimes the individual can feel when output occurs, but often it is unnoticeable until the collection bag needs attention.

5. Surgical Outcomes and Communication:
- It is crucial for surgical teams to communicate clearly with patients about the type of ostomy performed, as this can impact post-operative expectations and management. Sometimes the exact type of ostomy (colostomy vs. ileostomy) is determined during surgery based on the extent of disease or damage
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