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May 24, 2025

Diverting Loop Ileostomy with One Outlet?

Topic Explanation:
The discussion is about a person who has undergone a diverting-loop ileostomy and is curious about having only one outlet (hole) in their stoma. They were under the impression that loop ileostomies typically have two holes and are seeking insights from others who might have experienced a similar situation.

Advice and Insights:
1. Some individuals with loop ileostomies have experienced having two holes initially, but one may be closed off during surgery or over time.
2. It is possible for the distal opening to be less visible or hidden, especially if it is at the base of the stoma at skin level.
3. The proximal side, which is the active side, can sometimes dominate, making the distal loop less noticeable. Gently probing might reveal the second hole.
4. It is normal for the distal loop to discharge mucus, which may go unnoticed as it collects in the same bag.
5. Some people have reported experiencing a small bowel movement from the distal end weeks or months after surgery, which can occur if the bag is full and forces stool into the distal end, completing the loop.
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