Colostomy





Definition

A colostomy is a surgical procedure that brings a portion of the large intestine through the abdominal wall to carry feces out of the body.


Purpose

A colostomy is a means to treat various disorders of the large intestine, including cancer, obstruction, inflammatory bowel disease, ruptured diverticulum, ischemia (compromised blood supply), or traumatic injury. Temporary colostomies are created to divert stool from injured or diseased portions of the large intestine, allowing rest and healing. Permanent colostomies are performed when the distal bowel (at the farthest distance) must be removed or is blocked and inoperable. Although colorectal cancer is the most common indication for a permanent colostomy, only about 10–15% of patients with this diagnosis require a colostomy.

To perform a colostomy, the surgeon enters the abdomen and locates the colon, or large intestine (A). A loop of the colon is pulled through the abdominal incision (B); then the colon is cut to allow the insertion of a catheter (C). The skin and tissues are closed around the new opening, called a stoma (D). (Illustration by GGS Inc.)
To perform a colostomy, the surgeon enters the abdomen and locates the colon, or large intestine (A). A loop of the colon is pulled through the abdominal incision (B); then the colon is cut to allow the insertion of a catheter (C). The skin and tissues are closed around the new opening, called a stoma (D). (
Illustration by GGS Inc.
)

Demographics

Estimates of all ostomy surgeries (those involving any opening from the abdomen for the removal of either feces or urine) range from 42,000 to 65,000 each year; about half are temporary. Emergency surgeries for bowel obstruction and/or perforation comprise 10–15% of all colorectal surgeries; a portion of these result in colostomy.


Description

Surgery will result in one of three types of colostomies:

  • End colostomy. The functioning end of the intestine (the section of bowel that remains connected to the upper gastrointestinal tract) is brought out onto the surface of the abdomen, forming the stoma (artificial opening) by cuffing the intestine back on itself and suturing the end to the skin. The surface of the stoma is actually the lining of the intestine, usually appearing moist and pink. The distal portion of bowel (now connected only to the rectum) may be removed, or sutured closed and left in the abdomen. An end colostomy is usually a permanent ostomy, resulting from trauma, cancer, or another pathological condition.
  • Double-barrel colostomy. This involves the creation of two separate stomas on the abdominal wall. The proximal (nearest) stoma is the functional end that is connected to the upper gastrointestinal tract and will drain stool; the distal stoma, connected to the rectum and also called a mucous fistula, drains small amounts of mucus material. This is most often a temporary colostomy performed to rest an area of bowel, and to be later closed.
  • Loop colostomy. This surgery brings a loop of bowel through an incision in the abdominal wall. The loop is held in place outside the abdomen by a plastic rod slipped beneath it. An incision is made in the bowel to allow the passage of stool through the loop colostomy. The supporting rod is removed approximately seven to 10 days after surgery, when healing has occurred that will prevent the loop of bowel from retracting into the abdomen. A loop colostomy is most often performed for creation of a temporary stoma to divert stool away from an area of intestine that has been blocked or ruptured.

Diagnosis/Preparation

A number of diseases and injuries may require a colostomy. Among the diseases are inflammatory bowel disease and colorectal cancer. Determining whether this surgery is necessary is a decision the physician makes based on a number of factors, including patient history, amount of pain, and the results of tests such as colonoscopy and lower G.I. (gastrointestinal) series. Due to lifestyle impact of the surgery, the decision is made after careful consultation with the patient. However, an immediate decision may be made in emergency situations involving injuries or puncture wounds in the abdomen or intestinal perforations related to diverticulear disease, ulcers, or life-threatening cancer.

As with any surgical procedure, the patient will be required to sign a consent form after the procedure is explained thoroughly. Blood and urine studies, along with various x rays and an electrocardiograph (EKG), may be ordered as the doctor deems necessary. If possible, the patient should visit an enterostomal therapist, who will mark an appropriate place on the abdomen for the stoma and offer preoperative education on ostomy management.

In order to empty and cleanse the bowel, the patient may be placed on a low-residue diet for several days prior to surgery. A liquid diet may be ordered for at least the day before surgery, with nothing by mouth after midnight. A series of enemas and/or oral preparations (GoLytely or Colyte) may be ordered to empty the bowel of stool. Oral anti-infectives (neomycin, erythromycin, or kanamycin sulfate) may be ordered to decrease bacteria in the intestine and help prevent postoperative infection. A nasogastric tube is inserted from the nose to the stomach on the day of surgery or during surgery to remove gastric secretions and prevent nausea and vomiting. A urinary catheter (a thin plastic tube) may also be inserted to keep the bladder empty during surgery, giving more space in the surgical field and decreasing chances of accidental injury.


Aftercare

Postoperative care for the patient with a new colostomy, as with those who have had any major surgery, involves monitoring of blood pressure, pulse, respirations, and temperature. Breathing tends to be shallow because of the effect of anesthesia and the patient's reluctance to breathe deeply and experience pain that is caused by the abdominal incision. The patient is instructed how to support the operative site during deep breathing and coughing, and given pain medication as necessary. Fluid intake and output is measured, and the operative site is observed for color and amount of wound drainage. The nasogastric tube will remain in place, attached to low, intermittent suction until bowel activity resumes. For the first 24–48 hours after surgery, the colostomy will drain bloody mucus. Fluids and electrolytes are infused intravenously until the patient's diet can gradually be resumed, beginning with liquids. Usually within 72 hours, passage of gas and stool through the stoma begins. Initially, the stool is liquid, gradually thickening as the patient begins to take solid foods. The patient is usually out of bed in eight to 24 hours after surgery and discharged in two to four days.

A colostomy pouch will generally have been placed on the patient's abdomen around the stoma during surgery. During the hospital stay, the patient and his or her caregivers will be educated on how to care for the colostomy. Determination of appropriate pouching supplies and a schedule of how often to change the pouch should be established. Regular assessment and meticulous care of the skin surrounding the stoma is important to maintain an adequate surface on which to attach the pouch. Some patients with colostomies are able to routinely irrigate the stoma, resulting in regulation of bowel function; rather than needing to wear a pouch, these patients may only need a dressing or cap over their stoma. Often, an enterostomal therapist will visit the patient in the hospital or at home after discharge to help the patient with stoma care.

Dietary counseling will be necessary for the patient to maintain normal bowel function and to avoid constipation, impaction, and other discomforts.


Risks

Potential complications of colostomy surgery include:


  • excessive bleeding
  • surgical wound infection
  • thrombophlebitis (inflammation and blood clot to veins in the legs)
  • pneumonia
  • pulmonary embolism (blood clot or air bubble in the lungs' blood supply)

Psychological complications may result from colostomy surgery because of the fear of the perceived social stigma attached to wearing a colostomy bag. Patients may also be depressed and have feelings of low self-worth because of the change in their lifestyle and their appearance. Some patients may feel ugly and sexually unattractive and may worry that their spouse or significant other will no longer find them appealing. Counseling and education regarding surgery and the inherent lifestyle changes are often necessary.


Normal results

Complete healing is expected without complications. The period of time required for recovery from the surgery may vary depending on the patient's overall health prior to surgery and the patient's willingness to participate in stoma care. The colostomy patient without other medical complications should be able to resume all daily activities once recovered from the surgery. Adjustments in diet and daily personal care will need to be made.


Morbidity and mortality rates

Complications after colostomy surgery can occur. The doctor should be made aware of any of the following problems after surgery:

  • increased pain, swelling, redness, drainage, or bleeding in the surgical area
  • headache, muscle aches, dizziness, or fever
  • increased abdominal pain or swelling, constipation, nausea or vomiting, or black, tarry stools

Stomal complications can also occur. They include:

  • Death (necrosis) of stomal tissue. Caused by inadequate blood supply, this complication is usually visible 12–24 hours after the operation and may require additional surgery.
  • Retraction (stoma is flush with the abdomen surface or has moved below it). Caused by insufficient stomal length, this complication may be managed by use of special pouching supplies. Elective revision of the stoma is also an option.
  • Prolapse (stoma increases length above the surface of the abdomen). Most often this results from an overly large opening in the abdominal wall or inadequate fixation of the bowel to the abdominal wall. Surgical correction is required when blood supply is compromised.
  • Stenosis (narrowing at the opening of the stoma). Often this is associated with infection around the stoma or scarring. Mild stenosis can be removed under local anesthesia; severe stenosis may require surgery for reshaping the stoma.
  • Parastomal hernia (bowel causing bulge in the abdominal wall next to the stoma). This occurs due to placement of the stoma where the abdominal wall is weak or an overly large opening in the abdominal wall was made. The use of an ostomy support belt and special pouching supplies may be adequate. If severe, the defect in the abdominal wall should be repaired and the stoma moved to another location.

Mortality rates for colostomy patients vary according to the patient's general health upon admittance to the hospital. Even among higher risk patients, mortality is about 16%. This rate is greatly reduced (between 0.8% and 3.8%) when the colostomy is performed by a board-certified colon and rectal surgeon.

Alternatives

When a colostomy is deemed necessary, there are usually no alternatives to the surgery, though there can be alternatives in the type of surgery involved and adjuvant therapies related to the disease. For example, laparoscopic surgery is being used with many diseases of the intestinal tract, including initial cancers. For this surgery, the colon and rectal surgeon inserts a laparoscope (an instrument that has a tiny video camera attached) through a small incision in the abdomen. Other small incisions are made for the surgeon to insert laparoscopic instruments to use in creating the colostomy. This surgery often results in a shorter stay in the hospital, less postoperative pain, a quicker return to normal activities, and far less scarring. It is not recommended for patients who have had extensive prior abdominal surgery, large tumors, previous cancer, or serious heart problems.


Resources

BOOKS

Doughty, Dorothy. Urinary and Fecal Incontinence. St. Louis: Mosby-Year Book, Inc., 1991.

Hampton, Beverly, and Ruth Bryant. Ostomies and Continent Diversions. St. Louis: Mosby-Year Book, Inc., 1992.

Monahan, Frances. Medical-Surgical Nursing. Philadelphia: W. B. Saunders Co., 1998.


ORGANIZATIONS

United Ostomy Association, Inc. (UOA). 19772 MacArthur Blvd., Suite 200, Irvine, CA 92612-2405. (800) 826-0826. http://www.uoa.org .

Wound Ostomy and Continence Nurses Society. 2755 Bristol Street, Suite 110, Costa Mesa, CA 92626. (714) 476-0268. http://www.wocn.org .


OTHER

National Digestive Diseases Information Clearinghouse. Ileostomy, Colostomy, and Ileoanal Reservoir Surgery. (February 1, 2000): 1.


Janie F. Franz Kathleen D. Wright, RN

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


General surgeons and colon and rectal surgeons perform colostomies as inpatient surgeries, under general anesthesia.

QUESTIONS TO ASK THE DOCTOR


  • What kinds of preoperative tests will be required?
  • What drugs will be given for pain after the surgery?
  • What will I need to do to prepare for surgery?
  • Is there an enterostomal therapist I can talk to before the surgery?
  • What will my recovery time be and what restrictions will I have?
  • Is there an ostomy support group at the hospital that I can attend?


User Contributions:

Prakash
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Jan 18, 2008 @ 9:09 am
i'm the patient of Colostomy, it was closed in the year of 31st Jan,2006. But still i'm facing some problem while going in motion.. that is.. it was coming step by step.. and also getting mucous from anaus.. how many days it'll take to clear my problem. please help me for this.. i'm unable to doing my works without this problem..

thanking you
Richard Day
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Jan 23, 2010 @ 3:15 pm
This article is very well done. I wish I had read it before my colostomy in 2001. I have had 8 surgeries since then. Three surgeries were directly related to the stoma complications while 5 were parastoma hernia surgeries. Diverticulitice causes my problems along with severe infections that took years to clear up and heal. The infections have causes some organ damage.

I wish the article would have mentioned a little more concerning depression as attitude is very important in recovery. My colostomy is permanant. Accepting that and planning my activities to be prepared has allowed me to feel better about life. I have an excellent wife and family that have helped me very much.

There are many very unpleasant things that happen, concerning colostomies. Mucous discharge from the rectum is one. It usually last a week or less for me, but does put a damper on activities.

Thank you for all the great information.
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Mar 31, 2010 @ 7:19 pm
My mom just had a colostomy, it seems to be leaking, doctors found today that there is a fischler at the bottom of the intestine. Can this be fixed?. She had her surgery in one hospital and now she is in another, think first doctor did this. Just would like to know if this is common and has it happened to others.. Thank u. Sandra sangirl1@live.com.
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Jul 31, 2010 @ 3:15 pm
my mom had this sergery and a historectomy at the same time about 2 months ago and has been in and out of the hospital (davis in cali) shes had 2 more sergerys and numerous tests and is still in alot of pain also has black stool and vomits coffee like substance and canot get up and walk around the doctor doesnt know what is wrong
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Sep 14, 2010 @ 12:12 pm
I had a colostomy 6 weeks ago. This morning I noticed a small blood discharge from my rectum. Is this normal?
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Oct 10, 2010 @ 10:10 am
I had colostomy surgery in the year 2006. from on wards.. after completion of my surgery i'm facing lots of constipation issues while passing the motion... getting lot of pain at colon (where the surgery was done to me) daily i'm going to toilet 3 to 6 times, I'll get the heavy motion i cant able to hold for a long time... Actually i met accident. Lorry hitted my on that time i got rectum injury at the same time doctors did colostomy surgeery... i was used the colostomy bags nearly 12 months.. after a small recovery of rectum doctors done the colostomy surgery... pls give me the suggestion

thanking you
pretty
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Nov 18, 2010 @ 10:22 pm
tnx for the wonderful info...my mom had this operation for 3times now i just wana ask how she can gain weight (looks like dehydrating) how to prevent this condition from her...
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Dec 16, 2010 @ 11:23 pm
I found the arcticle interesting ,although I was looking for over bleeding around the stoma and severe pain around that area of the stoma. I have severe cracking around the stoma and bleeding and ws hoping something would be mentioned regarding this in the arcticle.The depression I went thru and the lack of compassion from nurses was very hard in the hospital.I wasn't told of the type of surgery I was having at the time the doctors also found cancer but the biopsy proved begnine.I am still abit confused with all of the info one must take in but I am slowley learning .
anjum
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Feb 7, 2011 @ 2:02 am
My father had his colostomy (surgery)in August 2010. He is 70 yrs of age. Even after 5 months of surgery there is bleeding (sometime more sometime its less) from the surgical area. This is been told to the Doctors they have observed and said that it will take time to recover fully the wounds would take time to heal. But they have not mentioned any particular time as to how long it will take for the wounds to heal. Kindly tell the time or some remedy fro the fast recovery including diet.
Helen Tice
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Apr 25, 2011 @ 6:18 pm
What causes little sacks of poop to be stuck in the fistula end of a double barrel permanent transverse oastomy? How do you treat and clear the poop and how do you prevent it from recurring? Please help . It is a scary and sickening sight. Because you can see the poop stuck under a transparent layer of tissue.
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Sep 21, 2011 @ 10:22 pm
I HAVE TO WAIT 6 MONTHS TO HAVE REVERSAL SURGERY ON MY COLOSTOMY. IS THAT THE NORMAL TIME FRAME FOR THE SURGERY. I HAD AN INFECTION AND DOCTOR TOOK OUT 10 INCHES OF COLON. IS THERE COMPLICATIONS WITH THIS SURGERY? VERY NERVOUS ABOUT IT. WANT TO HAVE THINGS BACK TO WHERE THEY USED TO BE. HAVING A COLOSTOMY BAG DOESN'T SEEM NORMAL TO ME. GUESS I NEED TIME TO ADJUST, IT HAS ONLY BEEN 6 WEEKS SINCE MY SURGERY.
Josie
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Nov 29, 2011 @ 9:21 pm
When the colon has been cut off too short and the colostomy bag won;t go on, and it has to be continually wiped off and its blood red and so very sore, is there any kind of salve or ointment that will keep it from getting more and more irritated with skin breaking in places on the site, Surely there is something that can help someone to keep them from all that extra pain. Please reply.
pay shelton
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Jan 21, 2012 @ 3:15 pm
my husband had a colostomy 4 years ago, i use the one piece disposable bag for him.i clean arond the stoma with mild soap and water,making sure the area is dry ,then add a small amount of calmoseptine ointment( available at most pharmacy no prescription)around the stoma, this really protects the skin. he has never had any irritation around his stoma. this has worked for him. we never use the 2 piece with a waffer, because it's hard to clean the waffer and it stays on the skin for 2 long a time, one piece are better!
kobby
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Jan 22, 2012 @ 7:07 am
how is correctin(colostomy) than, will the doctor open the stomach again?
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Jan 28, 2012 @ 7:07 am
I am going to be possibly getting a colostomy bag done soon. I am very nervous and reading all your comments makes me even more nervous. Can any of you explain what it was like while in the hospital and what I can expect. Is the colostomy bag always permenant? Thanks, Lisa
Gregg Orange
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Mar 22, 2012 @ 4:04 am
I was diagnosed with rectal cancer in May of 2011 after having a colonoscopy. I was having symptoms for months that I attributed to hemmorhoids. It wasn't, it was definitely adenocarcinoma as the pathology reports indicated. Days after the diagnosis I had a catscan, was sent to a colorectal surgeon, a radiologist and a chemotherapist. The catscan showed that the cancer was still pretty much localised. I went through 6 weeks of oral chemo and radiation treatments and about 4 weeks after that I went back to the colorectal surgeon for a flexible sigmoidoscopy that indicated that the tumor had indeed shrunk and responded to the treatments but, he still recommended a permanent colostomy. After deciding to go ahead and get it over with because the surgeon said that a colostomy in this case offered the best hope for long term survival, I had the procedure done in October of 2011. Complete removal of the rectum and permanent colostomy. The week long hospital stay after the procedure was miserable, I wasn't able to eat anything for almost a week and nurses kept coming in the room every 3-4 hours givng me injections, pills, checking my blood sugar, blood pressure, etc. I prefer sleeping on my side and this is virtually impossible after having a colostomy. I was told to get up and walk down the hall the next morning after the surgery to prevent blood clots and maintain circulation. This was extremely painful and uncomfortable. I hate hospitals anyway, as many people do and was unable to get much sleep during the week that I was there. I had serious problems with bladder function after the surgery, I simply could not urinate and was cathederized for another week even after being discharged. This went on for several weeks before I finally was able to urinate semi-normally. I was told that this is common with abdominal surgery. My surgeon removed the staples from the incisions a week later and I was on pain medications for about 2 months after the surgery. The stoma decreased in size and healed, some dead skin fell of several weeks later, I was told that this was normal. Now it has been six months since I had the surgery and I am trying to cope with the fact that I have a permanent colostomy. I lost my job because I could not perform my necessary job duties as a vending tech with a colostomy. I have lost my health insurance as well. As if that weren't depressing enough, living with a permanent colostomy effects your self image, your social abilities, your physical capabilities and can very easily turn you into a hermit. I have been coping with the psychological aspects of having a colostomy ever since the surgery and I still get very depressed and withdrawn at times. The nurses and doctors all try to tell you that things will return to normal and that you can resume your daily activites, etc. They are not very good liars. You are restricted in what you can do physically and you must learn the dietary restrictions and proper care procedures for caring for your stoma and colostomy appliance. It's a real hassle. I realize that part of their job is to try and make you feel better but, having a permanent colostomy is the absolute pits, I won't lie. The only thing good about it is that right now I am still alive for my family and friends. I am 50 years old with a permanent colostomy and sometimes I just don't even want to get out of bed, I don't want to talk to people, I don't want to participate in any types of social activities and I hate my life. That's the honest truth.
Ruth
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Apr 23, 2012 @ 12:12 pm
I had colon surgery 5 months ago that ended with a dead stoma. The doctor cut it off even with the skin. Now I have a bad rash and also a lot of bleeding. My iron level was low last month. Is this bleeding normal?
Eleanor Bock
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Sep 20, 2012 @ 3:15 pm
I have been reading all the comments about Clostomies. But, you have not given the patients any answers. I will be having one soon and it certainly does not sound like anyone is jumping for joy. If the doctor decides exactly how he will perform the surgery to his understanding and it does not respond correctly, the patient suffers the consequences. Guess I will be sending another note about my surgery after it gets done and I will be one of the above.
kushal wasti
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Sep 25, 2012 @ 6:06 am
which suture is used to hold the stoma in colostomy?
worried
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Oct 14, 2012 @ 2:14 pm
Had colostomy 2 years back and healed nicely as I'm normal now but lately I hav been feelin a pain just below the scar and bubbles in my stomach so its possible its still the effects of havin the sugery ? And can I still fall pregnant?
Mary
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Nov 8, 2012 @ 1:13 pm
My grandma had a colostomy done 25 yrs ago and it started bleeding from the surgical area is that normal
Grouch
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Nov 13, 2012 @ 5:17 pm
No "sugarcoating" here! There are many things in your life you will have to eliminate or lessen. Think about being twelve miles deep on a hike in the mountains, a public pool will be a delight,no going three miles deep inside a cave for a two day trip. These are just some of the things I had to give up since my surgery. No more heavy weightlifting anymore! You'll put on weight because of inactivity, and the looks are AWFUL! It's like I have a disease that can pass from me just from association. Be STRONG or you will fail to live for yourself.
Larry
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Nov 13, 2012 @ 9:21 pm
I am bleeding from stomam with clots, any suggestions?
jim koenig
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Nov 19, 2012 @ 9:09 am
My wife has a permanent colocstomy bag. She had surgery 2 weeks ago and still in the hospital. This morning the Dr had to give her 2 pints of blood. Is there anyone out there that can tell me if they have had complications like this?
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Nov 27, 2012 @ 6:18 pm
ALL THIS INFORMATION ARE VERY GREAT. MY AUNT MAY HAVE THIS SURGERY SHE HAVE STOMACH CANCER.SHE INTO STAGE 4 SHE IN THE HOSOPITAL NOW BUT GOD IN CHARGE.
otis henry
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Jan 3, 2013 @ 9:21 pm
... i thank you all for sharing your experiences & questions - as circumstance has/had it, i had a colostomy aprox 2003-4 ... now is 2013. i reckon i lucked out 'cause it was reversible & had no complication(aside from hernia from the "punch-hole" for drainage of poisons incurred from ruptured bowel-peritonitis. *note - the whole scene from the onset was a total total ! shock ! i arrived @ emergency room w/ symptoms - emer doc took quick x-ray for time was of the essence - they knew. escaped air in abdomen called for surgery & the high spike sustained pain quickly called for morphine ... & from th@ pt ... i was off to surgery. upon waking , it was 6-8 days in hosp- then home for 10 or so wks. back to hosp for the "take down"(restoring the initial system). in hosp for say 6-7 days then home. 6-8 wks. back to limited work. the most intense situation was the reality of having the apparatus & managing & keeping clean(many aspects). i felt trapped but ! but ! ... i had no choice so i "kept on truckin". i found it amazing - i likened it to the ... "visible V-8" ... where i could actually see something that was supposed to be ; in my body - it was difficult & exhausting & threatening to feel so vulnerable . recovery was slow tho my body and it's willingness to heal ...did. all i say is do your best to keep clean - do not despair - & as a nurse told me when i asked - when will this constant medium pain/ache go away - she said @ about a year - you will realize ... ! hey this pain is gone - & it was. when there is no choice - do your utmost to optimize your situation ! - thanks for listening - otis - * peace and enduring calm - & realize you co-operated w/ your recovery ! !
Suesue
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Jan 15, 2013 @ 2:14 pm
I wanted to comment a little more positively. I, too, had emergent surgery due to perforations after a CT scan revealed perforations in my colon. My surgeon believed that he would be able to go in and resection the colon very easily and I would recover and be on my way, after 6 - 8 weeks of recovery. Turns out that the infection was one of the worst he had seen and I woke up in recovery with a colostomy. Thank God, mine can be reversed. The first month was pretty devastating. Lots of pain and depression. For wound care - there are powders and skin barrier spray that will really help it heal. It will be VERY PAINFUL when you apply it, but it WILL heal the site. After 7 seeks, I am back at work and living a very normal life. My favorite products are M9 odor eliminator spray, and Gas-X. The Gas-X really works if you have eaten something that causes gas. It has helped me function normally at work where I have to be in executive meetings often. The last thing you want is gas noise from your stoma! I will be having surgery again next month to reverse the colostomy. I will have to be off work again for 6 - 8 weeks. I am not looking forward to the surgery, but I know that I was tough and did not let this colostomy slow me down! -Good luck and my prayers are with you all who are facing such terrible outcomes!
Anita
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Mar 13, 2013 @ 11:23 pm
I'm facing this surgery soon and wanted to get as much information as possible about the surgery itself and what i'd be facing afterwards.I have had Crohns disease for 25 years now and just turned 48.I've had so many problems and complications from the Crohns that I thought this surgery was the answer to my problems. I have become a hermit because of all the bathroom problems I have. I go at a minimum of 20 times a day and have to wear adult diapers if I go any where. I have "accidents" all the time. This is why I've become a hermit and I thought this surgery would free me. The article was helpful and informative. The comments and questions from other colostomy patients are scarring the heck out of me.I'm not so sure any more. Having the stoma or wearing the pouch dosen't scare me it's all the complications after the surgery that do! I really don't have a choice though.
Muhammad shahimi
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Mar 21, 2013 @ 3:03 am
My father involved in an accident last few month. Due to bed sore a he have a minor operation and now defecate through a stoma bag on his body. He recently went for a check and wanted to resume my intestines so that he dont have to use the stoma bag and defecate like normal. But, the doctor told him that his intestines does not have capability to do so. Is there any treatment that i can do so that i can defecate like normal?
SarahJ
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Jun 23, 2013 @ 10:10 am
I am electing to have a stoma following 30 years of bowel problems and many surgeries, Personally I cannot wait as it will give me control as I am incontinent. I have had enough of not eating so i can leave the house and looking for loos even on the shortest of journeys to the local shops. Sometime there is no such thing as a good choice in a bad situation but from a practical point of view i hope to get more of my life back than i have now. My mother who also has Chronn's could not cope with the bag and had a reversal. I will not have that choice as my bum just does not work anymore as I have desease low down in the bowel. I am under 50 years and work full time and plan to get right back to where I was but with less toileting issues eating into every hour of every day. There is so much positive information and stories out there for you all to read, don,t expect the hospital and nurses to know all the diffrent solutions on this. I would urge you all to get busy looking on line and speaking to the support groups for inspiring treatments and solutions. At the end of the day its your body so take control.
todd s
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May 1, 2014 @ 5:05 am
My fiance had problems with the bleeding around the stoma. We have had good luck with putting udder balm on and aroud it to help heal and soften the skin.

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