An ileostomy is a stoma that has been constructed by bringing the end of the small intestine (the ileum) out onto the surface of the skin. Intestinal waste passes out of the ileostomy and is collected in an external pouching system stuck to the skin. Ileostomies are usually sited above the groin on the right hand side of the abdomen. The International Classification of Health Interventions (ICHI) is a system of classifying procedure codes being developed by the World Health Organization. ... // (Z00. ... // (Z00. ... // K00-K93 - Diseases of the digestive system (K00-K14) Diseases of oral cavity, salivary glands and jaws (K00) Disorders of tooth development and eruption (K01) Embedded and impacted teeth (K02) Dental caries (K03) Other diseases of hard tissues of teeth (K04) Diseases of pulp and periapical tissues (K040) Pulpitis (K05... ICD-9-CM Volume 3 is a system of Procedural codes. ... Medical Subject Headings (MeSH) is a huge controlled vocabulary (or metadata system) for the purpose of indexing journal articles and books in the life sciences. ... Procedure codes are numbers or alphanumeric codes used to identify specific health interventions taken by medical professionals. ... In medicine, a stoma (Greek - plr. ... In biology the small intestine is the part of the gastrointestinal tract (gut) between the stomach and the large intestine and includes the duodenum, jejunum, and ileum. ... Grays Fig. ... An Ostomy Pouching System (also colloquially, and incorrectly called a Colostomy Bag) is a medical prosthetic that provides a means for the collection of waste from a diverted biological system (Colon, ileum, urinary); pouching systems are most commonly associated with colostomies, ileostomies, and urostomies. ... The groin is the crease at the junction of the torso with the legs and the adjacent region that includes the external genitals. ... For the human abdomen, see human abdomen. ...

Reasons for having an ileostomy

Ileostomies are necessary where disease or injury has rendered the large intestine incapable of safely processing intestinal waste, typically because the colon has been partially or wholly removed. Diseases of the large intestine which may require surgical removal include: The large intestine, or the organ which is now more commonly referred to by its Greek name, the colon, is the last part of the digestive system: the final stage of the alimentary canal in vertebrate animals. ... It has been suggested that this article or section be merged with Large intestine. ...

• Crohn's disease
• Ulcerative colitis
• Familial adenomatous polyposis
• Total colonic Hirschprung's disease

An ileostomy that may also be necessary in the treatment of colorectal cancer; one example is a situation where the tumor is causing a blockage. In such a case the ileostomy may be temporary, as the common surgical procedure for colorectal cancer is to reconnect the remaining sections of colon or rectum following removal of the tumor provided that enough of the rectum remains intact to preserve sphincter function. In a temporary ileostomy, a loop of the small intestine is brought through the skin, and the colon and rectum are not removed. Temporary ileostomies are also often made as the first stage in surgical construction of an ileo-anal pouch, so fecal material doesn't enter the newly-made pouch until it heals and has been tested for leaks – usually a period of eight to ten weeks. The temporary ostomy is then "taken down" or reversed by surgically repairing the loop of intestine which made the temporary stoma and closing the skin incision. Crohns disease (also known as regional enteritis) is a chronic, episodic, inflammatory condition of the gastrointestinal tract characterized by transmural inflammation (affecting the entire wall of the involved bowel) and skip lesions (areas of inflammation with areas of normal lining between). ... Familial adenomatous polyposis (FAP) is an inherited condition in which numerous polyps form mainly in the epithelium of the large intestine. ... Hirschsprungs disease, or congenital aganglionic megacolon, involves an enlargement of the colon, caused by bowel obstruction resulting from an aganglionic section of bowel (the normal enteric nerves are absent) that starts at the anus and progresses upwards. ... Colorectal cancer, also called colon cancer or bowel cancer, includes cancerous growths in the colon, rectum and appendix. ... For malignant tumors specifically, see cancer. ... The rectum (from the Latin rectum intestinum, meaning straight intestine) is the final straight portion of the large intestine in some mammals, and the gut in others, terminating in the anus. ... Male Anatomy The anus, in anatomy, is the external opening of the rectum. ... An ileo-anal pouch, sometimes referred to as a j-pouch or a w-pouch, is an internal reservoir formed by connecting the end of the small intestine (the ileum) to the rectum. ... Feces (also spelled faeces in British English, or fæces) are semi-solid waste products from the digestive tract expelled through the anus (or cloaca) during defecation. ...

Living with an ileostomy

People with ileostomies must use an ostomy pouch to collect intestinal waste. People with ileostomies typically use an open-end, or "drainable" pouch that is secured at the lower end with a leakproof clip, rather than a closed-end pouch which must be thrown away when full. Ordinarily the pouch must be emptied several times a day (many ostomates find it convenient to do this whenever they make a trip to the bathroom to urinate) and changed every 2-5 days, when the wafer starts to deteriorate. Ostomy pouches fit close to the body and are usually not visible under regular clothing unless the wearer allows the pouch to become too full. An Ostomy Pouching System (also colloquially, and incorrectly called a Colostomy Bag) is a medical prosthetic that provides a means for the collection of waste from a diverted biological system (Colon, ileum, urinary); pouching systems are most commonly associated with colostomies, ileostomies, and urostomies. ... Urination, also called micturition, is the process of disposing urine from the urinary bladder through the urethra to the outside of the body. ... An Ostomy Pouching System (also colloquially, and incorrectly called a Colostomy Bag) is a medical prosthetic that provides a means for the collection of waste from a diverted biological system (Colon, ileum, urinary); pouching systems are most commonly associated with colostomies, ileostomies, and urostomies. ...

Some people find they must make adjustments to their diet after having an ileostomy. Tough or high-fiber foods (including, for example, potato skins and raw vegetables) are hard to digest in the small intestine and may cause blockages or discomfort when passing through the stoma. Chewing food thoroughly can help to minimize such problems. Some people also find that certain foods cause annoying gas or diarrhoea. Nevertheless, people who have an ileostomy as treatment for inflammatory bowel disease typically find they can enjoy a more "normal" diet than they could before surgery. Dietary fibers are the indigestible portion of plant foods that move food through the digestive system, absorbing water and making defecation easier. ... Digestion is the process whereby a biological entity processes a substance, in order to chemically convert the substance into nutrients. ... Diarrhoea is the correct way to spell the word Diarrhoea. ... In medicine, inflammatory bowel disease (IBD) is a group of inflammatory conditions of the large intestine and, in some cases, the small intestine. ...

Other complications can include kidney stones and gallstones. Kidney stones are solid accretions (crystals) of dissolved minerals in urine found inside the kidneys or ureters. ... In medicine, gallstones are crystalline bodies formed within the body by accretion or concretion of normal or abnormal bile components. ...

Other options

Since the late 1970's an increasingly popular alternative to an ileostomy has been the ileo-anal pouch. With such a pouch an internal reservoir is formed using the ileum and connecting it to the anus, after removal of the colon and rectum, thus avoiding the need for an external appliance An ileo-anal pouch, sometimes referred to as a j-pouch or a w-pouch, is an internal reservoir formed by connecting the end of the small intestine (the ileum) to the rectum. ... Grays Fig. ... Female Human Anatomy Male Human Anatomy This article is about the bodily orifice. ... It has been suggested that this article or section be merged with Large intestine. ... The rectum (from the Latin rectum intestinum, meaning straight intestine) is the final straight portion of the large intestine in some mammals, and the gut in others, terminating in the anus. ...

See also

• Colostomy

A colostomy is a surgical procedure that involves connecting a part of the colon onto the anterior abdominal wall, leaving the patient with an opening on the abdomen called a stoma. ...

External links

• IA - The Ileostomy and Internal Pouch Support Group. The UK's premier support group.
• United Ostomy Associations of America
• Shaz's Ostomy Pages