In proctocolectomy, the large intestine and rectum are removed, leaving the lower end of the small intestine (the ileum). The doctor sews the anus closed and makes a small opening called a stoma in the skin of the lower belly. The surgery to create the stoma (or any other artificial opening) is called an ostomy.
The ileum is connected to the stoma, creating an opening to the outside of the body. The surgery that creates the opening to the intestine is called an ileostomy.
Stool empties into a small plastic pouch called an ostomy bag. The bag is applied to the skin around the stoma.
What To Expect
You may stay in the hospital for several days or as long as 2 weeks.
The main use of this surgery is for inflammatory bowel disease. It may be used in several situations, such as when medicines don't help ulcerative colitis or Crohn's disease, or when holes form in the large intestine.
Cima RR, Pemberton JH (2010). Ileostomy, colostomy, and pouches. In M Feldman et al., eds., Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 9th ed., vol. 2, pp. 2015–2025. Philadelphia: Saunders Elsevier.
Current as of:
February 10, 2021
Author: Healthwise Staff Medical Review: E. Gregory Thompson MD - Internal Medicine Adam Husney MD - Family Medicine Kenneth Bark MD - General Surgery, Colon and Rectal Surgery
Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.