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Colostomy: Indications, Types & Complications

  • What is a Colostomy

A colostomy is a surgically created opening in the abdomen through which a part of large intestine is brought outside the abdominal cavity through which fecal matter or undigested food material passes into a bag attached to the bowel opening. The opening in the skin where bag is attached for fecal waste collection is called as stoma

  • Why a Colostomy

ColostomyIt is indicated either to protect a distal bowel anastomosis or as a permanent procedure in very low  bowel cancer with anal sphincter muscle involvement

  • Types of colostomy

Temporary : It is a diversion stoma in which fecal matter is diverted outside proximal, to protect an anastomosis distally. Whenever there is doubt of healing of any bowel anastomosis then proximal to this anastomosis a diverting or temporary stoma is created so that fecal matter does not pass through the anastomotic site.

Permanent : It is done in case of very low rectal or anal cancer in which anal sphincter mechanism cannot be preserved. Also done in severe perineal injury which destroys sphincter muscles completely

  • Risks 

It is a major surgery with risk of anesthesia and procedure itself. There may be blockage of the colostomy, prolapse of the stoma, para-stomal hernias, internal bleeding

  • Life with a Colostomy

Except very heavy lifting jobs, stoma should not interfere with any other job. Patient can have normal sexual activity and  it does not effect pregnancy. In diet a very important practice is to chew thoroughly and proper hydration. Can wear clothes as before stoma. No restriction in any sports activity

Dr Amit Jain is Best ColoRectal Surgeon in Delhi Noida Ghaziabad NCR

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