Ileostomy vs Colostomy: Key Differences, Pros, and Risks Explained

Ileostomy and colostomy are two terms that most people don’t consider in too much detail until their life is impacted by an illness that may make them essential. They may not even know the stoma definition. We’re here to help.

What Is an Ostomy?

An ostomy is a surgical procedure in which a doctor creates an opening (called a stoma) in the body to allow waste to be diverted from its normal route due to illness, injury, or disease. The opening connects an internal organ (usually the intestines or bladder) to the outside of the body. 

This is often needed when the digestive or urinary systems cannot function properly, allowing waste to be collected. The ostomy bag meaning is simply an external pouch where this is collected.

This procedure can be life-changing for individuals, offering a means of managing conditions such as colorectal cancer as well as Crohn’s disease or ulcerative colitis. Patients get help with how to take care of their stoma, what to eat, and how to alter their lifestyle to deal with the change. 

Colostomy Explained

A colostomy is a specific type of ostomy where a part of the colon (large intestine) is brought through the abdominal wall to form a stoma. 

With a colostomy, waste is rerouted to the stoma, where it is collected in a special colostomy bag. If you were wondering “what is a stoma bag?” then this is your answer.

The stoma is most commonly located on the left side of the abdomen, however, they can also be located in the upper abdomen or on the right, depending on the type of colostomy (e.g., transverse or ascending colostomies). The colostomy bag is designed to collect solid waste. Generally, colostomy bags are less frequent to empty than ileostomy bags, and the output is more solid.

Ileostomy Explained

An ileostomy involves bringing the ileum (end of the small intestine) through the abdominal wall to create a stoma. It may be done after removing or bypassing the colon. The waste from an ileostomy is liquid, as the small intestine absorbs much less water than the large intestine.

The stoma for an ileostomy is generally located on the lower right side of the abdomen. Due to the liquid nature of the output, ileostomy bags must be emptied more frequently than colostomy bags.

Key Differences

• Ileostomy vs Colostomy Appearance. Ileostomy stomas are often smaller due to the narrower diameter of the ileum, while colostomy stomas may appear larger or more oval
• Colostomy vs Ileostomy Output. One of the biggest differences is the consistency of the waste. An ileostomy produces liquid stool, while a colostomy typically produces semi-solid or solid waste.
• Ileostomy vs Colostomy Bag. Since the output from an ileostomy is more liquid, ileostomy bags are usually more frequent to empty and require a different design to accommodate the consistency.
• Ileostomy vs Colostomy Location. Typically, an ileostomy is located on the lower right side of the abdomen, while a colostomy is usually located on the left side, but they can vary.
• Ileostomy vs Colostomy Stoma. Some people are wondering what is stoma used for or what does it even mean when they first hear about them? The stoma for an ileostomy generally appears smaller.
• Ileostomy vs Colostomy Indications. An ileostomy is typically indicated for individuals who have diseases affecting the colon or rectum, such as Crohn’s disease or ulcerative colitis. A colostomy may be necessary for those with colon cancer, diverticulitis, or severe bowel blockages.

Conclusion

Both ileostomy and colostomy are types of ostomy procedures that redirect waste from the body. But they are different. Each type of ostomy has unique characteristics that require specific care and attention. People may handle both types and live full, active lives, with the right knowledge and stoma care routine

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