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Bowel Diversion Surgery

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The physicians at Carrollwood Surgical Associates are board-certified general surgeons who perform bowel diversion surgeries in patients whose large intestine has either been removed or requires time to heal as a result of injury or disease. Patients who have an obstructed bowel, Crohn’s disease, diverticulitis, ulcerative colitis, inflammatory bowel disease or colorectal cancer may require bowel diversion in the form of an ileostomy, colostomy, ileoanal reservoir or continent ileostomy. Below are brief explanations of each of these operations; please do not hesitate to contact our office at 813.933.3324 for more information or to arrange for a consultation with one of our doctors. At Carrollwood Surgical Associates, helping our patients make informed decisions about their treatment options is one of the most important things we do.

The purpose of bowel diversion surgery is to provide a way for the patient’s body to eliminate stool without having use of the large intestine. Depending on the patient’s condition and other factors, one of the below methods may be chosen:

Ileostomy –In this procedure, the bottom part of the small intestine (called the ileum) is attached to an opening that is made in the lower right portion of the abdomen. This opening is called a stoma. All or part of the colon and rectum are typically removed as part of this operation as well. Body waste will drain through the stoma into a specially designed pouch that is attached to the outside of the body and can be drained by the patient as needed.

Colostomy – Here, one end of the large intestine is attached to an opening in the abdominal wall (stoma), through which body waste can exit the body into an attached pouch (colostomy bag).   

Ileoanal reservoir surgery– Also called “J pouch” surgery, this procedure is primarily employed in the treatment of patients with chronic ulcerative colitis and certain other conditions that bring an elevated risk for colorectal cancer. Here, an internal reservoir for body waste is created using loops of the small intestine, allowing for the passing of stool in a natural way following removal of the large intestine.  

Continent ileostomy– Also called the “Kock pouch” procedure, this is another method that allows the patient to avoid wearing an exterior colostomy bag to drain body waste following colorectal surgery. Named for its inventor, Nils Kock, the procedure provides a surgically constructed internal pouch for the collection of body waste. This pouch has a valve that allows it to be emptied by the patient at regular intervals.