A stoma is an opening of the bowel onto the surface of the abdomen which is created surgically to divert stool or urine.  This may be formed following surgery for cancer, inflammatory bowel disease, benign diseases (i.e. diverticular complications or fistulas), obstruction or trauma.

 

Stomas may either be formed from small bowel (ileostomy) or large bowel (Colostomy). Colostomies are usually situated on the left of the abdomen and produce more solid or formed stools. These usually require emptying around 2-3 times a day. Ileostomies tend to be situated on the right of the abdomen and have a spout to reduce skin irritation. They are more active requiring to be emptied between 3-6 times /day. Medication and dietary modifications may be required to help make to output more manageable.

 

Stomas may have one or two lumens (openings of the bowel) depending on the reason it was formed. They may also be either temporary or permanent. 

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Obviously it can be a difficult to come to terms with the thought of having a stoma. There will be a huge number of concerns, worries and questions for all involved in regards to all aspects of its management, affect on life, work, travel, sports, sex and relationships.

 

There are a number of useful links below that are recommended. I would be more then happy to discuss further aspects these if required as well as surgical management or reversal if required and appropriate. For those with ulcerative colitis who have had the first stage of emergency surgery, consideration can be given to pouch surgery where information can be gained on the 'inflammatory bowel disease' page with links.