How an ileostomy is done

What happens during an ileostomy

There are 2 main ways loop and end ileostomy surgery can be done:

Both are done using a general anaesthetic, so you'll be asleep during the operation.

If some or all of your large bowel (colon) is also going to be removed during the operation, a long cut down the middle of your tummy will usually be made.

Types of ileostomy

Loop ileostomy

End ileostomy

After the operation

After the operation, you'll have a stoma bag attached to your tummy. Your stoma will be swollen and might ooze blood at first. It will shrink over the next 2 to 3 months.

You might also have a catheter in your bladder to drain away pee, and a drip (cannula) in your arm giving you fluid and medicines.

Your tummy can feel bloated and sore. Ask for painkillers if you need them.

You'll usually stay in hospital for 3 to 10 days, or until poo starts to come out of your stoma and you feel confident taking care of it.

Your stoma nurse will make sure you're comfortable wearing and changing your stoma bag before you go home.

Find out more about what to expect after stoma surgery on the Bladder and Bowel Community website

Ileostomy reversal

If you have a temporary ileostomy, it's possible to have it reversed with further surgery. Reversals usually happen for loop ileostomies that have been done in an emergency.

A reversal procedure involves closing the openings so the bowel can be put back into the tummy. After a reversal you will poo from your bottom and will no longer need a stoma bag.

It's not always possible to reverse an ileostomy. When it's possible it's usually straightforward but it comes with its own risks. Your doctor may need to do some tests to make sure your bowel is working properly before it's done.

A reversal can be done at any time but will be at least 6 weeks after you had an ileostomy. This is to make sure you've recovered properly and any swelling has gone.

Speak to your doctor about whether a reversal is an option for you.

Find out more about stoma reversal on the Colostomy UK website