You will be in the hospital for 3 to 7 days. You may have to stay longer if you had this surgery because of an emergency.
You may be given ice chips to ease your thirst on the same day as your surgery. By the next day, you will probably be allowed to drink clear liquids. You will slowly be able to add thicker fluids and then soft foods to your diet as your bowels begin to work again. You may be eating a soft diet 2 days after your surgery.
While you are in the hospital, you will learn how to care for your ileostomy.
You will have an ileostomy pouch that is fitted for you. Drainage into your pouch will be constant. You will need to wear the pouch at all times.
Always tell your provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription. Ask which drugs you should still take on the day of your surgery.
Talk with your provider about these things before you have surgery:
During the 2 weeks before your surgery:
The day before your surgery:
On the day of your surgery:
Total proctocolectomy with ileostomy is surgery to remove all of the colon (large intestine) and rectum.
You will receive general anesthesia right before your surgery. This will make you be asleep and unable to feel pain.
For your proctocolectomy:
Next your surgeon will create an ileostomy:
Today, some surgeons perform this operation using a camera. The surgery is done with a few small surgical cuts, and sometimes a larger cut so that the surgeon can assist by hand. The advantages of this surgery, which is called laparoscopy, are a faster recovery, less pain, and only a few small cuts.
Most people who have this surgery are able to do most activities they were doing before their surgery. This includes most sports, travel, gardening, hiking, and other outdoor activities, and most types of work.
You may need ongoing medical treatment if you have a chronic condition, such as:
Total proctocolectomy with ileostomy is most often safe. Your risk will depend on your general overall health. Ask your health care provider about these possible complications.
Risks of anesthesia and surgery in general are:
Risks for this surgery are:
Total proctocolectomy with ileostomy surgery is done when other medical treatment does not help problems with your large intestine.
This surgery may also be done if you have:
|Bathroom safety for adults||
|Colon and rectal cancer||
|Ileostomy - caring for your stoma||
|Ileostomy - changing your pouch||
|Ileostomy - discharge||
|Ileostomy - what to ask your doctor||
|Ileostomy and your child||
|Ileostomy and your diet||
|Living with your ileostomy||
|Total abdominal colectomy||
|Total colectomy or proctocolectomy - discharge||
|Total proctocolectomy and ileal-anal pouch||
|Types of ileostomy||
|When you have nausea and vomiting||
Araghizadeh F. Ileostomy, colostomy, and pouches. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 117.
Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 51.
Review Date: 9/17/2016
Reviewed By: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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