Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
Your intestines will be cleaned with a special solution.
Your doctor will talk to you about the physical and emotional difficulties that you will face after this surgery.
will be used. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
Description of the Procedure
There are different ways this surgery can be done. In one technique, an intestinal sac for collecting stool is created inside of the abdomen. This sac will include a hole called a stoma in the abdominal wall. The stoma allows access to the sac so that it can be emptied through a tube. In another technique, the intestine is directly attached to the abdominal wall so that an external bag can be attached to collect stool.
If the surgery is done to place a feeding tube, an incision will be made in your abdominal wall. The doctor will grasp a section of your small intestine. A small opening will be made. The tube will be placed through this opening and secured in place with sutures. The tube will then be brought through your abdominal wall. It will be secured with sutures.
2-4 hours if sections of the intestine need to be removed
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Average Hospital Stay
This procedure is done in a hospital setting. The usual length of stay is 2-4 days. Your doctor may choose to keep you longer if complications occur.
At the Hospital
You may need antibiotics. You may also need medications for nausea and pain.
If you had an enterostomy to help fecal matter exit the bowels, you may have a pouch on the outside of your body. Waste material will be collected in it.
You will receive instructions about diet and activity. During the first few days after surgery, you may be restricted from eating.
The staff will monitor your fluid intake and output to help you avoid
You will wear boots or special socks to help prevent blood clots.
You will be asked to walk often after surgery.
You may be asked to use an incentive spirometer, to breathe deeply, and to cough frequently. This will improve lung function.
Your incision will be examined often for signs of infection.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to reduce your chance of infection such as:
Washing your hands often and reminding your healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Not allowing others to touch your incision
You will need to reduce activity during your recovery. It may take 1-2 months to completely heal. Other instructions may include:
Practicing good skin care of the area around the stoma. This will help to prevent infection.
Caring for the stoma site and changing the
if you have one.
Keeping the area dry until you have permission from your doctor to shower or bathe.
Call Your Doctor
Call your doctor if any of these occur:
Redness, swelling, increasing pain, excessive bleeding, or any discharge from the stoma site
Pus or yellow/green discharge from the incision
Persistent nausea or vomiting
Signs of infection, including fever and chills
Severe abdominal pain
Cough, shortness of breath, or chest pain
Pain and/or swelling in your feet, calves, or legs
Pain, burning, urgency, frequency of urination, or blood in the urine
Shellito PC, Malt RA. Tube gastrostomy. Techniques and complications. Ann Surg. 1985;201(2):180-185.
Tube enterostomy. Encyclopedia of Surgery website. Available at: http://www.surgeryencyclopedia.com/St-Wr/Tube-Enterostomy.html. Accessed April 3, 2018.
What is an ileostomy? American Cancer Society website. Available at: https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/ileostomy/what-is-ileostomy.html. Updated June 12, 2017. Accessed April 3, 2018.
Last reviewed March 2018 by
EBSCO Medical Review Board
Daus Mahnke, MD
Last Updated: 5/7/2014
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.