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.
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.
Shellito PC, Malt RA. Tube gastrostomy. Techniques and complications.
Tube enterostomy. Encyclopedia of Surgery website. Available at: ...(Click grey area to select URL) 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.