| Subject | Contents |
| Definition | Surgical removal (resection) of diseased portion of the bowel (small intestine: ileum). |
| Alternative Names | Small intestine surgery; Ileum surgery; Ileostomy |
| Description | The patient is deep asleep and pain-free (general anesthesia). An incision is made in the abdomen. The diseased part of the small intestine (ileum) is removed. The two healthy ends are then sewn back together and the incision is closed. If it is necessary to spare the intestine from its normal digestive work while it heals, a temporary opening (stoma) of the intestine onto the abdomen (ileostomy) may be done. The proximal end of the healthy bowel tissue is then passed through the abdominal wall and the edges are stitched to the skin of the abdominal wall (ileostomy). An adhesive drainage bag (stoma appliance) is placed around the opening. In most cases, depending on the disease process being treated, ileostomies are temporary, and can be closed with another operation at a later date. If a large portion of the bowel is removed, the ileostomy may be permanent. The ileum absorbs much of the fluid from foods. When the large intestine is bypassed by an ileostomy, the patient should expect liquid stool (feces) from the ileostomy bag. The constant or frequent drainage of liquid stool can cause the skin around the ileostomy to become inflamed. Careful skin care and a well-fitting stoma appliance can reduce this irritation. |
| Indications | Resection of the small bowel may be recommended for: Blockage of the intestine ( intestinal obstruction ) due to scar tissue or deformities Bleeding , infection, or ulcers due to inflammation of the small intestine ( regional ileitis , regional enteritis , Crohn's disease ) Injuries Cancer Pre-cancerous polyps |
| Risks | Risks for any anesthesia are: Reactions to medications Problems breathing Risks for any surgery are: Bleeding Infection Additional risks include: Bulging through the incision (incisional hernia ) Narrowing (stricture) of the opening (stoma) Blockage (obstruction) of the intestine from scar tissue |
| Expectations after surgery | The outcome depends on the disease process being treated. |
| Convalescence | Most patients will stay in the hospital for 5 to 7 days. Complete recovery from surgery may take 1-2 months. During the first few days after surgery, eating is restricted. |
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