| Ileostomy | Colostomy | |
|---|---|---|
| Procedure | Surgical formation of a fistula, or stoma, between the abdominal wall and ileum: continent ileostomy (Kock pouch) may be constructed | Surgical formation of an artificial opening between the surface of the abdominal wall and colon Single barrel—only one loop of bowel is opened to the abdominal surface Double barrel—two loops of bowel, a proximal and distal portion, are open to the abdominal wall; feces will be expelled from the proximal loop, mucus will be expelled from the distal loop; client may expel some excreta from rectum as well |
| Reasons performed | Unresponsive ulcerative colitis: complications of ulcerative colitis (e.g., hemorrhage, carcinoma [suspected]) | Single barrel: colon or rectal cancer Double barrel: relieve obstruction |
| Results | Permanent stoma | Single barrel: permanent stoma Double barrel: temporary stoma |
| Discharge | Green liquid, nonodorous | Consistency of feces dependent on diet and portion of the bowel used as the stoma; from brown odorous liquid to normal stool consistency |
| Nursing care | See FECAL DIVERSION, Physiological Integrity | See Table 11-6. Emptying Colostomy Appliance, Emptying Colostomy Appliance, and Table 11-7. Changing Colostomy Appliance , Changing Colostomy Appliance |