Patient Education Colorectal Cancer: Your Care and Recovery | Page 46

❒ Loop Colostomy: Usually created in the transverse colon. This is one
stoma with two openings: one discharges stool; the second, mucus.
❒ Ascending Colostomy: A fairly rare opening is made in the ascending
portion of the colon. It is on the right side of the abdomen.
❒ Ileostomy: A surgically created opening in the small intestine, usually
at the end of the ileum. The intestine is brought through the abdominal
wall to form a stoma. Ileostomies may be temporary or permanent, and
may involve removal of part or all of the entire colon. Ileostomy output is
liquid.
❒ Ileoanal Reservoir (J-Pouch): This is now the most common alternative
to the conventional ileostomy. Technically, it is not an ostomy since there
is no stoma. In this procedure, the colon and most of the rectum are
surgically removed. An internal pouch is formed out of the last portion
of the ileum. An opening at the bottom of this pouch is attached to the
anus. This allows the existing anal sphincter muscles to be used for bowel
movement control and continence.

45