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Ileostomy Closure, What to Expect After

What Should You Expect after Ileostomy Closure?

What Is an Ileostomy?

An ileostomy makes an opening on the abdomen (belly). This is called a stoma. It allows stool (poop) to pass out of the body and into a stoma bag.

Before the Surgery

  • If your child had a health problem where anal dilations were started to prevent narrowing of the anus as it heals, your child must reach the goal size anal dilator.
  • The Same Day Surgery nurse will call you 48 hours (2 days) before to the surgery date to discuss:
    • Specific instructions about eating and drinking
    • o When to arrive at the hospital
  • Talk with the doctor if your child takes any medications.  Do not give your child any medicine on the morning of surgery your child’s doctor says to.
  • On the day of surgery, the healthcare team and anesthesiologist will make sure your child is ready for surgery.

After Surgery

Your child cannot have anything by mouth until the bowel shows it is working after surgery. Patients often start passing stool through the rectum in 24 to 48 hours (1 to 2 days), but sometimes it takes 72 hours (3 days). By the third or fourth day after surgery, patients are usually discharged from the hospital.

The wound in the belly is closed with a suture (stitch) that you may not be able to see. The stitches stay under the skin and go away on their own as the incision heals.

When your child starts passing stool, the stool is most often liquid. They may have many liquid stools, until the colon gets used to taking in more water. These loose frequent stools can last for 1 to 3 weeks after surgery.

Since the child's skin in this area has not had contact with stool for some time, the skin is very sensitive. Children who wear diapers could get a bad diaper rash.

Preventing Diaper Rash

  • The best way to avoid diaper rash is to keep stool from touching the skin.
  • Change the diapers/pull ups as often as you can.
  • Do not rub the skin; that can make the diaper rash worse. Instead, pat the skin with soapy water and a soft cloth until clean and dry.
  • Put on diaper cream as directed by your child’s colorectal doctor or nurse.

Encouraging Regular Bowel Movements (stools)

  • After 1 to 3 weeks, the number of stools will start to decrease.
  • Your child’s nurse or dietician will give you nutrition advice to help increase the consistency or form of your child’s stool.
  • Your child’s doctor may order a medicine that slows down the number of stools.

Potty Training

Your child’s doctor will talk with you about your child’s outlook for bowel control and potty training. These tips will help to promote regular bowel habits. This will increase your chance for success with potty training.

  • Make sure your child has at least one stool per day.
  • Try to keep your child’s meals at the same time each day.
  • Follow the nutrition advice given by our center.

When to Call Doctor

Call your child’s doctor if you notice any of these:

  • Bleeding from your child’s surgery site
  • No stool in diaper for more than 24 hours (1 day)
  • Fever (temp over 100.4 degrees)

Call the Colorectal Center at 513-636-3240 if you notice any of these issues or if you have any questions or concerns. 

Last Updated 07/2018