The continent ileostomy

The ileal pouch is formed from a loop of ileum, folded on itself as a U, and sutured along with antimesenteric borders. The limbs are then incised, exposing the mucosa, and the nipple valve is fashioned. The pouch is closed and positioned as shown underneath the abdominal wall. Note that the stoma is flush with the skin.

Adapted from Pemberton, JH, Phillips, SF. Ileostomy and its alternatives. In: Gastrointestinal and Liver Disease, 6th ed, vol 2, Feldman, M, Sleisenger, MH, Scharschmidt, BF (Eds), WB Saunders Company, Philadelphia 1998. p. 1764.
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Graphic 66598 Version 1.0

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The continent ileostomy