Ileostomy vs Colostomy: Difference and Comparison

When it comes to the human intestinal tract, there are a lot of things to be concerned about.

The normal operation of the gastrointestinal tract can be disturbed in a variety of ways, including inborn or environmental factors. In most cases, a problem with the gut is caused by a change in lifestyle or dietary habits.

The two types of intestinal procedures discussed in this article are used to treat illnesses such as cancer, obstructions, diverticulitis, and a variety of other digestive issues. The distinctions between a colostomy and an ileostomy are significant.

Key Takeaways

  1. Ileostomy is a surgical procedure in which a small opening is made in the abdomen, and the small intestine is attached to a stoma on the skin’s surface. In contrast, colostomy involves a large intestine or colon.
  2. An ileostomy treats conditions that affect the small intestine, while colostomy is used for conditions that affect the colon, rectum, or anus.
  3. Ileostomy creates a more liquid stool that requires a different type of ostomy bag than the more solid stool produced by colostomy.

Ileostomy vs Colostomy

An ileostomy is a medical surgery that creates a connection between the lower abdomen wall and the ileum, which is the tail end of the small intestine. A colostomy is a laparoscopic operation that entails going through the perineum to remove one of the large intestine’s termini in the abdominal cavity.

Ileostomy vs Colostomy

Ileostomies are procedures in which a surgeon reroutes a portion of a person’s ileum to exit via an incision in their belly. Instead of exiting through the anus, waste can now pass through a new ostomy.

The ileum is the final section of the small intestine, and it aids in food digestion as well as nutrient absorption.

Depending on the cause of the ileostomy, it might be short or lifelong. Ileostomies are by far the most frequent kind of transitory bowel obstruction, according to the National Institute of Diabetes and Digestive and Kidney Disorders (NIDDK).

A colostomy is a kind of endometrial ablation that is comparable to an ileostomy. A physician, on the other hand, will reroute a portion of the patient’s large intestine, also known as the colon.

The colon, and is the last portion of the digestive system, absorbs any residual water and nutrients from the food that passes through it. This last absorption aids in the formation of faeces.

Also Read:  Agoraphobia vs Claustrophobia: Difference and Comparison

A surgeon connects a section of the colon to a hole in a person’s abdomen during a colostomy. This colon diversion permits waste to exit through a stoma on the abdomen. Colostomies, due to diversity, can be either transient or persistent.

Comparison Table

Parameters of ComparisonIleostomyColostomy
DefinitionIt is a surgical process to surface the terminus of the ileum or the small intestine.The gastrointestinal tract, that is the portion of the large intestine that extends around the outside of the body, forms a colostomy. Patients with colon problems have colostomies performed by surgeons.
Diseases and ConditionsBowel infections, Bowel inflammation, Diverticulitis, Crohn’s disease, Ulcerative colitis, Bowel cancer.Colon cancer, Colitis, FAP, Colon failure, Birth defects.
MethodsIleostomy is a procedure that involves bringing the small intestine’s terminus to the exterior of the abdomen. The excrement from the ostomy is retained by a pouching system, which is cleaned every time the individual goes to the bathroom to pee.Permanent and temporary colostomy are the usual surgeries. If a surgeon needs to remove or permanently bypass part of the colon or rectum, a person may require a permanent colostomy. Conditions such as cancer can sometimes make a permanent colostomy necessary.
Drugs UsedImodium, Lomotil (diphenoxylate/atropine) along with some mild pain-killer pills.Fibrin sealer and Artiss along with some anti-thrombosis pills.
Type of SurgeryIt  is an incision and modulation type surgery which includes internal drug injection and requires dietary restrictions too.It is an incision-and-modulation type surgery performed by trained surgeons.

What is Ileostomy?

An ileostomy is a medically created connection between the ileum and the lower abdomen wall. The ileum is the small intestine’s tail end. The small intestine is sewn into position through a stoma in the lower abdomen.

You may be handed a bag to wear on your person. All of your faecal matter will be collected in this pouch. If your abdomen or colon isn’t working correctly, you’ll need this surgery.

One could require an ileostomy if one has a large intestinal issue that can’t be resolved with medicines. Irritable bowel illness is among the most prevalent causes of an ileostomy (IBD).

Crohn’s disease and gastrointestinal disorders are two forms of irritable bowel syndrome.

Crohn’s disease affects every region of the gastrointestinal tract, from the pharynx to the stomach, resulting in inlining irritation, ulcers, and inflammation.

Also Read:  Open Circuit vs Closed Circuit: Difference and Comparison

Infection, blisters, and scarring are all symptoms of ulcerative colitis, but it affects the intestinal tract and rectum.

A specialist will map out the potential site of the incision before conducting an ileostomy. Stomas from an ileostomy are found on a patient’s lower left upper abdomen. The operator will then excise a 2.5 to 3-centimeter ring of skin.

The surgeon will next cut through the intestinal tissue to reach the ileum after making this hole. The suture can then be formed in one of two ways: loop ileostomies or terminal ileostomies. Loop ileostomies are the most common type of transitory ileostomies.


What is Colostomy?

A colostomy is a laparoscopic operation that involves the removal of one terminus of the large intestine in the abdominal cavity via the perineum.

One end of the intestine is redirected via an incision in the abdominal wall to form an ostomy during this surgery. A stoma or orifice is a skin hole to which a faeces-collecting pouch is connected.

People who have colostomies, whether short or long-term, have chambers on their sides where faeces accumulate and may be conveniently thrown off.

Colostomies aren’t permanent, especially in infants who have been born with congenital abnormalities. A septal device or a sack that gathers the faeces will subsequently be sutured into the lower abdomen to collect the faeces.

If a section of the intestine has previously been excised or is no longer functioning, this operation is performed. The proximal portion of the colon is removed, which prevents faeces from accessing the anus.

Colostomies are used to treat issues in the lower intestine. Some issues can be resolved by redirecting faeces away from the gut for a short period. Intermittent useful, and reliable are utilized to keep faeces out of the intestine during this time.

Permanent colostomies are conducted if the colon gets sick, such as in the treatment of colon cancer, and the colon may be eliminated.

Main Differences Between Ileostomy and Colostomy

  1. An ileostomy is performed on the ileum, whereas a colostomy is performed on the colon.
  2. When the entire large intestinal mechanism is no longer serving, an ileostomy is performed, whereas a colostomy is performed when only a portion of the large intestine is no longer effective.
  3. An ileostomy is permanent, whereas colostomy cases are phrasal or non-permanent.
  4. An Ileostomy requires an anti-fibroid diet after incision, whereas a colostomy requires a medicated and balanced diet with no particular dietary restrictions.
  5. An ileostomy is a more complex surgery when compared to a colostomy.
Difference Between Ileostomy and Colostomy

Last Updated : 18 August, 2023

dot 1
One request?

I’ve put so much effort writing this blog post to provide value to you. It’ll be very helpful for me, if you consider sharing it on social media or with your friends/family. SHARING IS ♥️

20 thoughts on “Ileostomy vs Colostomy: Difference and Comparison”

  1. The detailed breakdown of ileostomy and colostomy distinguishes the two procedures effectively, offering valuable insights into their applications and clinical implications. The article’s content is both informative and enlightening.

    • The article provides a comprehensive exploration of ileostomy and colostomy, presenting detailed information on both procedures and their clinical relevance, thereby enriching readers’ knowledge.

    • I concur, Megan. The deep dive into the medical intricacies of ileostomy and colostomy enhances readers’ understanding and awareness of these treatments.

  2. Thanks for the thorough comparison between ileostomy and colostomy. This will greatly help people understand each procedure and make informed decisions about their healthcare.

  3. I appreciate the detailed discussion on ileostomy and colostomy, shedding light on their differences and implications for patients with digestive issues. The informative content is highly beneficial.

    • Well said, Zachary. The article’s emphasis on the clinical aspects of these procedures is indeed informative and insightful for readers.

  4. This article offers a comprehensive overview of ileostomy and colostomy, providing valuable insight into the procedures and their applications in treating gastrointestinal conditions.

    • Absolutely, Oscar. The in-depth analysis of both surgical processes is enlightening and relevant for patients seeking information about these treatments.

  5. The comparison between ileostomy and colostomy is highly informative, covering all the essential aspects of both procedures. The detailed description enables readers to contemplate these interventions knowledgeably.

    • I couldn’t agree more, Qpowell. The article’s emphasis on clinical details and implications is greatly beneficial for individuals seeking information about these surgical treatments.

    • Absolutely, Qpowell. The article’s focus on providing a comprehensive understanding of ileostomy and colostomy is evident in its meticulous approach.

  6. The comprehensive overview of ileostomy and colostomy was both insightful and informative. It presents the medical details in a clear and accessible manner, contributing to a better understanding of these surgical procedures.

  7. I found the comparison table particularly useful in understanding the disparities between ileostomy and colostomy. It provides a clear delineation of the two surgical interventions, aiding readers in grasping the nuances of each procedure.

    • The article’s attention to detail in presenting the comparison is commendable and serves as a valuable resource for anyone seeking information on ileostomy and colostomy.

  8. The comparison of ileostomy and colostomy in this article is both enlightening and educational. The detailed examination of these medical interventions serves as a valuable resource for individuals seeking clarity on these surgical procedures.

    • I couldn’t agree more, Tyler. The article meticulously navigates the clinical aspects of ileostomy and colostomy, offering an insightful and thorough analysis of both procedures.

    • Well articulated, Tyler. The comprehensive overview of ileostomy and colostomy contributes significantly to readers’ understanding of these treatments.


Leave a Comment

Want to save this article for later? Click the heart in the bottom right corner to save to your own articles box!