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Colostomy, closure of loop

A loop colostomy can help your bowels work in a more effective and normal way, stopping the reliance on a stoma bag.

Woman-holding-stomach

What is closure of a loop colostomy?

A loop colostomy is a type of stoma (your bowel opening onto your skin) and was made with two ends of your large bowel (colon). It was expected that this would be only temporary and that your bowel ends would be put back together, and then your bowels will then open in the usual way.

What are the benefits of surgery?

You should be able to open your bowels in the normal way and you should no longer have a stoma bag.

What does the operation involve?

The operation is performed under a general anaesthetic and usually takes about an hour. Your surgeon will make a cut on your skin around the colostomy. They will free up the loops of colon used to make the colostomy. Your surgeon will join the two ends back together and place the joined bowel back inside your abdominal cavity.

What complications can happen?

Like all surgical procedures, there are some levels of risks to consider. Some of these can be serious and can even cause death. However, you can speak to your doctor about the following general and specific complications that may worry you.

General complications of any operation

  • Pain
  • Bleeding
  • Unsightly scarring of your skin
  • Developing a hernia in the scar
  • Infection of the surgical site (wound)
  • Blood clot in your leg
  • Blood clot in your lung
  • Chest infection
  • Difficulty passing urine

Specific complications of this operation

  • Anastomotic leak
  • Bowel obstruction
  • Diarrhoea
  • Developing an abnormal connection (fistula) between your bowel and your skin

How soon will I recover?

You should be able to go home after 1 to 3 days. However, you should feel strong enough to return to normal activities within a few weeks of going home. Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice. Most people make a good recovery. You will be followed up as planned after your original operation.

Summary

Surgery to join the two ends of your large bowel back together should allow you to open your bowels in the normal way. You will no longer need a stoma bag. To find out more, call us on 0808 101 0337.

Acknowledgements

Author: Mr Jonathan Lund DM FRCS (Gen. Surg.)

Illustrator: Medical Illustration Copyright © Medical-Artist.com

Specialists offering Colostomy, closure of loop

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Mr Stephen Ward

Consultant General & Colorectal Surgeon

BSc(Hons), MB BS, PhD, FRCS

The Priory Hospital 1 more The Edgbaston Hospital

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Mr Bala Piramanayagam

Consultant General & Colorectal Surgeon

MS,FRCS Ed, FRCS (Gen Surg)

The Meriden Hospital

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Mr Kai Leong

Consultant General and Colorectal Surgeon

BMedSci (Hons), BMBS, PhD, FRCS (gen surg)

The Meriden Hospital

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Mr Yasser Mohsen

Consultant Surgeon

MBBCh, FRCS(Gen), FRCS(Ed), MS

Bishops Wood Hospital 1 more The Clementine Churchill Hospital

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Mr Joseph Crozier

Consultant General and Colorectal Surgeon

MB ChB, MRCS, FRCS (general surgery), MD

Kings Park Hospital

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Mr Piero Nastro

Laparoscopic, General and Colorectal Consultant Surgeon

MD, MRCS (England), FRCS

The Blackheath Hospital

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