Sunday, July 3, 2016

Pediatric Ileostomy for Intestinal Transplant Patients

Pediatric Ileostomy

An ileostomy is a surgical process to create an artificial opening on the outside of the abdomen for the discharge of the waste of a human body. A human digestive system consists of teeth, stomach, small intestine, large intestine, bowel, and excretion. However, the third part of the small intestine is ileum which is connected to the large intestine. It attaches to the first portion of the colon. When there is an injury, blockage, damage, or malfunction in the ileum, doctors have to perform ileostomy surgery. In this incision, they bring a half a portion of the ileum to the outside of the belly wall, and create a small hole for the excretion, called a stoma. The stoma has covered with a bag or pouch. It collects all the solid or liquid waste of the body. Moreover, it controls bad odor, leakage, and gas of a patient.


Moreover, this surgery has also performed in children. When their large intestine cannot perform their function or they have an injured or damaged ileum by birth, then they need ileostomy operation, called Pediatric Ileostomy. For kids, parents have to be more vigilant and sensitive. In a few cases, the large bowel fully removed; therefore, the natural process of pooping gets disturbed. Thus, ask the nurse or doctor about full details and care guidelines for your kids.

However, in a few cases, an ileostomy is temporary. When there is an intestinal transplant, then the ileostomy surgery is temporary. It allows the intestine to take rest and heal for a few weeks or months. In such cases, the doctors create stoma on the outside of the abdomen for a few times. After the healing of the intestinal transplant, surgeons close the artificial opening and the child is back to the natural path of excretion.

When it comes to the stoma, it has several shapes and sizes. It depends on the severity of the disease and the type of ostomy. However, the color of the hole is deep red or pink. Sometimes, it bleeds for a few days after the surgery. But in the cases of the unhealthy stoma, it may bleed for a few months. Therefore, as a parent, you have to take care of the stoma of your child. You should clean and wash the peristomal skin. Otherwise, it will start itching, bleeding, and show redness. The unhealthy or unwashed stoma and skin around the hole generate many skin related diseases that cause problems and pain for the kids.

In a few worst cases, the stoma starts changing its color or it gets swelled. This is one of the most painful duration and conditions for the children. The stoma of the kids’ gets changed with the fluctuation in the weight and size. When a kid starts getting weight, the stoma will increase the size and vice versa. The variation in the visibility (size and shape) of the artificial opening is noticeable. Moreover, visit your child’s specialist and WOC nurse weekly. It is necessary to discuss your child’s health changes and medical condition. Moreover, if your kid is suffering from any other disease, then you must consult your doctor. Especially, when your child is facing motion, diarrhea, or vomiting. Do not put them on self-medication or personal analysis. Ask their doctors

Life of a Child with an Ileostomy


A child suffers a lot of pain in the initial days of the surgery. But, as a parent, you have to be careful regarding their diet and