Colostomy: Types, Indications, Formation, and Reversal



A colostomy is an artificial opening of the colon to the abdominal wall. There are several indications for formation of a colostomy. A colostomy can be created as a primary method of treatment or as a secondary form of treatment. This secondary form of treatment is designed to be reversed at a later time. The initial step in colostomy formation is education of the patient, and the second step is proper marking of the site of the planned colostomy. There are several types of colostomy. The main types are end colostomy and loop colostomy. Additionally the location of the colostomy within the colon varies, depending on nature of pathology and the intention of the treatment.

This chapter discusses the indications for a colostomy, the creation of the different types of colostomy and the details of their construction. Finally, this chapter will discuss the reversal of the different types of colostomy.


Abdominal Wall Sigmoid Colon Staple Line Rectus Muscle Loop Ileostomy 
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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Colorectal Surgery, Digestive Disease InstituteCleveland Clinic FoundationClevelandUSA

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