Skip to main content

Colostomy: Types, Indications, Formation, and Reversal

  • Chapter
  • First Online:
Atlas of Intestinal Stomas
  • 4229 Accesses

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Aldrete J. Diverting and venting colostomy techniques and colostomy closure. Mastery of surgery. 2nd ed., Volume II. Little, Brown, Inc: 1992. p. 1201–17.

    Google Scholar 

  2. Orkin BA, Cataldo PA. Intestinal stomas in the ASCRS textbook of colon and rectal surgery. 1st ed. Springer Science and Business Media; 2007. p. 622–42.

    Google Scholar 

  3. Turnbull RB, Weakley F. End sigmoid colostomy. Atlas of intestinal stomas. 1st ed. The C.V. Mosby Company; 1967. p 145–51.

    Google Scholar 

  4. Hebert J. A simple method for preventing retraction of and end colostomy. Dis Colon Rectum. 1988;31(4):328–9.

    Article  PubMed  CAS  Google Scholar 

  5. Prasad ML, Pearl RK, Abcarian H. End loop colostomy. Surg Gynecol Obstet. 1984;158(4):380–2.

    PubMed  CAS  Google Scholar 

  6. Keighley MRB. Stomas. Atlas of colorectal surgery. Churchill Livingstone, Inc: 1996. p. 61–92.

    Google Scholar 

  7. Guivarc’h M, Mosnier H, Roullet-Audy JC. Protective transverse loop colostomy associated with low colo-rectal anastomoses. Int J Colorectal Dis. 1997;12:340–1.

    Article  PubMed  Google Scholar 

  8. Rutegard J, Dahlgren S. Transverse colostomy or loop ileostomy as diverting stoma in colorectal surgery. Acta Chir Scand. 1987;153:229–32.

    PubMed  CAS  Google Scholar 

  9. Williams NS, Nasmyth DG, Jones D, Smith AH. De-functioning stomas: a prospective controlled trial comparing loop ileostomy with loop transverse colostomy. Br J Surg. 1986;73(7):566–70.

    Article  PubMed  CAS  Google Scholar 

  10. Turnbull RB, Hawk WA, Weakley FL. Surgical treatment of toxic megacolon: ileostomy and colostomy to prepare patients for colectomy. Am J Surg. 1971;122:25–31.

    Article  Google Scholar 

  11. Remzi FH, Oncel M, Hull TL, Strong SA, Lavery IC, Fazio VW. Current indications for blow-hole colostomy:ileostomy procedure. A single center experience. Int J Colorectal Dis. 2003;18:361–4.

    PubMed  Google Scholar 

  12. Ooi BS, Remzi FH, Fazio VW. Turnbull blowhole colostomy for toxic ulcerative colitis in pregnancy. Dis Colon Rectum. 2003;46(1):111–5.

    Article  PubMed  Google Scholar 

  13. Prager E. The continent colostomy. Dis Colon Rectum. 1984;27:235–7.

    Article  PubMed  CAS  Google Scholar 

  14. Schmidt E, Bruch HP, Romen W, Rothhammer A. Experimental and clinical studies on continent colostomy. Eur Surg Res. 1981;13:202–12.

    Article  PubMed  CAS  Google Scholar 

  15. Schmidt E. The continent colostomy. World J Surg. 1982;6:805–9.

    Article  PubMed  CAS  Google Scholar 

  16. Torres RA, Gonzalez MA. Perineal continent colostomy: report of a case. Dis Colon Rectum. 1988;31:957–60.

    Article  PubMed  CAS  Google Scholar 

  17. Santoro E, Santoro R, Santoro E. Perineal reconstruction with ­continent colostomy after the miles operation. Semin Surg Oncol. 1994;10:208–16.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas Garofalo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Garofalo, T. (2012). Colostomy: Types, Indications, Formation, and Reversal. In: Fazio, V., Church, J., Wu, J. (eds) Atlas of Intestinal Stomas. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-78851-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-78851-7_11

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-78850-0

  • Online ISBN: 978-0-387-78851-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics