What’s The Difference Between An Ileostomy And A Colostomy?

I’ve seen a few confused comments regarding the difference between a colostomy and and ileostomy. Whether one is worse than the other or whether they’re just different names for the same thing. A term colostomy also seems to be more well known than ileostomy, and a lot of people get mixed up and tend to just use this term regardless of the actual name.

Although it looks and sounds pretty similar, a colostomy and ileostomy could not be more different. A colostomy is an opening of the large bowel onto the surface of the tummy (abdomen), whereas an ileostomy is an opening of the small bowel onto the surface of the abdomen. You wear a bag over the opening, to collect the waste matter from digestion that would normally be passed from the body as a bowel motion (stool).

You can also remember it from the ‘colo’ and the ‘ileo’ parts of the words. The longest part of the small intestine is called an ileum. And the colon is the large bowel. Forming words colostomy and ileostomy.

As I have an ileostomy, I had my colon taken out, but they a part of my rectum so that it would be possible to have a reversal in the future. I’m not too sure what happens with colostomies. It’s not really my grounds to talk about it and I don’t want to google it and end up misunderstanding, but to my knowledge, it seems that you still have a small and large bowel.

I think it’s important that you take in the differences.. and notice that colostomy and ileostomy are very different. I’ve had moments where I’ve found it a little insulting that it wasn’t looked into a little more, for example when a journalist was writing an article about me, and started the article writing ileostomy and finished it saying I had had a colostomy – which of course are two different procedures. You wouldn’t say you had ulcerative colitis if you had crohn’s, would you? It’s no big deal, but I find people will open up to you more and become a little more accepting when others are taking the time to learn and acknowledge.

I’m no doctor and I certainly am not wikipedia so if you did want to look further into it, please do, because I’m not great at explaining things. And it can be quite hard to explain without writing it! So I hope I have simplified it a little, and you now know the difference! I still don’t understand what’s gone on with my body half the time…. Do I have ANY organs left or??

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One thought on “What’s The Difference Between An Ileostomy And A Colostomy?

  1. Charlotte says:

    Hi and thank you for your blog. I have a colostomy. I think one difference is where the stoma is located. Mine is right in the middle and right above what is left of my belly button. I have noticed in most, or all so far, of the pics I have seen show the stoma much lower and on the right (or left?) side. Also, I think more of the colon is removed with the ileostomy, but that doesn’t determine whether it can be reversed because they told me I have no chance of a reversal due to the amount of radiation. Thank you again. Charlotte Lyon

    Like

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