It Is Suitable For
· Those in Mexicali who need treatment for a blocked bowel.
· Those with colon/rectal cancer.
· Those with birth defects regarding colon.
· Those who wish to improve bowel obstruction condition.
· Those who wish to treat inflammatory bowel diseases.
What is Colostomy?
Colostomy is a surgical procedure that involves an opening in the belly (abdominal wall) to treat various problems that cause malfunction of the colon, or diseases that may be affecting a part of the colon and needs to be removed.
A colostomy changes the way the body works to allow stool to pass. The location for colostomy stoma to be placed depends on which part of the colon is affected. The stoma, acting as the lining (mucosa) of the intestine, would look like the inside lining of the cheek. It may look large at first but will shrink within 6 to 8 weeks after surgery to its final size.
Types of Surgery
There are a few different types of colostomies, depending on the condition.
· Ascending - The procedure involves creating an opening from the ascending colon, on the right side of the abdomen. This is the least common type of colostomy.
· Transverse - This procedure may result in one or two openings created in the upper abdomen, middle, or right side. In the case of having two openings in the stoma (called as a double-barrel colostomy), one will be used to pass stool and the other will be used for passing mucus.
· Descending or sigmoid - In this procedure, the descending or sigmoid colon will be used to create a stoma, typically on the left lower abdomen. This is the most common type of colostomy surgery.
How It Works
Colostomy works by the stoma functioning as the opening in the skin where a pouching system will be attached, allowing feces to be collected.
1. A hospital gown will be provided
2. An intravenous therapy (IV) will be placed in the arm
3. General anesthesia will be given within the IV drip
4. Treatment site will be cleaned
5. An incision or a few small incisions (for laparoscopy) will be made in the abdomen
6. An area at the intestine will be cut for stoma and a ring will be implanted as the end of the intestine
Temporary Vs Permanent
Colostomy can be temporary or permanent.
· Temporary colostomy - this type of colostomy may be used when a part of the colon (usually at the lower section) needs to heal after trauma or surgery. After healing, the colostomy performed can be reversed, returning the bowel function to normal.
· Permanent colostomy - a permanent colostomy, sometimes known as an end colostomy, is necessary for a few conditions which include 15% of colon cancer cases. The procedure is commonly performed when the rectum needs to be removed due to disease or cancer and the remaining portion will then be used to create a stoma.
Why is Permanent Colostomy Needed?
Conditions in which a permanent colostomy is needed include:
· A blockage in the bowel system
· An injury
· Crohn’s disease, which is an autoimmune form of inflammatory bowel disease
· Colorectal cancer
· Colonic polyps, which is extra tissue growing inside the colon that may be cancer or may turn into cancer
· Diverticulitis, which occurs when small pouches in your digestive system, called diverticula, become infected or inflamed
· Imperforate anus or other birth defects
· Irritable bowel syndrome, which is a condition affecting the colon that causes diarrhea, bloating, constipation, and pain in the abdominal area
Advantages and Limitations of Colostomy
· Forms temporary or permanent opening to excrete waste materials from the body
· Treats diverticulitis
· Treats bowel obstruction condition
· Aids in inflammatory bowel disease
· Helps with colorectal cancer
· Treats babies with birth defects and genetic disorders that have a blocked or missing anal opening
· Long recovery period up to 6 weeks
· Surgeon may ask you to stop or adjust current medications
· It is necessary to have certain routine examinations prior to the surgery (physical or chest x-ray)
· Meeting with an ET nurse is encouraged to know how to take care of a stoma
· Bowel prep is often required to clean out the colon 1 to 2 days before the surgery
· Fasting may be required
· Taking antibiotics (as prescribed by the surgeon) may be necessary to prevent infections
Colostomy Post Care
· Do not lift heavy objects for at least 4 weeks after the surgery
· Daily activities may have to be avoided for at least 4 weeks after the surgery
· Driving is not recommended for at least 4 weeks
· A diet advised by the hospital staff should be maintained
Q1: How long do I have to stay full-time in bed after the surgery?
A1: Usually a few days is required.
Q2: Will weight gain or loss affect colostomy pouch?
A2: Yes if it is more than 10 to 15 pounds.
Q3: How long until full recovery?
A3: Full recovery may take up to 6 weeks.
Q4: As a cancer patient, how long will I need a colostomy?
A4: Most people who need a cancer-related colostomy only need it for a few months while the colon or rectum heals. But some people may need a permanent colostomy.
Q5: Will I feel the pain during surgery?
A5: No, general anesthesia will be used to ensure painless experience.
[Clinic Name] Hospital de la Familia
[Location] Mexicali, Mexico
[Nearest Stations / Attractions] The hospital is about 17 mins drive from Mexicali International Airport and 10 mins drive from Holiday Inn Express & Suites Mexicali
[Clinic Opening Time] Monday - Sunday (24 hrs)
||2 - 3 hrs
||2 - 6 weeks
|Number of Postoperative Visit
||For Follow-up After 3 Months
||You may be required to fill out a medical questionnaire and share previous medical records, pictures or any other tests
||Reschedule of treatments can be made without penalty. However, a $250 deposit is non-refundable if cancellation takes place within 48 hrs prior to surgery.
|Include In This Price
||Consultation Fee, Services Fee, 2 Nights Hospital Stay
|| Hospital de la Familia (Family Hospital), Cto Brasil 82, Parque Industrial Álamo, El Alamo, 21100 Mexicali, B.C., Mexico