Definition of Total proctocolectomy with ileostomy :

Total proctocolectomy with ileostomy is surgery to remove all of the colon (part of the large intestine), rectum, and anus.

Description:

You will receive general anesthesia right before your surgery. This will make you unconscious and unable to feel pain.

For your proctocolectomy:

• Your surgeon will make surgical cut about 6 inches long in your lower belly.
• Then your surgeon will remove your large intestine and rectum.
• Your surgeon may also look at your lymph nodes and may remove some of them, if needed.

Next your surgeon will create an ileostomy:

• Your surgeon will make a small surgical cut in your belly. Usually this is made in the lower right part of your belly.
• The last part of your small intestine (ileum) is pulled through this surgical cut, and sewn onto your belly.
• This opening in your belly formed by your ileum is called the stoma. Stool will come out of this opening and collect in a drainage bag that will be attached to you.

Why the Procedure Is Performed:

Total proctocolectomy with ileostomy surgery is done when other medical treatment does not help problems with your large intestine.

It is most commonly done in people who have inflammatory bowel disease, which includes ulcerative colitis or Crohn's disease.

This surgery may also be done if you have:

• Colon or rectum cancer
• Familial polyposis
• Birth defects that have damaged your intestines
• Intestinal damage from an accident or injury