Colostomy closure

Closing a colostomy is to restore intestinal continuity such that faecal material now passes through the intestine via the anus to the outside world.
To close a colostomy, the downstream part of the intestine must be available and identified. The opening in the intestine where the stoma was previously joined onto the skin then needs to be joined to the downstream part of the intestine. The join between the two parts of the intestine can be either sutured by hand or be stapled using a purpose designed stapler.

Bowel function after initial closure of colostomy can be erratic. This generally settles down after a period a months. In patients who continue to have difficulties with their bowel motion after closure of colostomy, your specialist is the best person to provide advice on appropriate treatment.

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