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A stoma is an opening from an area inside your body to the outside, according to the U.S. National Library of Medicine. (Photo: Getty Images) (Lorenzo Capunata via Getty Images)
Closed-end pouches can be removed and replaced with a new pouch once the bag is full or the pouch can be emptied and rinsed. The flange or wafer does not need to be replaced. The use of open-end vs. closed-end pouches is dependent on the frequency in which an individual needs to empty the contents, as well as economics .
The other portion of the bowel is either removed or sewn shut (Hartmann's procedure). Double barrel colostomy: The bowel is severed and both ends are brought out onto the abdomen. Only the proximal stoma is functioning. Most often, double-barrel colostomy is a temporary colostomy with two openings into the colon (distal and proximal).
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In medicine, the ileal pouch–anal anastomosis (IPAA), also known as restorative proctocolectomy (RPC), ileal-anal reservoir (IAR), an ileo-anal pouch, ileal-anal pullthrough, or sometimes referred to as a J-pouch, S-pouch, W-pouch, or a pelvic pouch, is an anastomosis of a reservoir pouch made from ileum (small intestine) to the anus, bypassing the former site of the colon in cases where the ...
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