Overview
The bowel is a tube of intestine which runs from the stomach to the back passage. It is much longer than the inside of your belly (tummy). It fits in by coiling up in loops. The upper part of the bowel is called the small bowel. It joins the lower part of the bowel (the colon) just to the right of the waistline. This is where the appendix pouches out from the colon. The colon runs up to the right ribs and loops across the upper part of the belly. Then it passes down the left side to run backwards into the pelvis towards the back passage, where it is called the rectum.
Your lower colon and rectum are diseased. You need to have a bypass operation to keep the waste away from the diseased part. A loop of colon is brought out onto the skin so that the waste runs into a special bag stuck over the opening. This is the colostomy. Often the diseased part can be taken out later, when the bowel has recovered from infection or being overstretched by a blockage. Then the colostomy can be closed off.
The Operation
You will have a general anaesthetic, and will be asleep for the whole operation. A cut is made in the skin 25 cm (10 inches) long. The colon is freed inside your tummy. A loop of colon is brought out and stitched to the skin. The opening of the bowel is covered with a special bag. The original wound is closed up. Sometimes, if the colon is free enough, a colostomy can be made without the first big wound. This is a bonus for you. You should plan to leave hospital 2 weeks or so after the operation.
You will have a general anaesthetic, and will be asleep for the whole operation. A cut is made in the skin 25 cm (10 inches) long. The colon is freed inside your tummy. A loop of colon is brought out and stitched to the skin. The opening of the bowel is covered with a special bag. The original wound is closed up. Sometimes, if the colon is free enough, a colostomy can be made without the first big wound. This is a bonus for you. You should plan to leave hospital 2 weeks or so after the operation.
Any Alternatives
Leaving things as they are is risky. A blocked lower colon is a life-threatening condition. You must have a bypass operation. it is not safe for you to have the diseased bowel taken out now. Drug and x-ray treatment are not helpful by themselves.
Before The Operation
Stop smoking and try to get your weight down if you are overweight. If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital's advice about taking the pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to hospital, take you home, and look after you for the first week after the operation.
Sort out any tablets, medicines, inhalers that you are using. Keep them in their original boxes and packets. Bring them to hospital with you. On the ward, you may be checked for past illnesses and may have special tests, ready for the operation. Please tell the nurses of any allergies to tablets, medicines or dressings. You will have the operation explained to you and will be asked to fill in an operation consent form. Many hospitals now run special preadmission clinics, where you visit for an hour or two, a few weeks or so before the operation for these checks.
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