What surgical intervention leads to a temporary end or loop ileostomy?

A temporary end or loop ileostomy is commonly performed during certain surgical interventions to divert stool away from the distal part of the digestive tract for reasons such as healing or protection of an anastomosis.

A sigmoid colectomy, which involves the resection of the sigmoid colon, is often associated with the creation of a loop ileostomy. This allows for temporary diversion of fecal matter away from the surgical site, facilitating recovery while minimizing potential complications like leaks or infections. The loop can be reversed once the remaining bowel has healed adequately.

In contrast, other surgical options such as subtotal colectomy typically involve a more extensive removal of bowel and may not focus specifically on creating a temporary ileostomy. Proctocolectomy, which involves removing both the colon and rectum, often leads to a permanent ileostomy. LAR (Lower Anterior Resection) is generally not indicated for a loop ileostomy, as it involves the resection of the rectum and is often aimed at preserving bowel function.

Understanding how these various types of surgical interventions relate to the creation of a loop ileostomy is crucial in Wound, Ostomy, and Continence Nursing, particularly in planning appropriate post-operative care and patient education.