What type of ostomy is created when the rectum is removed permanently?

An end ileostomy is the correct type of ostomy created when the rectum has been permanently removed. In this procedure, the small intestine (ileum) is brought out through the abdominal wall to create a stoma, allowing for the elimination of waste. The rectum's removal usually signifies a definite surgical intervention, often due to conditions like colorectal cancer, inflammatory bowel disease, or severe trauma.

In the context of ostomy types:

• A temporary colostomy involves diverting the colon to a stoma temporarily, which would still leave the rectum in place and aims for potential future reversal.

• A loop ileostomy is typically created by pulling a loop of ileum to the surface of the abdomen and stabilizing it with a support device, usually also intended to be temporary, thus not indicating a permanent removal of the rectum.

• A temporary ileostomy aims to divert stool away from the lower gastrointestinal tract while allowing for healing, similarly preserving the rectum.

Therefore, the end ileostomy is established as the most definitive solution when the rectum is completely removed, making it the appropriate choice in this scenario.