Double-barrel ileostomy
A surgical technique creating two separate stomas from divided ileum, allowing for proximal diversion and distal access.
Full Definition
A double-barrel ileostomy involves bringing both the proximal and distal ends of divided ileum through separate openings in the abdominal wall, creating two distinct stomas. This configuration allows for fecal diversion through the proximal limb while maintaining access to the distal bowel for irrigation, medication administration, or contrast studies. The technique is often employed in complex colorectal cases where temporary diversion is needed but anastomotic healing must be monitored. Unlike a loop ileostomy, the double-barrel technique provides complete fecal diversion. Reversal requires formal surgical closure of both stomas and reanastomosis of the bowel ends.
Usage
Usage note: Clarify the purpose and configuration to distinguish from other ostomy types.
In Context
- "A double-barrel ileostomy was created to allow monitoring of the distal anastomosis." — Operative report
- "The patient's double-barrel ileostomy functioned well with minimal output from the distal limb." — Postoperative clinic note