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Stoma in Niš: forming, revising and closing a colostomy or ileostomy

A stoma is an opening on the abdomen through which part of the bowel is brought out. It is usually temporary, and the surgeon decides when it is closed after checking the bowel join.

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Stoma: colostomy and ileostomy

At a glance

Colostomy
Large bowel stoma
Ileostomy
Small bowel stoma
Procedures
Forming, revision, closure
Anaesthetic
usually General
Facts and description

A stoma is an artificial opening on the abdomen through which part of the bowel is brought out: a colostomy is a stoma of the large bowel and an ileostomy of the small bowel. At Maja Hospital, Vizantijski bulevar 39 in Niš, the price list includes forming a loop colostomy, revision of a colostomy and ileostomy, and closure of a loop colostomy and a protective ileostomy. The surgeon decides when a stoma is formed and closed.

All facts

Stoma
An artificial opening on the abdomen through which part of the bowel is brought out; bowel content is collected in a bag
Colostomy and ileostomy
A colostomy is a stoma of the large bowel, an ileostomy of the small bowel
Loop stoma
A loop of bowel is brought out; usually temporary and protects a bowel join
Price list procedures
Forming a loop colostomy, colostomy revision, ileostomy revision, loop colostomy closure, protective loop ileostomy closure
Closure
When the surgeon decides the bowel join has healed, usually after an examination and contrast imaging or endoscopy
Price
The items are in the price table on this page.

When the operation is usually considered

  • A bowel join needs protecting while it heals (protective stoma)
  • The bowel needs to be relieved
  • Stoma complications: narrowing, prolapse or a hernia next to the stoma
  • The bowel join has healed and the stoma can be closed

What to know before deciding

  • Some stomas are permanent, which the surgeon discusses before the operation
  • Before closure the surgeon checks the bowel join
  • The timing of closure is not set in advance

The path to the operation

  1. Step 1: Surgical consultation

    The surgeon discusses your symptoms, reviews colonoscopy and imaging results and explains the treatment plan.

  2. Step 2: Diagnostics and preparation

    Tests and scans are done; for bowel operations the surgeon decides whether bowel preparation is needed.

  3. Step 3: Anaesthesia

    The anaesthetist assesses your general health; major bowel operations are usually done under general anaesthesia.

  4. Step 4: Operation

    Open or laparoscopic, depending on the findings and the surgeon's assessment.

  5. Step 5: Recovery and follow-up

    You go home when the bowel works, you can eat and move; the surgeon explains the tissue report at follow-up.

Stoma: colostomy and ileostomy: prices

Prices: General Surgery

Our specialists

Recovery

  • Pain and discomfort around the wound are expected in the first days. The surgeon prescribes pain relief.
  • Walking is encouraged from the first days, and daily activities are resumed gradually.
  • Keep the wound clean and dry. The surgeon will tell you when you can shower, and when you can take a bath or swim.
  • Stitches, unless they are dissolvable, are removed at the follow-up appointment.
  • With severe abdominal pain, difficulty breathing or chest pain, call the emergency service on 194 or go to the nearest emergency department.
Show 3 more: Recovery
  • Lifting and heavy physical effort are avoided for as long as the surgeon advises.
  • After a general anaesthetic, do not drive for at least 24 hours and have someone with you for the first 24 hours.
  • Contact the surgeon if you develop a temperature of 38 °C or higher, redness, pus or heavier bleeding from the wound, pain that gets worse, or nausea and vomiting that do not stop.

How to prepare

  • Have the tests that the surgeon and anaesthetist ask for, usually a blood count, biochemistry, clotting tests and an ECG.
  • Tell the doctor about allergies and medicines, and do not change blood thinners or diabetes medicines on your own.
  • Do not eat or drink before the operation, exactly as instructed by the hospital.
  • Stop smoking as early as possible before the operation.
Show 4 more: How to prepare
  • Bring your ID card, health insurance card, results, a list of medicines and loose, comfortable clothes.
  • Arrange for someone to accompany you and to help at home for the first days after the operation.
  • Bring colonoscopy, imaging and pathology results, if you have them.
  • Do bowel preparation, if needed, only as instructed by the surgeon.

When to contact the surgeon or the emergency service

Call the emergency service (194) straight away if:

  • Severe abdominal pain that gets worse
  • Vomiting with a swollen abdomen and no wind or stools
  • Heavy bleeding from the bowel or stoma
  • Difficulty breathing or chest pain

Contact the surgeon if after the operation you have:

  • A temperature of 38 °C or higher, or shivering
  • Redness, pus or bleeding from the wound
  • The stoma changes colour, swells or stops working
  • Nausea or vomiting that do not stop

In detail

What is a stoma (colostomy and ileostomy)?

A stoma is an artificial opening on the abdomen through which part of the bowel is brought out. Bowel content then collects in a bag attached to the skin. A colostomy is a stoma of the large bowel, and an ileostomy of the end of the small bowel. A stoma is usually temporary: it protects a bowel join while it heals or relieves the bowel. Some stomas are permanent, which the surgeon discusses before the operation.

Forming, revising and closing a stoma

Forming a stoma is an operation in which the surgeon brings part of the bowel to the surface of the abdomen and stitches it to the skin; in a loop colostomy a loop of the large bowel is brought out. Revision corrects complications of an existing stoma, such as narrowing, prolapse or a hernia next to the stoma. A temporary stoma is closed when the surgeon decides the bowel join has healed, after an examination and usually contrast imaging or endoscopy. The timing is decided for each patient.

Living with a stoma

Before and after forming a stoma you receive instructions on caring for the skin around it and changing bags. The stoma should be pink and moist. If it changes colour (turns dark), swells a lot, bleeds or stops working, with pain or vomiting, contact the surgeon without delay.

Frequently asked questions

What is a colostomy?

A colostomy is a stoma of the large bowel: part of the large bowel brought out on the surface of the abdomen, through which bowel content collects in a bag. It is usually temporary, sometimes permanent.

What is the difference between a colostomy and an ileostomy?

A colostomy is a stoma of the large bowel, and an ileostomy of the end of the small bowel. Which one is needed depends on the operation and findings.

When is a stoma closed?

A temporary stoma is closed when the surgeon decides the bowel join has healed and any further treatment is complete. The timing is decided for each patient.

How much does stoma closure cost in Niš?

The Maja Hospital general surgery price list has items for loop colostomy closure and protective loop ileostomy closure, as well as colostomy and ileostomy revision and forming a loop colostomy. All are in the price table on this page.

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The information in this text is general in nature and does not replace an examination by a doctor.

Book an appointment: Stoma: colostomy and ileostomy

Information on this website does not replace a medical examination. Treatment is decided by a doctor after the examination.

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