Double -barrel Colostomy Patient Education
What is a Double –barrel colostomy?
• A double- barrel colostomy is a reversible bowel diversion procedure in which the bowel is surgically separated and two separate stomas are created in the abdominal wall. This procedure is often a temporary method of resting the bowel to facilitate healing by keeping the bowel empty.
How long will the colostomy be in place?
• The healing process for this procedure can range from weeks to years, thus the length of time will be dependent on the time required for the bowel to heal fully prior to surgical reversal of the colostomy.
What are the reasons for having this procedure?
• Temporary procedures such as the double-barrel colostomy are preformed to allow the…show more content… • Try new foods one at a time to learn which foods may cause unpleasant side effects such as excess gas, diarrhea or constipation.
• Foods such as broccoli, fish, cabbage, onions and beans are known to produce excess gas and odor.
• Foods such as nuts & seeds, popcorn, peas, corn and vegetable peels are not completely digestible and may cause stoma blockage if consumed in large amounts.
• Consuming foods such as parsley and yoghurt can help to deodorize fecal matter.
• Drink a minimum of 8 cups of water daily.
Ostomy care and maintenance:
• Empty collection pouch when ½- ¾ full
• Change pouch every 3-5 days or if leakage occurs; this will assist in keeping the skin around your stoma in good condition.
• Clean skin gently and apply barrier guard/ cream as instructed by your physician.
When to contact your Physician
Contact your physician immediately if you experience any of the following:
• Abdominal pain or discomfort, dizziness, nausea or vomiting
• Any bleeding, rashes, changes in the surrounding skin or stoma color (darkening, grey, purple, black)
• Any unusual pain discomfort or discharge
• No bowel movement for 3 days
• More bowel movement or pouch changes than