What is the typical indication for an end ileostomy?

An end ileostomy is commonly indicated following a panproctocolectomy or in situations where an anastomosis is not feasible. This surgical procedure involves the resection of the entire colon, rectum, and anus, which may be necessary in cases of conditions such as severe inflammatory bowel disease, familial adenomatous polyposis, or certain types of colorectal cancers.

The creation of an end ileostomy provides a way for intestinal waste to exit the body after the removal of the large intestine and rectum, allowing the patient to manage their bowel function without the presence of these parts of the gastrointestinal tract. This procedure is particularly important in patients who are not candidates for re-establishing continuity of the intestinal tract due to various complications or the severity of their condition.

Other options, such as a loop colostomy or decompression of the colon, typically serve different purposes. Loop colostomies are more about temporary diversion, while decompression of the colon is aimed at relieving obstructions or ileus rather than permanently diverting waste. Colon cancer screening does not typically result in an ileostomy but rather involves diagnostic procedures to evaluate the presence of tumorous growths. Thus, the choice of panproctocolectomy