What is the typical indication for an end ileostomy?

An end ileostomy is typically indicated in cases where a panproctocolectomy has been performed or when there is a necessity for non-anastomosis. This procedure involves the surgical removal of the entire colon, rectum, and anus, often due to conditions such as ulcerative colitis or familial adenomatous polyposis. After this extensive resection, an ileostomy may be established to allow for the passage of intestinal waste, as there are no remaining parts of the lower gastrointestinal tract to facilitate normal bowel function.

In the case of a panproctocolectomy, the end ileostomy provides a surgical means to divert waste material away from the surgical site and out of the body through a small stoma created on the abdomen. This is critical in situations where healing of the surgical area is necessary, or where infection or malignancy has rendered the usual route of defecation nonviable.

Decompression of the colon, loop colostomy, and colon cancer screening do not typically necessitate the formation of an end ileostomy as they involve different underlying conditions or interventions. Decompression of the colon may be achieved with other techniques, loop colostomies involve a temporary diversion while maintaining some continuity of