Quality of life with the continent ileostomy

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Abstract

Abstract A survey of 71 patients with continent ileostomies was undertaken to determine their life‐style. Comparison of life‐style in patients with a conventional ileostomy compared to those with a continent ileostomy was possible because 40 of the 71 patients previously had conventional ileostomies. Approximately 50% of them had been restricted in work, hobbies, and travel, and 90% were restricted in clothing selection and athletic activities. About 10% of the patients with continent ileostomies experienced limitations in one of these parameters. With either ileostomy, dietary restrictions were encountered by 54%. The mean cost of supplies was $200 with the continent ileostomy compared with $475 with the conventional ileostomy. Following conversion from a conventional to a continent ileostomy, 68% of the patients noted an improved sex life and 80% noted an improved body image. All would choose retrospectively to have a continent ileostomy and 96% found the result to be as good as or better than their preoperative expectations. If complications were to arise, 97% of patients would undergo revisional surgery rather than have removal of the continent ileostomy. We conclude that patient satisfaction with the continent ileostomy is high. Fewer limitations are encountered with the continent ileostomy than with the conventional ileostomy .

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