Ostomy Minute: End Stoma vs. Loop Stoma

In this short video, WCEI Clinical Instructor Joy Hooper, RN, BSN, CWOCN, OMS, WCC uses a simple but powerful visual aid to explain the difference between two stoma configurations: the end stoma and the loop stoma.

End Stoma

With an end stoma, the surgeon separates the bowel and closes one end. The other end of the bowel is brought up through the abdominal wall. Then the surgeon folds it over and sutures it down to the abdominal surface. The end stoma results in one opening (lumen), and it’s usually right in the middle of the stoma.

Loop Stoma

With a loop stoma, the surgeon brings a loop of bowel up to the abdominal surface and supports it with a device such as a stabilization rod. To allow the stool to exit the body, the surgeon makes a split in that loop of bowel and folds it back on itself, creating two openings.  One opening is where the stool will exit the body. The other opening is for the excretion of mucus.

The great thing about a loop stoma is that because a full segment or loop of intestine is used to form the stoma, the intestine remains intact. The surgeon can easily reverse the procedure by suturing the incision in the bowel.  Hence, most loop stomas are created as temporary procedures. Note also that the majority of loop stomas are ileostomies.  See the WCEI blog “Let’s Talk Ostomy Types” for an overview of basic bowel and bladder ostomies.

Learn More With a Free Ostomy 101 Webinar

Joy Hooper, RN, BSN, CWOCN, OMS, WCC

Joy Hooper, RN, BSN, CWOCN, OMS, WCC, Clinical Instructor

Joy presents a one-hour, on-demand webinar to help you conduct a stomal and peristomal skin assessment.  To view the webinar for free, click here and use the code BLOG. Educational credit is available.

For advanced training and board certification in ostomy care, take the week-long WCEI Ostomy Management Specialist® (OMS) course and NAWCO certification exam, held at locations throughout the US. It will get you current with standards of care to help this under-served patient population.



Get Certified: 2018 Ostomy Management Specialist Course Locations:


Monday, January 22, 2018 – Friday, January 26, 2018


Monday, February 5, 2018 – Friday, February 9, 2018


Monday, April 16, 2018 – Friday, April 20, 2018


Monday, May 7, 2018 – Friday, May 11, 2018


Monday, August 6, 2018 – Friday, August 10, 2018


Sunday, September 9, 2018 – Thursday, September 13, 2018
BONUS – Includes WOW Conference Thur, Fri and Sat plus Pool Party!


Monday, September 24, 2018 – Friday, September 28, 2018


Monday, October 15, 2018 – Friday, October 19, 2018


Monday, October 22, 2018 – Friday, October 26, 2018


Monday, November 26, 2018 – Friday, November 30, 2018


Joy Hooper, RN, BSN, CWOCN, OMS, WCC  has over 20 years of wound and ostomy care experience within a variety of hospital and home care settings. In addition to teaching wound and ostomy courses for Wound Care Education Institute, she is a successful nurse entrepreneur and inventor of the educational tool Anatomical Aprons by Joy.

Wound Care Education Institute® provides online and onsite courses in Skin, WoundDiabetic and Ostomy Management. Eligible clinicians may sit for the prestigious WCC®, DWC® and OMS national board certification exams through the National Alliance of Wound Care and Ostomy®(NAWCO®). For details, see wcei.net.


DISCLAIMER: All clinical recommendations are intended to assist with determining the appropriate wound therapy for the patient. Responsibility for final decisions and actions related to care of specific patients shall remain the obligation of the institution, its staff, and the patients’ attending physicians. Nothing in this information shall be deemed to constitute the providing of medical care or the diagnosis of any medical condition. Individuals should contact their healthcare providers for medical-related information.



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