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.

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.

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