CPT® Code 44310

A jejunostomy or ileostomy is a surgical procedure that involves the creation of an artificial opening in the abdominal wall for the purpose of diverting intestinal contents. This procedure is performed without the insertion of a tube, which distinguishes it from other types of ostomy procedures. The process begins with making an incision in the abdomen at the designated site for the stoma, which is the external opening created for the passage of intestinal waste. A loop of either the jejunum (the middle section of the small intestine) or the ileum (the final section of the small intestine) is then brought to the incision site. This loop may be routed through an intraperitoneal tunnel, which is a pathway within the abdominal cavity, or it may be brought directly to the anterior abdominal wall. Once the loop is positioned, it is divided, and a segment measuring approximately 5 to 6 centimeters is pulled through the abdominal wall to form the stoma. The distal portion of this segment, typically measuring 2 to 3 centimeters, is then folded back over the exposed segment of the small bowel. This folded section is sutured to the abdominal wall, effectively securing the stoma in place and allowing for the passage of intestinal contents outside the body. This procedure is essential for patients who may have conditions that necessitate the diversion of intestinal flow, providing them with a means to manage their digestive health effectively.