Double-barrel stoma description

• A. Both the proximal and distal ends of the intestines are pulled through the abdominal wall after the diseased intestines are removed
• B. A stoma created from the stomach
• C. A loop stoma created by folding intestine
• D. Two stomas side by side or apart

Answer: (A)

A double-barrel stoma is formed by dividing a segment of bowel and bringing both ends to the surface as two separate openings. This is usually done after removing the diseased section, so you have a proximal end that drains stool and a distal end that may drain mucus or be closed later. The description fits because it emphasizes exteriorizing both ends through the abdominal wall as two stomas. A stomach-derived stoma would be a gastrostomy, not a bowel stoma. A loop stoma involves a single loop of bowel folded to the surface with two lumens under one skin opening. Two stomas side by side or apart describe the appearance but the precise creation after resection with both ends exteriorized matches the concept of a double-barrel stoma.