(1) At this time, a demarcation is visible between necrotic and viable bowel, which allows the surgeon to resect the necrotic bowel and create an enterostomy at the distal end of the normal bowel.(2) Where the patient's upper digestive system has some disease process or has undergone surgery, this can be bypassed by placing a feeding enterostomy tube in the lower part of the small bowel.(3) The remaining 25 percent of patients underwent surgery to divert the fecal stream by creation of an enterostomy .(4) Two weeks later, via a midline incision, 37 vascular malformations from the small bowel and colon were resected using 20 enterostomies and 2 local small bowel resections with end-to-end anastomoses.