The Ultimate Guide of 2 Piece Ileostomy Bag

2025-12-04
Author: Zodelo Ostomy

The ileostomy bag can be said to be an indispensable tool for ileostomy patients. It can help collect excrement, avoiding embarrassing problems such as pollution, infection and unpleasant odors. The Ileostomy bag comes in various types, including 2 piece ileostomy bag. Only after a correct understanding of the Ileostomy bag can one better care for the stoma and start a healthy and comfortable life again.

Zodelo is well aware that the ileostomy bag is of vital importance to ostomy patients. Therefore, based on user experience, we are committed to developing the highest quality and safest ileostomy bag. Let all users enjoy a more comfortable and reassuring life. Meanwhile, Zodelo also provides you with the most comprehensive and detailed information on ostomy care. This article will provide you with a detailed explanation of the 2 piece ileostomy bag.

Everything You Need To Know About 2 piece ileostomy bag

1.What is an ileostomy bag?

The Ileostomy bag is a medical device specifically designed for collecting excrement discharged from the ileostomy. Ileostomy ba can protect the skin around the stoma. Reduce the risks of odors, leaks and infections. Help patients return to a normal life. However, as the ileum excrement contains a large amount of excrement and is highly irritating, the Ileostomy bag is usually more corrosion-resistant and leak-proof.

2. What is 2 piece ileostomy bag

The 2 piece ileostomy bag is a medical device designed for Ileostomy patients to collect excrement. It is mainly composed of two independent components: Skin barrier and Ileostomy pouch. The two are connected or separated by mechanical snap, adhesive ring or convex lock systems. The Skin barrier can be adhered to the skin around the stoma and remain for 3 to 5 days. Patients do not need to change the chassis every day. They only need to change the bags, which makes the skin healthier and the operation more convenient.

3. Types of ileostomy bag

a. One piece ileostomy bag

The Skin barrier is linked to the ileostomy bag. It is thinner, lighter, invisible and has a high degree of flexibility and fit. The replacement operation is simple and fast. Suitable for patients with stable stoma and those who wish to simplify care.

b. Two piece ileostomy bag

The bag body of the two-piece ostomy bag is separated from the skin barrier and connected together through a mechanical connection system. The Skin barrier can adhere to the skin and be reused many times. When changing, only the bag body needs to be replaced, which can reduce the irritation to the skin caused by frequent changes and bottom tearing, making it more skin-friendly and economical. Suitable for patients with sensitive skin or those who need to excrete frequently.

c. Drainable ileostomy bag

The Drainable ileostomy bag has an opening at the bottom for excreting feces. After emptying, it can be reused multiple times without frequent replacement, reducing irritation to the stoma, being more skin-friendly and more economical.

d. Closed-end ileostomy bag:

The bottom of the Closed-end ileostomy bag is sealed and cannot be discharged. Single-use, discard after use, convenient and fast, no need to empty or clean, simple to operate.

4. How does a 2 piece ileostomy bag works?

The 2 piece ileostomy bag is basically composed of the ileostomy bag body, wafers, snap-on/adhesive ring connection mechanism, bottom opening and filtration system.

Ileostomy bag body: Usually made of transparent or opaque soft material, it is used to collect excrement discharged through the opening. It has excellent leak-proof performance, strong anti-odor performance and a soft, skin-friendly touch.
Skin barrier: Mainly made of hydrocolloid or silica gel materials. The main body of the stoma is fixed around the stoma skin. It forms reliable adhesion to the skin, providing a sealed area to prevent leakage. Maintain the health of the skin around the stoma at the same time.
The fastening/adhesive ring connection mechanismcan be classified into mechanical coupling, adhesive coupling and locking ring system. This structure makes it convenient to quickly disassemble and assemble the bags. At the same time, ensure sealing and leak-proof performance.
Discharge outlet:It is generally divided into two types: closed type and openable type. The closed discharge outlet is suitable for solid feces and must not be discharged. It is only for one-time use. The openable discharge outlet can discharge bulk or liquid waste, which can be emptied, cleaned and reused.
Activated carbon filter: which can absorb odors and prevent leakage. Leak-proof rings and leak-proof paste are adopted to achieve a more secure seal and adhesion, preventing leakage and odor.

5. Who needs a 2 piece ileostomy bag?

The 2 Piece ileostomy bag is suitable for patients who require greater flexibility and better skin protection, especially including:

Patients with ileostomy who need to frequently change bags: The ileal excrement is in liquid form and in large quantities, resulting in the bags needing to be changed multiple times a day. The 2 piece ileostomy bag can prevent repeated tearing and pasting of the base, reducing skin damage.
For those with sensitive or damaged skin: The undercarriage can last for several days, and the frequency of tearing the undercarriage decreases. Friendly to the skin and reduces skin irritation.
People with high activity frequency: Such as those who need to exercise and work frequently, the 2 piece ileostomy bag is safer and more reliable.
People who seek convenience: The 2 piece ileostomy bag can be changed quickly and is more flexible.
Doctor’s advice:For instance, in the early postoperative period or when the stoma morphology is unstable, doctors often recommend a 2 piece ileostomy bag. Easier to adjust and manage.

Changing your 2 piece ileostomy bag

1. Getting Your IleostomySupplies Ready

New 2 piece ileostomy bag: Skin barrier, ileostomy pouch.

Wet wipes or soft tissues: used to clean the skin around the stoma. Avoid using wet wipes with added alcohol or fragrances to prevent skin irritation.

Stoma scissors: Cut an opening that matches the size of the stoma to prevent leakage or friction caused by the stoma being too large or too small.

Warm water: Mild and non-irritating.

Measuring card: Used for measuring the diameter of the stoma.

Glue remover: Helps to remove residual adhesive around the stoma.

Stoma powder: It is used to keep the stoma area dry and comfortable and help the stoma base bond more firmly.

Sealing rings and leak-proof paste: Fill the wrinkles or depressions around the stoma skin to enhance sealing performance and prevent leakage.

2. Steps by steps guide to changing Your 2 piece ileostomy bag

Step1: After preparing the above-mentioned required items, choose a clean and bright environment for replacement.
Step2: Wash your hands
Before changing the stoma, please wash your hands thoroughly to keep them clean and avoid contaminating the stoma, which may cause infection during the replacement process.
Step 3: Remove the old ileostomy bag
Hold the skin with one hand and gently peel off the bonded base from top to bottom. If the glue adheres too firmly, you can use a glue remover spray.
Step 4: Observe the stoma.
A normal stoma should be bright red and moist. If the color turns black or purple, or if erosion and exudation occur, medical treatment should be sought promptly.
Step 5: Clean the skin around the stoma.
Gently wipe the stoma with warm water and a wet wipe until it is clean.
Stoma powder can be used to keep the skin around the stoma comfortable and dry.
Step 6: Measure the diameter of the stoma
Measure the stoma with a measuring card to determine its diameter.
Step 7: Trim the skin barrier
According to the measured diameter, the opening diameter for cutting the skin barrier needs to be increased by 1-2 millimeters. Ensure that the cutting edges are smooth and flat.
Step 8: Paste the skin barrier
Remove the skin barrier adhesive. Align the skin barrier hole accurately with the stoma. Press from the center outward with your fingers to make it fit completely. Warm the skin barrier with your palm to enhance its stickiness.
Step 9: Attaching the Pouch
Connect according to your 2-chip system type:
Coupling Ring: Hearing a “click” sound indicates locking. Check to confirm there are no gaps around.
Adhesive Coupling: After alignment, gently press to allow the adhesive layer to fully fuse with the base plate.
Locking System: Rotate or engage in place, with safety indication marks.
Step 10: Check and organize
If it is a Drainable, the tail end should be clamped or Velcro closed and sealed. Discard the old 2 pieceileostomy bag. Wash your hands again.

What is the difference between a 1 piece and 2 piece ileostomy bag pouching system?

1 piece vs 2 piece ileostomy bag, what’s the difference? The key difference can be referred to the table bolow:

	1 piece ileostomy bag	2 piece ileostomy bag
Structure	The skin barrier and the bag are integrated	The wafer is separated from the bag
Change method	The entire system needs to be replaced each time	Only the bags need to be replaced. The chassis should be changed every 3 to 5 days
Skin protection	It is prone to irritation due to repeated tearing and pasting	It causes less skin irritation and offers the best protection
Leak-proof property	It was successful with just one fit	It can be attached to the base first and then bagged. There is no gap and it is easier to control
Appearance thickness	Thinner and more invisible	Slightly thicker, with a snap-on structure
Convenience of use	It’s easier for beginners to get started	It is necessary to learn the techniques of clamping and alignment
Flexibility	The bag is fixed and cannot be replaced	Different bags can be freely changed (daytime, nighttime, sports).
Suitable for stoma morphology	Those with protruding stoma and smooth skin	It is more suitable for those with depressed stoma, skin folds and excessive excrement
Suitable for	Those who pay attention to concealment and are active	Those with ileostomy, sensitive skin, and those who need frequent bag changes
Long-term cost	It might be even higher	More economical (the skin barrier lasts longer)

How do I choose the best ileostomy bag pouching system?

Choose the ileostomy bag pouching system that best suits you based on the following five factors:

1. Stoma type

Ileostomy:Due to the large flow of excrement, which is mostly liquid and highly corrosive. It is more suitable for the 2 piece ileostomy bag.
Colostomy: As it mostly consists of solid excreta. It is more suitable for the 1piece ileostomy bag.

2. Stoma shape and skin condition

Protruding stoma: Both are applicable.
Stoma depression: More suitable for 2piece ileostomy bag + convex chassis.
Smooth skin: Both are applicable.
Skin wrinkles: More suitable for 2piece ileostomy bag + convex chassis.
Good skin condition and high tolerance:Both are applicable.
Sensitive skin prone to allergies: 2 piece ileostomy bag is more suitable.

3. Activity level and lifestyle

For those who do a lot of exercise, swim, or need “invisible wear”, the 1 piece type is thinner and lighter
When going out for a long time and frequently emptying bags, the 2 piece style is more convenient and hygienic

4. Change habits

For speed and convenience:1 piece ileostomy bag is more suitable.
Don’t want to frequently tear off the chassis:2 piece ileostomy bag is more suitable.

5. Hand flexibility

For those with inflexible hands: the1 piece ileostomy bag is more suitable.
Nursing experience: Proficient in using the 2piece ileostomy bag.

Why a 2 piece ileostomy bag pouching system is right for you

1. Protect the skin

The excrement of the ileum is highly corrosive. If the underbody is frequently torn and pasted, it can cause skin irritation, leading to rashes, exudation and erosion.The piece ileostomy bag pouching system can reduce the number of tears and is more skin-friendly.

2. Easy to replace

When gas or liquid accumulates in the ileostomy bag, the bag body can be quickly replaced. The operation is simple and convenient. This is particularly important for ileostomy with a large flow and sparse excrement.

3. More flexible in use

Different ileostomy bags can be replaced as needed:

Use a small and thin ileostomy bag during the day.

Use the larger-capacity ileostomy bag at night.

Use the waterproof ileostomy bag when exercising.

Use mini bags or sealed ileostomy bags for bathing or intimate occasions.

4. More suitable for long-term use

Ileostomy is usually long-term or even permanent. Skin protection is even more necessary. The 2 piece ileostomy bag is the most frequently recommended option by ostomy nurses worldwide.

5. Save more time and care costs

The chassis of the 2 piece ileostomy bag can be retained for 3 to 5 days, and only the bag body needs to be replaced. From the perspective of overall consumable usage, long-term use is more economical than a 1-piece ileostomy bag.

Are 2 piece ileostomy bag pouching system covered by health insurance?

Generally speaking, most countries’ medical insurance offers partial or full reimbursement, but policies vary by country and type of insurance.

1. The United States

Medicare Part B regards ostomy supplies as DME (Durable Medical Equipment).

A certain number of bags and chassis can be covered every month.

Both the 1-piece and 2 piece ileostomy bags can be obtained through a doctor’s prescription.

The specific quantity depends on the type of stoma (with the highest quota for ileostomy).

2. United Kingdom

Ostomy supplies is fully reimbursed by the NHS. The patient does not need to pay.

Both the 1-piece and 2 piece ileostomy bags can provide long-term prescriptions.

3. Canada

Many provinces offer 50-75% reimbursement through the Assistive Devices Program (ADP). It needs to be confirmed by a doctor or a stoma nurse.

4. Australia

Stoma consumables are basically fully subsidized.

5. Asian countries

Most of them require partial reimbursement by social security or commercial insurance.

When to Call the Doctor

Please seek medical attention immediately in the following circumstances (emergency) :

If the fever exceeds 38℃ and is accompanied by symptoms such as lower back pain, nausea and vomiting, it may be a urinary tract infection or nephritis.
Stop urinating, accompanied by symptoms such as abdominal pain and back pain.
If the color of the stomata turns purple or black, it may indicate insufficient blood supply or stomata necrosis.
There is heavy bleeding or continuous bleeding at the stoma site.
1. Please contact the doctor as soon as possible.

Cloudy urine or urine containing a large amount of crystals may indicate the presence of an infection.
The stoma retracts below the skin surface.
The stoma skin shows erosion and exudation, accompanied by itching or pain, and may also have skin problems such as infection and allergy.
Continuous excessive gas emissions can cause pores to expand.

Where should I purchase 2 piece ileostomy bag pouching system?

Zodelo, as a professional urostomy bag manufacturer, We offer a comprehensive product line from entry-level to premium: Airlora Series, Calmlora Series, Mellora Series, Joylora Series and Ostomy Product Accessories.—there’s always one that fits your daily routine.

We also had ISO13485, CE, and FDA certifications, bring you the most reassuring and high-quality ostomy care.

We will also provide the most high-quality customer service and after-sales service.

Get our product catalog and contact us.

Conclusion - 2 piece ileostomy bag

The Ileostomy bag is not merely a simple medical consumable; it is an essential tool for colostomy patients to regain their confidence and maintain a normal life. Only by correctly understanding the 2 piece ileostomy bag can one scientifically and correctly care for the stoma. Regain a healthier and more comfortable life.

Zodelo is committed to providing high-quality stoma bags and accessories for stoma patients worldwide. We are constantly researching and upgrading stoma care solutions, strictly adhering to medical safety standards, and providing all stoma patients with a reassuring, comfortable and reliable stoma care experience.

If you have any needs or questions, please feel free to contact us or Get our product catalog!

More Resources about 2 piece ileostomy bag

A Comprehensive Guide to the Different Types of Stoma Bags– occtopus
Ileostomy – wikipedia
STEP BY STEP GUIDETO EMPTYING ANDCHANGING THEOSTOMY POUCH– ostomy.org
Colostomy bag vs ileostomy bag：What’s the difference?– zodelo
One Piece Vs Two Piece Stoma Bag: What’S The Difference?– zodelo
How to change a colostomy pouch？– zodelo
How To Care For Colostomy Pouch? – zodelo