The intestine (colon or ileum) is brought to the stoma to create an artificial outlet for the gastrointestinal tract (ostomy). This allows safe removal of waste material from food digestion when a portion of the intestine is removed or needs time to heal.
Key difference: The main difference between USA and Canada is in their government. USA is a federal constitutional republic, whereas Canada is a constitutional monarchy. Further differences include geographic and climate. Canada also differs in its stance against some political and cultural aspects.
By total area (water as well as land), the United States is either slightly larger or smaller than the People's Republic of China, making it the world's third or fourth largest country. China and the United States are smaller than Russia and Canada in total area, but are larger than Brazil.By land area only (exclusive of waters), the United States is the world's third largest country, after Russia and China, with Canada in fourth.he term  United States , when used in the geographical sense, is the contiguous United States, the state of Alaska, the island state of Hawaii, the five insular territories of Puerto Rico, Northern Mariana Islands, U.S. Virgin Islands, Guam, and American Samoa, and minor outlying possessions.