A rectal appliance (20) with a tubular member (28) defining a communication passage for body waste and having an open distal end able to receive body waste, and first and second inflatable chamber portions (24, 26) carried on the tubular member for forming internal and external seals with respect to the anus, and a plurality of corrugated inflatable columns intermediate the ends of the tubular member, defining passageways (46) for inflation fluid and pathways for escape of flatus.