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Doctor insights on: Colectomy

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Dr. Raj Kapur
749 Doctors shared insights

Colectomy (Overview)

It can mean removal of part or complete colon with or without the rectum.


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How should I prepare for a total colectomy?

How should I prepare for a total colectomy?

Good bowel prep: Otherwise have good family support. I usually have patients take mag citrate 300ml times two starting 12 pm day before on liquid diet, morning of surgery a fleets enema. ...Read more

Dr. Raj Kapur
749 Doctors shared insights

Colectomy (Overview)

It can mean removal of part or complete colon with or without the rectum.


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Will I lose or gain weight after a colectomy?

Will I lose or gain weight after a colectomy?

Initially: You will lose a lot of weight depending how long until you can restart diet and you will need extra calories to recover. ...Read more

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What is the definition or description of: colectomy?

Colon resection: It can mean removal of part or complete colon with or without the rectum. ...Read more

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Post colectomy instructions...Diet, sex, return to work?

Post colectomy instructions...Diet, sex, return to work?

They are: And should have been instructed to you by the surgeon. We all have our own preferences for these things. Depends on how extensive and what portion of colon for diet. But my patients are usually at regular before leaving hospital. ...Read more

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Is it normal to gain weight after a right hemi-colectomy?

Sure: If you eat more and do less activity you will gain weight. If immediate post op or near surgery time it may be water retention which will eventually pass. ...Read more

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Hi my husband had a colectomy now ever since the op he gets black outs do we need to worry?

Hi my husband had a colectomy now ever since the op he gets black outs do we need to worry?

Post op complication: If he has had major surgery and is now experiencing 'blackouts' he needs to be seen. ...Read more

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How can I doctors control pain after a colectomy?

Multiple ways: Intravenous patient controlled anesthesia is most common with narcotics. This can be supplemented with Iv Tylenol (acetaminophen) or Toradol with good results until oral meds can be initiated ...Read more

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What is the difference between a colectomy and a colonoscopy?

What is the difference between a colectomy and a colonoscopy?

The suffix: When a word ends in ectomy it refers to removal of:an organ such as colon in colectomy and kidney in nephrectomy, When the word ends in oscopy it refers to examination of an organ with a device or scope such as in endoscopy, laryngoscopy, proctoscopy. Colonoscopy refers as such to examination of the colon with a colonoscope. ...Read more

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How long should it be before you have a bm after a sidgmoid colectomy?

Varies: This depends on the reason for the colectomy, the approach used. In general, one should be stool within a matter of days. If not, it is possible that there is another reason at work and further evaluation should occur. If you have been operated upon many times before, the operation may have been difficult and slow you intestine is slow to recover. The length of time postoperatively is importan. ...Read more

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What is the difference between a total colectomy and a panproctocolectomy?

Same: Anatomically they are the same thing, compete removal of the colon and rectum. Some refer to a subtotal or total abdominal colectomy, these operations preserve the rectum proper and remove the abdominal component of the colon. ...Read more

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I have had a laproscopic colectomy and stil having a gripping pain inside what's wrong?

I have had a laproscopic colectomy and stil having a gripping pain inside what's wrong?

Need for workup.: It sounds like you had this pain prior to your colectomy so its unlikely due to the surgery. It is very hard to say what is the cause of your pain without more information. You will likely need further medical workup. ...Read more

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Hi, I am 6 months out of Colectomy surgery, with multiple follow up surgeries, What causes pain in lower left side after this long? I have 1Ft. Of col

Hi, I am 6 months out of Colectomy surgery, with multiple follow up surgeries, What causes pain in lower left side after this long? I have 1Ft. Of col

Maybe adhesions?: Causes of recurrent llq abdominal discomfort may be identified by first addressing accompanying signs/symptoms so as to localize the organ involved: vaginal discharge or bleeding, alteration in periods, pregnancy risk? Fever, nausea, vomiting, altered stool pattern, blood with stool, tenderness, distension? Painful urination, blood in urine? Recent trauma, herniations? Age? Gender? Risk factors? ...Read more

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Constipation after a colectomy?

Constipation after a colectomy?

Yes: Could be ileus or obstruction depending on timing after surgery. Also is taking lots of narcotics this can leadto constipation. Best is to see surgeon. ...Read more

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Acidic feces after a total colectomy?

Acidic feces after a total colectomy?

Yes: It depends on the reconstruction. If you have a j pouch and the contents are moving through rapidly and you have not adapted, a patient may have many stools per day and the area around the anus may be raw. Local treament with creams to the area are helpful. If it remains, your doctor can add things to thicken the stool or medicine to slow it done until you adapt. Good luck. ...Read more

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What causes deudonal perforation during colectomy?

Possible: It's possible while manipulating the colon that an instrument could have "knicked" the duodenum - the first part of the small intestine. It wouldn't be the most common complication of a colectomy though. ...Read more

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Which is best after colectomy: ileostomy or j-pouch?

Which is best after colectomy: ileostomy or j-pouch?

Depends: This is highly dependent on why this surgery is indicated. If the person is not too elderly or have other risk factors such as crohn's disease or extensive cancer, then a j-pouch may be appropriate. This is performed by a trained surgeon who has the proper knowledge. Some patients do not have a choice due to their disease condition and will need an ileostomy. ...Read more

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Is it ever recommended to get a colectomy for constipation?

Yes, for Certain dx: Constipation, common problem that is managed by medicines and diet the vast majority of the time. For certain conditions (colonic inertia, megacolon- where patients aren't going to the bathroom for >5days) surgery is an option. Often entails removal of the colon and sewing the small bowel to the rectum. Done laparoscopically. Tremendous improvemnt in quaility of life when properly selected. ...Read more

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Expert opinions? Which is better after colectomy: ileostomy or j-pouch?

Expert opinions? Which is better after colectomy: ileostomy or j-pouch?

Depends on the: Indications for the surgery. Crohn's disease should never be treated with a j pouch. Then it is an issue with the patients preferences and life style and skills of your surgeon. J pouch usually requires a temporary ileostomy and thus an extra operation to close the temporary ileostomy. These are issues to discuss with the surgeon and contact your local ostomy association, meetings and ask members. ...Read more

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What are soft foods that an adult can eat after having an appendectomy and colectomy?

What are soft foods that an adult can eat after having an appendectomy and colectomy?

Best to ask: Your surgeon!!!! . Not sure how far out from your surgery you are and why the bowel resection was done, and how the repair was made. All of these will determine an appropriate answer to your question. Your surgeon should have given you a recommended diet. If not call their office and get one!! ...Read more

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Why is there pain in the right side of the body and lower back after a partial colectomy?

Pain: It really depends on the timing and specifics related to your surgery. Causes could include anything from gas pains or muscle strain to some complication of surgery. I would follow up with my surgeon to get checked. ...Read more

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Are there special recipes and dietary guidelines for people who have had a partial colectomy?

Are there special recipes and dietary guidelines for people who have had a partial colectomy?

Usually not: Depending on the portion of colon removed you may need more fluids to compensate for that lost in the stool. Most limitations in your diet will be learned by trial and error, learning which foods to avoid. ...Read more

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Is it possible for diverticulitis to cause pain on the right side if I've already had a partial colectomy?

Is it possible for diverticulitis to cause pain on the right side if I've already had a partial colectomy?

Yes: Often in women who have had a prior hysterectomy, the sigmoid colon shifts from the left to the center or even the right side of the lower abdomen and hence pain would be felt in the suprapubic or right lower abdomen mwith diverticulitis. ...Read more

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My girlfriend had a partial colectomy and there is a bit of tissue that is coming out of the body were the staples are is that normal?

My girlfriend had a partial colectomy and there is a bit of tissue that is coming out of the body were the staples are is that normal?

Surgeon needs this: Please understand that surgery carries significant risks and surgeons must know about complications. Your friend would have been given post operative instructions and a list of things to watch for. On that list will also be instructions on how to page the doctor should a complication arise. Without seeing this friends' 'tissue' in person it would be difficult for any of us to comment. ...Read more

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Colectomy without colostomy bag, can you tell me more?

Total: Colectomy, sparing the rectum and attaching the last portion of small intestine to the rectum. Can still defecate thru the rectum but stools may be looser and mor frequent than with an intact colon. ...Read more

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Could getting a colectomy mean i'll need a colostomy bag?

If it is an elective: Operation, only rarely, depends on location of abnormality for which the colectomy is being done. If you need to have a complete procto-colectomy, yes, you would need a permanent colostomy. In all other cases, a colostomy would usually be a temporary one, even if necessary. If it is a right hemi-colectomy or an ileo-colectomy, chances of a stoma are very low. Ask your surgeon for specifics. ...Read more

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Could getting a colectomy mean I'll have to get a colostomy bag?

Could getting a colectomy mean I'll have to get a colostomy bag?

No bag: A colostomy is performed when the bowel is resected and there is a significant length of proximal colon and minimal or no length of distal colon to bring the ends together as with an APR. When a stoma is present, irrigations should be started on a daily basis and a square pad placed over the stoma. With daily performance the colon will eventually function only when irrigation employed. ...Read more

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What are symptoms of appendicitis after partial colectomy surgery?

What are symptoms of appendicitis after partial colectomy surgery?

Evaluation: Many things can go on: abscess, tumor, obstruction, hernia, bowel inflammation, etc. Best is to be evaluated by your surgeon or er. ...Read more

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