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Doctor insights on: Colectomy

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Dr. Raj Kapur
748 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.

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Dr. Raj Kapur
748 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.

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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.

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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.

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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.

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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.

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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

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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.

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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.

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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.

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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.

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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?

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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.

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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.

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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.

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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.

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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.

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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.