Doctor insights on:
Colectomy Anastomosis Bowel Leak
What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?
If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?
It depends : This is a difficult question to answer without more data. Assuming they had some sort of small bowel resection and truly has "short gut," then reconnecting to a rectal stump will likely not improve the condition, as the rectum does not provide adequate nutritional absorption (mainly just water resorption). This needs to be discussed with a general surgeon along with radiographic evaluation. ...Read more
I recently had a total colectomy with ileorectal anastomosis for severe chronic inertiia that was unresponsive to other treatmentswhen they removed my colon they were surprised to find some areas of early stage cancer as well I had been undergoing regular
I had a laparoscopic colectomy with ileorectal anastomosis surgery on 1/18 and I am experiencing cramping when i lay down and at night. Is this normal?
What would be the approx life span for someone that has intestinal malabsorption due to subtotal colectomy, Ileostomy placement, short bowel syndrome?
Maybe long: The colectomy and ileostomy will not typically shorten life expectancy. Short bowel syndrome may shorten life span, but it depends on severity. There are a few centers in the US that perform bowel lengthening procedures and small bowel transplant. Ask you surgeon about the severity of the short bowel, and think about support groups for ileostomy help. Hope this helps! ...Read more
No not really: you need to talk with your surgeon and inform them of this. This is NOT normal!! ...Read more
SURGEONS: If a patient who had a Subtotal Colectomy w/Ileostomy placement 13yrs ago, resulting in short bowel syndrome & frequent loose bowels, but was wanting an Ileostomy Reversal, what would do & Y?
Difficult question: to answer without knowing much more details. Why was that surgery done? What is the remaining anatomy? Remaining colon or rectum in place? Reconnecting an ileostomy after 13 years might not be well tolerated with resulting frequent diarrhea, poor anal muscle control, anal irritation & the surgery would not correct a short bowel condition. Need many more details to try to answer this question. ...Read more
Can i take in protein powder? As i can only have low fibre diet due to i had done a total colectomy(large intestine).
Yes: A pure protein powder has no fiber at all. There are many types of protein powder. If from soy make sure it is non-gmo soy. If whey try to find one from grass-fed cows not given hormones or antibiotics and processed at low temperature such as whey cool by designs for health. Protein powder from hemp seeds is another good choice though make sure it is a pure protein powder without fiber. ...Read more
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