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Colectomy Ileorectal Anastomosis
Tough one!: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum. There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon. Often the area is called the rectosigmoid region so this leads to the confusion. There is no ileorectal sigmoid anastomosis. ...Read more
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
Yes: This type of surgery which includes removal of all the colon and then an ileo-rectal pouch anastomosi is used for complicated ulcerative colitis, with complications that can be bleeding, transformation to pre-cancerous changes, or pain and fevers with failure of medications. It can be a very successful surgery with very good results, as long as the surgery is performed by a specialist in this. ...Read moreSee 2 more doctor answers
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
Entire Large intestines & rectum removed. Brooke Ileostomy created. Can Brooke Ileostomy later be reversed using the rectal stump?
Your PMD..: Your PMD/Surgeon will answer it better.....too many variables ......not disclosed. ...Read more
Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more
My father had cancer colon and did subtotal colectomy , liver metastasis and intestinal leakage occuerd , ileostomy was done.Can reanastomosis done
If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.
YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more
I have 2to hernias from colon resection (hemicolectomy) which surgeon should correct TSH and incisional hernia with transverse colon in umbilical site? Colon or hernia specialist
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 moreSee 2 more doctor answers
Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more
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