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Doctor insights on: Colectomy Lap Anastomosis

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Anastomosis (Definition)

Literaly, two openings / streams come together. When two blood vessels join, or a surgeon joins two separated loops of bowel, an anastomosis ...Read more


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What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?

What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?

Colectomy: It refers to taking out most of the colon or large bowel to the sigmoid and attaching the end of the small bowel to the sigmoid colon ...Read more

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Had a lap assisted right hemi colectomy 4 months ago. He had an episode of bleeding from his rectum about 1 month ago and is bleeding again. Why?

Had a lap assisted right hemi colectomy 4 months ago.  He had an episode of bleeding from his rectum about 1 month ago and is bleeding again. Why?

See surgeon : Cannot determine cause without looking. Could be as simple and innocent as hemorrhoids but too little information provided. Why was colectomy performed? Was it complicated? Has patient seen surgeon back in follow up. Recommend return to surgeon who performed operation. Also would suggest seeing a gastroenterologist. ...Read more

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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

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I have a colectomy it done over 20 yrs ago ant to get lap band surgery would be safe for me had colectomy done for Crohn's disease and colectomy can I have a lap band surgery even thought I have the colectomy done overr 20 years ago

I have a colectomy it done over 20 yrs ago ant to get lap band surgery would be safe for me had colectomy done for Crohn's  disease  and colectomy can I have a lap band surgery even thought I have the colectomy done overr 20 years ago

Lap band colectomy: Yes, it can be done. I have placed bands in people that have had colectomies. It can be tough because of all the scar tissue, but bands and sleeve gastrectomies can be done. A bypass would be very difficult to do though. ...Read more

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Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?

Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?

It sounds like...: ...most of your colon was probably removed and the end of your small intestine was primarily surgically connected to the remaining sigmoid colon and rectum. ...Read more

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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

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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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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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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

Dr. Raj Kapur
747 doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more