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Doctor insights on: Colectomy Lap Anastomosis

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Whats ileorectal sigmoid anastomosis?

Whats  ileorectal sigmoid 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

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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Is laparoscopic nissen fundoplication similar to lap band?

Is laparoscopic nissen fundoplication similar to lap band?

No: A lap band is a device that wraps around the top of your stomach used to treat obesity. A fundoplication wraps the top of your stomach around itself to treat reflux. ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

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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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy. ...Read more

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Can ulcerative colitis after having colostomy reversal surgery?

Can ulcerative colitis after having colostomy reversal surgery?

Not to worry: If there is no history of ulcerative colitis in the past there is no reason to believe a reversal procedure will precipitate one. If you did not have ulcerative colitis before surgery you don't have to worry about it after. ...Read more

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Is lap band surgery safe?

Is lap band surgery safe?

Yes: Lap band surgery is a safe alternative to gastric bypass for weight loss. ...Read more

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How exactly is lap band bariatric surgery done?

How exactly is lap band bariatric surgery done?

LapBand surgery.: Laparoscopically (cameras and instruments stuck through small incisions in the abdomen), a band is placed around the stomach, creating sort of an hourglass shape to the stomach. Perhaps takes 45 minutes. ...Read more

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Recovery from laparoscopic ventral rectopexy surgery?

Recovery from laparoscopic ventral rectopexy surgery?

What: What about it? You mean recovery time form ventral hernia repair. About a week to two depending on size. ...Read more

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J pouch surgery recovery?

Depends: Depends on laparoscopic or open. Also depends if any peri-op complication. If all goes well, hospital stay can be from 3 to 7 days. Most pts are doing normal activity in 1-2 weeks but takes good 2-3 months to fully recover. ...Read more

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Does gastric bypass surgery work?

Does gastric bypass surgery work?

Bypass works: Gastric bypass "works" in 95-97%. Works in three ways: 1. Small pouch makes you feel full. 2. Decreased ghrelin (hunger hormone). 3. Diverts food from lower stomach and duodenum (helps with diabetes). Must eat appropriately. Solid food, no sipping with food, no sweets, no bad snacks. Most lose 80% of excess weight at one year. Then some bounce back with total loss at 5-7 years of 70% excess wt. ...Read more

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Whats the difference between lap banding, gastric banding, band over bypass?

Whats the difference between lap banding, gastric banding, band over bypass?

Lap = gastric: Lap band and gastric band are the same. Band over bypass is done when some doctors place the band around the gastric pouch after a gastric bypass. Our group has stopped offering band over bypass due to high rate of erosion and the fact that the bans can't be placed between the pouch and the small intestine. ...Read more

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Is gastric bypass surgery good?

Is gastric bypass surgery good?

Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read more

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How are lap band and gastric bypass surgery different?

How are lap band and gastric bypass surgery different?

Malabsorption: The lap band is a device placed to make the stomach seem smaller thus allowing you to eat less and feel satisfied. With the bypass, a surgeon creates a smaller stomach by cutting which has a similar effect. Additionally, the intestines are cut and rerouted so that the upper segment is "bypassed". This decreases the absorption of food which leads to faster and relatively easier weight loss. ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

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

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Stomach bypass surgery safe?

Stomach bypass surgery safe?

Mostly...: Modern bariatric procedures have become more standardized and safer. However, you need to go through a complete evaluation process to determine whether it is right for you. The most important decision is perhaps picking the right program with a good record. ...Read more

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What a lap incisional hernia?

What a lap incisional hernia?

Laparoscopic repair: Laparoscopic incisional hernia is repair of a hernia associated with a surgical incision by means of laparoscopic techniques. This entails use of small incisions, trocars, instruments that are placed through the trocars and repair of the hernia with the use of synthetic mesh or a biologic graft. Suture reapair is also possible but is typically reinforced by the mesh or graft. ...Read more

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Can you have gastric bypass after total colectomy?

Can you have gastric bypass after total colectomy?

Bypass: If you have extensive abdominal surgery such as a tital colectomy a gastric bypass is not a good choice for you however you can look into other options such as the band or the sleeve gastrectomy. ...Read more

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If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

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

Dr. Raj Kapur
749 doctors shared insights

Colectomy (Definition)

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