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Doctor insights on: Colectomy With J Pouch

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How can I keep my energy levels since I had a total colectomy with j pouch? Not anemic, B12 and thyroid are find.

How can I keep my energy levels since I had a total colectomy with j pouch? Not anemic, B12 and thyroid are find.

Fluids: You might be dehydrating since you have more bms and less time to reabsorb water with no colon. ...Read more

Dr. Raj Kapur
749 Doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...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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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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My son (22) had a colectomy, his colon was removed and subsequent J Pouch etc. He recently is very fatigue, weightloss etc could this be a b12 defiec?

My son (22) had a colectomy, his colon was removed and subsequent J Pouch etc. He recently is very fatigue, weightloss etc could this be a b12 defiec?

Unlikely: B12 absorption and the intrinsic factor that are involved in the process are all part of the small intestine function. The colon is more of a storage area, water retriever than anything else, so loss doesn't often give significant problems. Fatigue is a good reason for an office evaluation. ...Read more

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Had a subtotal colectomy over 8 yrs ago a j pouch resrction and part of my rectum removed due to ulcerative colitis and extetensive adhesions had a severe pain in rectum area and pelvic region had a complete hystotectomy also I have no ins.?

Had a subtotal colectomy over 8 yrs ago a j pouch resrction and part of my rectum removed due to ulcerative colitis and extetensive adhesions had a severe pain in rectum area and pelvic region had a complete hystotectomy also I have no ins.?

Hard to tell...: Without an examination. Pouchituts is a painful inflammation of the rectal pouch treated with antibiotics. Urinary bladder infection can cause pelvic discomfort. Adhesion form after all surgery & do not generally cause pain unless there is a bowel obstruction with vomiting & no bowel function. Needs a physician examination. ...Read more

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Are there other names for a j-pouch?

Are there other names for a j-pouch?

A few: Ileal pouch anal anastomosis (ipaa). Continent coloproctostomy. ...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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Can you tell me about j-pouch surgery?

Can you tell me about j-pouch surgery?

J-pouch: J-pouch surgery is a procedure used following the surgical removal of all of the colon and most of the rectum, usually in ulcerative colitis or marked hereditary colon polyposis. It is a procedure that uses part of the small intestine folded over and sewn into a new rectal pouch. It is a highly specialized surgery performed by well trained surgical specialists who perform this surgery regularly. ...Read more

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Can you tell me about the j-pouch surgery?

Can you tell me about the j-pouch surgery?

1 of several options: When ulcerative colitis causes chronic problems and not treatable by standard medications, the removal of the entire colon is usually recommended. This will leave the patient with either an ostomy (referred to as a "bag") or a pouch can be created and connected to the anus (called a continence procedure). The latter has potential problems, but many young patients prefer than to a bag. ...Read more

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What can you tell me about j-pouch surgery?

What can you tell me about j-pouch surgery?

J-pouch surgery: J-pouch is a term used for an operation that requires all of the large intestine (colon) to be removed, such as for ulcerative colitis. It is seldom performed for Crohn's disease. The pouch is made from the end of the remaining small intestine and connected to the rectum. It is a way to avoid a permanent ileostomy. Surgery performed by highly trained specialists. Needs good anal sphincter control. ...Read more

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What foods are allowed after j-pouch surgery?

What foods are allowed after j-pouch surgery?

Most foods: Most all foods are alright. Some people have annoyance with fatty foods or with stringy foods such as a lot of celery or raw lettuce. You may not want to eat too late at night to avoid urges of bowel movements at night. ...Read more

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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 ...Read more

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What to do if I have an ostomy, j-pouch, anything like that?

What to do if I have an ostomy, j-pouch, anything like that?

Vague question.: Not sure what you're asking. A colorectal specialist is a great source for information regarding expectations with j pouch. A general surgeon will be able to discuss stomata as well. Ask your doctor for assistance in locating such a professional. Good luck. ...Read more

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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. ...Read more

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Hi doctors, can you tell me what is it like to have a j-pouch?

Hi doctors, can you tell me what is it like to have a j-pouch?

J pouch: This is not a simple answer, you should speak with a colorectal surgeon, but typically you have more frequent bowel movements a day - ranges at best from 3-5 to 10 - 15 times a day. You can have pouchitis, bacterial overgrowth, and don't forget about the small but real risks of sexual dysfunction and incontinence from surgery. ...Read more

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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. ...Read more

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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. ...Read more

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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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What to do if I'm having surgery number two for a j-pouch, is there anything I should do to prepare?

What to do if I'm having surgery number two for a j-pouch, is there anything I should do to prepare?

Yes read about it: If you already has ileostomy stoma, You experienced difficulty of frequent bag changes Once you have pouch you don't need to do, but has to learn how to evacuate the contents with out getting injured. The stomal care team and your doctor will teach you your life style will be better Good Luck. ...Read more

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I have a j pouch. Now have uc in reconnective site. Flaring for months now. Suggestions? Help please?

I have a j pouch. Now have uc in reconnective site. Flaring for months now. Suggestions? Help please?

See GI/probiotics: This is hard to give advice for on the site. This will involve a careful discussion with your GI doctor and surgeon to determine best course of action. I would definitely go on probiotics if you haven't already. Good data that it helps with UC in pouch patients. You may need to go back on immune suppressants as well if a course of antibiotics does not help. Good luck! ...Read more

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What do you advise if I'm having surgery number two for a j-pouch, is there anything I should do to prepare?

What do you advise if I'm having surgery number two for a j-pouch, is there anything I should do to prepare?

Discuss with your surgeon: This is a complex discussion that should be done with your surgeon and your primary care doctor prior to any surgery. It is far too difficult to cover this topic in this short space. Wish you well. ...Read more

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What do you suggest if I'm having surgery number two for a j-pouch, is there anything I should do to prepare?

Healthy diet: Surgery #2 usually means closing the ileostomy. That usually means you are now off steroids, have gained your healthy weight back and are generally feeling good. Keep eating a healthy diet and exercising regularly. If you smoke stop. Follow your surgeons instructions. ...Read more

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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? ...Read more

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How is a j-pouch done?

The first steps: For the creation of a small intestinal pelvic pouch, also known as a j-pouch is to remove the colon and rectum.

Then the pouch is made by folding the small intestine into the shape of a "j" - and sewing the sides of each limb together. The base of the j is sewn to the anal muscles. ...Read more

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When is a j-pouch needed?

When is a j-pouch needed?

After removal of the: Entire colon and rectum. Many years ago people with diseases such as ulcerative colitis and familial polyposis required removal of the entire colon and rectum and needed an ostomy - a bag on th skin to collect stool.

Now we can create a j-pouch to create a reservoir to allow function without an external bag. ...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 can I expect after a j-pouch procedure?

What can I expect after a j-pouch procedure?

Crohn's or UC: Inflammatory bowel disease or colonic inertia require a pancolectomy--removal of the entire colon. The result is loose stool for 6-12 months, typically. And 1-6 bms/day. Stool bulking agents can lessen this issue, but the younger one is (<50 yrs old) the better the chance that this consequence will be mitigated with meds & diet & time. ...Read more

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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. ...Read more

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Are there alternatives to the j-pouch procedure?

Are there alternatives to the j-pouch procedure?

It depends.....: If you need your colon and rectum removed you can either have an ileostomy or pelvic pouch.

Depending on the reason for surgery there may be alternatives but for the restoration of bowel function - no bag - but nothing as effective as a pelvic pouch! ...Read more