Doctor insights on:
Colectomy With J Pouch
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
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
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
I had a colectomy & j pouch surgeries this year. Since I do no have my large intestine, will this affect the effectiveness of the birth control pill?
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
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
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
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
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
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
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
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
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
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
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
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 suggest if I'm having surgery number two for a j-pouch, is there anything I should do to prepare?
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
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
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
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