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Doctor insights on: Colon Perforation Surgery

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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Dr. William Singer
13 doctors shared insights

Colon (Definition)

The colon is another term for the large intestine. This is the final portion of the digestive system, responsible for absorbing water and storing stool before evacuation. It is divided into sections described as cecum; ascending, transverse, descending and ...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 colon polyps rupture?

Can colon polyps rupture?

Not typically: Polyps are solid masses of tissue. Usually when we speak of a body part rupturing, it is a hollow structure like an aneurysm, a cyst. ...Read more

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Is colonic irrigation following bowel resection normal?

Is colonic irrigation following bowel resection normal?

Not sure: Not sure what kind of surgery you had, but colonic irrigation is not usually done after bowel surgery. You should ask your surgeon specifically what type of surgery you had and why. ...Read more

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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

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

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Does colon tumor cause perforation?

Does colon tumor cause perforation?

It can: If a tumor enlarges it can lead to an obstruction. If the obstruction persists, than a perforation can occur. Also it not necessarily the size of the tumor, it is how far it penetrates through the bowel wall. Another important reason to have a colonoscopy when needed. Hope this helps. ...Read more

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Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

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 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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Appendix, colon cancer and abdominal hernia mesh implant scar tissue causing periodic bowel obstructions. Can anything be done about the scar tissue?

Appendix, colon cancer and abdominal hernia mesh implant scar tissue causing periodic bowel obstructions. Can anything be done about the scar tissue?

Yes: Imagine your intestines are like a rope in a bucket with glue poured over them. The glue would represent the scar tissue, and could be holding a single part of the intestine in a position that makes it prone to twist and intermittently obstruct. This can be released with an operation, best attempted laparoscopically (open causes comparatively more scar tissue). Can't remove scar tissue though. ...Read more

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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 colon anastomotic ulcer treatible?

Is colon anastomotic ulcer treatible?

Depends: Most colon anastomotic ulcers are chronic due to poor blood supply to that area. Usually not serious. If you have crohns, the ulcer could represent recurrent disease and escalating treatment should be considered. ...Read more

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Appendix, colon cancer and bdominal hernia mesh implant surgeries. Lots of scar tissue causing bowel blockages. Can anything be done about it?

Appendix, colon cancer and bdominal hernia mesh implant surgeries.  Lots of scar tissue causing bowel blockages.  Can anything be done about it?

Significant problem: There are no known medical treatments for adhesions. Once formed, there isn't medicine that can dissolve them. Symptomatic treatment with pain & anti-nausea meds may be helpful at controlling some of the symptoms. The main stay of treatment is surgical therapy called adhesiolysis or lysis of adhesions. Adhesions can be divided using laparoscopic techniques which may relieve your symptoms. ...Read more

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Bowel perforation outlook good after tubal?

Bowel perforation outlook good after tubal?

Yes: Assuming the perforation was recognized and treated promptly, the outlook is fine. ...Read more

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Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.

Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.

Possibly: From what you describe, it sounds like surgery is a good option. If this is the first episode of diverticulitis, then the doctor may give antibiotics a try and determine later if surgery is required. Usually surgery is needed at some point. ...Read more

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Can you tell me about surgical resection of ascending colon in Crohn's colitis?

Can you tell me about surgical resection of ascending colon in Crohn's colitis?

Major surgery: Partial resection of the colon is a major operation that can be done open or laparoscopically. Usually it is a 2-4 hour operation associated with a 2-5 day stay in the hospital. Disorganized vowel function could keep you in longer. These major resection related risk is that the connection leaks, which happens infrequently, but can be a life threatening situation. Hope this helps! ...Read more

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Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?

Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?

Not frequent: If stricture develops may be due to recurrences of disease, balloon dilation may help, will require resection for better out come. ...Read more

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Does it matter if my colon perforation is from tumor or infection. I didn't have screening before surgery. T3nomo? No chemo.

Does it matter if my colon perforation is from tumor or infection. I didn't have screening before surgery. T3nomo?  No chemo.

Yes: Perforation from tumor increases the risk of recurrence locally- since this implies spillage of tumor in the region. Infection if controlled and treated should not. Tumor perforation usually considered t4. ...Read more

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Can you get transverse colon perforated-from having surgery?

Can you get transverse colon perforated-from having surgery?

Sure: Iatrogenic injuries can occur during any surgery and any portion of intestine can get injured. ...Read more

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My mom has stage 4 breast cancer, last month had to have emergency surgery for a perforated colon. She is not healing even with a wound vac?

My mom has stage 4 breast cancer, last month had to have emergency surgery for a perforated colon. She is not healing even with a wound vac?

Use high suction: Stage 4 Breast Ca may not be contributing if she is in good shape and not on chemo which impedes healing. If bowel perforation is from diverticular disease and not from disease, if problem is drainage, the Vac should be on high suction and patient given hyperalimentation to improve healing of wound. ...Read more

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What to do if I have colon resection surgery?

What to do if I have colon resection surgery?

Question not clear: I am not sure what you're asking. Please clarify your question we ask. ...Read more

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If I have a surgery for my colon, will I end up with a colostomy?

If I have a surgery for my colon, will I end up with a colostomy?

Not necessarily: It depends on where in the colon your surgery is and for what indication ie cancer or benign disease. Sometimes the colostomy is temporary as the surgery may be 'staged' into two or more operations. You should consult your surgeon regarding the specific indications for the surgery and alternative options. The majority of colon operations are completed without a colostomy. ...Read more

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Is it normal to have bleeding after a few month after a colon surgery?

Is it normal to have bleeding after a few month after a colon surgery?

No: Melena or hematochezia are not normal. Difference is one is black blood and other is red blood. Depends if blood is when you wipe, before or after bm or during, lots of factors but you should go and see your gastroenterologist. ...Read more

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After colon surgery I have a 5 mm restriction, will it correct by itself?

May need help: Not sure if 5 mm is the size of the restriction ('stricture') or the lumen thru the stricture. 5 mm is not much if this is all the stricture represents. If the lumen is narrowed to 5 mm - you may need therapy and a GI doctor or surgeon might try balloon dilation to widen this area. If this does not work, another surgery may be necessary to prevent obstruction. I am sorry this happened. ...Read more

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Why does a severely redundant loopy distended colon spasm and cause nausea? Is surgery an option?

Why does a severely redundant loopy distended colon spasm and cause nausea? Is surgery an option?

Depends on function: The therapeutic approach depends on colon function. An elongated colon may work perfectly well, & therefore require no "treatment." a sluggish colon may respond to prokinetics (designed to speed up movement of material through colon). Colonic inertia that is refractory to prokinetic rx may benefit from "colon reduction" surgery. Sitz marker testing, defecography, anal manometry studies can help. ...Read more

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Mucus with blood, Is it possible because of my internal hemorriods? I did a surgery in 2011 to remove them, colons-copy done in 2012

Mucus with blood, Is it possible because of my internal hemorriods? I did a surgery in 2011 to remove them, colons-copy done in 2012

Possible: But blood with mucous can also be colitis - infection or inflammation of the colon. All blood should be evaluated. You did not say how much or how often, but this is still active, it is a good idea to have this checked. Hemorrhoids benefit from Sitz baths, increased fiber, increased fluid intake, so would also add those as a regular regimen. ...Read more

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Can you tell me what to do if i had my colon removed a few months ago and am having the pull through surgery next month. What will the "butterfly" ostomy look like?

See illustration: After a continent ileal pouch, which allows the rectal muscles to be spared, but instead of a large intestine to store stool, a pouch is created with the small intestine. The connection to the rectum must be protected by a diverting ileostomy, usually a loop ileostomy. A picture of this is shown at the following URL: https://www.c3life.com/ostomy/ostomybasics/loopstoma/ ...Read more

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Soft foods diet after colon open surgery?

Soft foods diet after colon open surgery?

Maybe: I usually have my patients in regular diet before they leave the hospital. By the time the food transits into colon it is digested anyway and mechanical soft diet won't matter. ...Read more

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How can they clean your colon before colon surgery?

How can they clean your colon before colon surgery?

Bowel Prep: There are several medications and preps that can be prescribed to clean the colon or prep the colon before surgery. Some surgeon's do not prep the colon before surgery as there is some evidence of no benefit to this practice. ...Read more

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Could nerves re-attach after colon surgery with pain involved?

Could nerves re-attach after colon surgery with pain involved?

Possible: It is possible for nerves to grow and for cut ends of a nerve to 'find each other.' but, this is a slow process. The pain should abate with time after a surgical incision and the work done inside. Sometimes scar tissue or 'adhesions' may develop which can also be a cause of pain and discomfort. I am sorry you are having pain issues after your surgery. ...Read more

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Do you think I should have colon surgery for precancerous lesions?

Do you think I should have colon surgery for precancerous lesions?

Yes: If unable to remove the lesion endoscopically you need to have it surgically removed as colon polyps are believed to progress into colon cancers. ...Read more

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What is the definition or description of: colon and rectal surgery?

What is the definition or description of: colon and rectal surgery?

Colorectal Surgery: Colon and rectal surgery does not have a particular definition. In fact, it is a medical specialty that deals with problems in the colon, rectum, and anus. A sampling of diseases that fall in this realm are colon cancer, rectal cancer, inflammatory bowel disease (such as ulcerative colitis or crohn's), rectal prolapse, hemorrhoids, anal fistulas, and more). Not all of these require surgery. ...Read more

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What are some normal/abnormal effects after a colon surgery part 2?

What are some normal/abnormal effects after a colon surgery part 2?

Establish continuity: The second part of a colectomy usually refers to re establishing continuity when resection is not followed by re anastomosis. By establishing continuity there should be normal bowel movement but this could be hampered by the healing process of the anastomosis. If low down with inadequate blood supply occasionally a leak can develop or if inflammation sets in there can be a stricture. ...Read more

Dr. Eric Weisman
12 doctors shared insights

Colonic (Definition)

This is a combining term referring to some condition, treatment or disease of the colon. Such as colonic enema, colonic ...Read more