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Doctor insights on: Colon Perforation Surgery

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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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Dr. Stephen Scholand
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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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. Patricia Foster
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