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Doctor insights on: Constipation After Ileostomy Reversal

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Please tell me, could belive me it is possible to get ileostomy surgery for chronic constipation in which all of other treatment doesn't help?

Please tell me, could belive me it is possible to get ileostomy surgery for chronic constipation in which all of other treatment doesn't help?

Yes, but...: That would be a truly last ditch effort to treat an otherwise benign problem. In addition to the potential complications of the operation itself, the side effects and possible future complications are significant, and changes one's lifestyle forever. Seeing an experienced surgeon can help with options. If you've already seen one, go see another. ...Read more

Dr. Wayne Myles
282 Doctors shared insights

Ileostomy (Definition)

A portion of the small intestine attached to the abdominal wall in order to be able to go to the bathroom if something happened to ...Read more


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What is RENAL AUTOTRANSPLANT and how does it relate to an Ileostomy Reversal?

What is RENAL AUTOTRANSPLANT and how does it relate to an Ileostomy Reversal?

Here are some. ..: Organ auto-transplant is to move a locally damaged organ - intentionally or unintentionally - to a new site so such organ will / may continue to survive & function. For kidneys, such need usually takes place for insufficient ureter or artery. How is that related with ileostomy reversal? It would be most likely to make the shortened ureter to function. For individual situation, ask Doc. ...Read more

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What's the difference between an ileostomy reversal surgery and a Ileoproctostomy?

What's the difference between an ileostomy reversal surgery and a Ileoproctostomy?

Amount of bowel: Ileum to another section of small intestine if available to maximize absorption surface, or anastomoses to section of colon or rectum if no other usable small intestine. ...Read more

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What's the difference between an ileostomy reversal surgery and a Ileoproctostomy?

What's the difference between an ileostomy reversal surgery and a Ileoproctostomy?

Bowel connections: Ileostomy reversal takes down outside cutaneous opening of ilium (part of small bowel) and attaches it to another loop of bowel usually colon for internal connection. Ilioproctostomy specifically attaches ilium to rectum. ...Read more

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Are large intestines needed in order to have an ileostomy reversal? What other requirements would be needed?

Are large intestines needed in order to have an ileostomy reversal? What other requirements would be needed?

It depends on why you had the ileostomy.: The normal anatomy will have food going from the stomach through the small intestine into the large intestine. If you had a blockage, an abscess, a cancer, or some other obstructive phenomena that might not be reversible. If you just had something as a diversion procedure and the rest of the gastrointestinal tract is intact, then you may be able to have everything hooked back up again. ...Read more

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Is there a difference between an Ileostomy Reversal surgery and an Ileoproctostomy surgery? If so, what's the difference?

Is there a difference between an Ileostomy Reversal surgery and an Ileoproctostomy surgery? If so, what's the difference?

Colorectal Surgeon: The two surgeries you describe are very different. I am first going to presume you have an existing ileostomy.

An "ileostomy reversal surgery" does exactly what the name suggests. Your diverted segment of small bowel will be reconnected to the prior site.

A "ileoproctostomy" would instead take the small bowel and connect it directly to your rectum. ...Read more

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What's the difference between an ileoproctostomy and an ileostomy reversal?

Anatomy: An ileoproctostomy is a connection (anastomosis) between the ileum (distal small bowel) and the rectum. It is done after removing the entire colon. An ileostomy is a creation of an opening on the abdominal wall, then bringing the ileum to it and opening it so that the bowel contents empty into a bag. An ileostomy can be done without removing the entire colon and can be reversed when indicated. ...Read more

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I am going in for ileostomy reversal surgery in 5 days...How long and how difficult of a recovery can I expect?

I am going in for ileostomy reversal surgery in 5 days...How long and how difficult of a recovery can I expect?

4-6 week full recovr: You will feel sore for 7-10 days and then gradually get better. For full healing and strength to return to the wounds it will take 4-6 weeks. You will need to avoid strenuous activity during that time. ...Read more

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Can an ileostomy reversal be done if the entire colon is narrowed due to scarring?

Can an ileostomy reversal be done if the entire colon is narrowed due to scarring?

It can be done: But is probably not a good idea as a narrowed scarred colon usually doesn't function like a healthy colon and thus reversing the ileostomy will cause more problms than living with an ileostomy ...Read more

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Does an abscess at the point of hookup of an ileostomy reversal usually mean a permanent colostomy?

Does an abscess at the point of hookup of an ileostomy reversal usually mean a permanent colostomy?

Not always: I assume you mean an ileostomy that was taken down and reanastomosed. An abscess that appears within the first 10 days usually occurs from a leak. If the location is favorable, many abscesses can be drained through the skin using x-ray guidance thus avoiding the need for another operation and a colostomy. ...Read more

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What parts would a patient need to have in order to be a candidate for Ileostomy Reversal after having had subtotal colectomy w/Ileostomy placement?

Rectum: As long as at least some of the rectum is there. The possibility for ileostomy reversal exists. Ask you surgeon about your specific case. If your not satisfied with the answer, consider another opinion from a board certified colorectal surgeon. Hope this helps! ...Read more

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What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

What's causes an anastomotic leak in regards to failed ileostomy reversal surgery?

Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more

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What is Intestinal Postoperation Non-absorption? How would it relate to an Ileostomy Reversal surgery?

What is Intestinal Postoperation Non-absorption? How would it relate to an Ileostomy Reversal surgery?

Yes it might: Removing part of the intestines, specially the ileum can cause mal-absorption of nutrients and vitamins. Reversal of the ileostomy is just putting the intestines back to normal, which may improve the mal-absorption of nutrients and vitamins and water. ...Read more

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What exactly is an ileostomy reversal?

Reconnect intestine: This generally refers to the removal of an ileostomy (loop of intestine attached to the skin so stool can drain into a bag on the abdomen) and reconnection of the ileum to the colon or intestine (or in some cases creating an ileal pouch). It really depends on the exact circumstance of the ileostomy and what else was done. ...Read more

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In regards to tests performed for possible ileostomy reversal, what does this mean: scan to check that timing for reversal is correct?

Anastomosis intact: Purpose of an ileostomy is to allow function of small bowel when there is a colonic problem. If total colectomy, then an end ileostomy is performed If ileostomy is used to protect a distal colon resection where continuity is provided by a an anastomosis that may have compromised circulation the ileostomy protects the anastomosis. Until healing demonstrated by x-ray studies. ...Read more

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What tests (if any) is a surgeon required to have a patient get done before performing an ileostomy reversal surgery?

What tests (if any) is a surgeon required to have a patient get done before performing an ileostomy reversal surgery?

Depends: Depending on your medical issues, medications and recent past testing you may not need any new testing. Often surgeons will at least ask for a blood count to make sure you aren't really anemic (low red blood cell count) and that your platelet numbers are fine (too low and the risks of bleeding go up) and coagulation studies (if they are abnormal the risk of bleeding can go up too). Best of luck. ...Read more

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Pathology reports that a piece of small intestines was anastomosed with another piece of small intestines. Is that procedure for an ileostomy reversal?

Pathology reports that a piece of small intestines was anastomosed with another piece of small intestines. Is that procedure for an ileostomy reversal?

Yes: Reversal requires reconnection of the bowel and likely removal of part of prior stoma which is what was sent to pathology.
Ask your surgeon for details or a diagram. ...Read more

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I just had a ileostomy reversal and am dealing with bloating and gas, what can I do to relieve the pain of the build up of the excess?

I just had a ileostomy reversal and am dealing with bloating and gas, what can I do to relieve the pain of the build up of the excess?

Gas: Great question. You need to call your surgeon and let them know what you are experiencing to make sure this is normal after the procedure. They will be able to give you advice on a good diet and if there are pills to take ...Read more

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I have a temporary ileostomy from a total colectomy, how common are hematomas and infections or other problems in the reversal surgery site?

I have a temporary ileostomy from a total colectomy, how common are hematomas and infections or other problems in the reversal surgery site?

Ileostomy reversal: Although it varies slightly depending on exactly what kind of reversal will be done, surgical complications such as infection and hematoma are rather unusual these days. If you follow your surgeon's advice, they are unlikely to happen. If you have any problems after the surgery, be sure to contact the surgeon promptly. Good luck ...Read more

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Dr says he will do an ileostomy reversal by inserting a tube which he'll connect my stoma to 1 end & rectum to the other. Is that how a reversal is?

Dr says he will do an ileostomy reversal by inserting a tube which he'll connect my stoma to 1 end & rectum to the other. Is that how a reversal is?

No: An ileostomy is a safety valve in the proximal intestine to prevent intestinal content from reaching a stitch line in a lower segment of colon near the rectum where a tumor has been resected and the ends of colon stitched together. This safety valve can then be closed. When the stitch line has healed. The ends of the ileostomy are mobilized and resutured. ...Read more

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No large intestines, few inches of small. Can Dr do ileostomy reversal? Says I have more anal than he thought, will use 4 what I lack in intestines??

No large intestines, few inches of small. Can Dr do ileostomy reversal? Says I have more anal than he thought, will use 4 what I lack in intestines??

Uncertain anatomy: Unfortunately, there really is no way to know until the time of surgery. Estimates of usable remaining bowel, which may be noted on prior operative reports, is still an educated guess.

Assume that your stomach ends somewhere above your belly button, and draw an imaginary line between that and your anus. If this distance is greater than the "few inches" of small intestine, it may be a challenge. ...Read more

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SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?

SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?

Maybe: It depends on whether or not the rectum was removed or not. There's no reason to think you have a sphincter problem, and if that's true, along with the presence of the rectum, you may be able to get reversed. Without most of the colon, likely to have frequent BM's. see a colorectal surgeon for a more complete eval. Hope this helps! ...Read more

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Is there a difference in pelvic abscess and a stricture of the bowel after ileostomy reversal surgery?

Yes: Following reversal the bowel is reconnected and dropped back inside. If the new connection leaks or bacteria gets in, an abscess can form causing pain /fever (treated with antibiotics, drainage or more surgery). This and other problems like mild infections, scarring, kinking, recurrent disease, etc, can cause strictures (narrowing). If severe, that causes partial blockage, bloating, pain. ...Read more

Dr. Eric Kaplan
2,510 Doctors shared insights

Constipation (Definition)

Constipation is difficulty passing ...Read more


Dr. Troy Reyna
401 Doctors shared insights

Constipation (Child) (Definition)

The difficulty passing stool or infrequent stools. ...Read more