Doctor insights on:
Diagnostic Procedures For A Colectomy
What would be the reason for having a patient who's had subtotal colectomy with Ileostomy placement undergo a Fluroscopic Single Contrast Enema test?
Yes: The main types of operations for pancreatic cancer are for patients who have no evidence of cancer spread beyond the pancreas. The first kind, for tumors in the right side of he pancreas is called a Whipple operation. The second kind, for tumors in the left side of the pancreas is called a distal pancreatectomy. These are both major operations that can sometimes be done robotically. ...Read more
General anesthesia: Diagnostic laparoscopy involves small incisions and inflating the abdomen with CO2 so that the surgeon has room to examine and operate. This would be very uncomfortable if the patient wasn't completely asleep under general anesthesia. The abdominal muscles need to be completely relaxed for the patient's safety and for the surgeon to have good operating conditions. GA works very well. ...Read moreSee 1 more doctor answer
If a patient had total colectomy w/ileostomy placement, what would be the purpose in having them undergo a Fluoroscopic Single Contrast Enema Exam?
After the resection-: -the bowls R usually hooked up again 2 what remains. The colostomy is done 2 divert the contents of the bowls. This is what is done in the acute phase of diverticulitis. The study is 2 see how the anastomoses is doing. If it's a permanent colostomy, it's 2 eval the rectum & what's left of the colon. Tumors can B seen. If a temporary 1, if all is OK,the colostomy is taken down. ...Read more
See a GI doctor: As it is rare, other diseases should be ruled out first, and then see a GI doctor. Whipple's disease, which most commonly involves small intestine, is diagnosed by taking a biopsy from the lining of the small intestine by using an upper endoscopy. if the tissue sample show macrophages positive for periodic acid-schiff stain, the electron microscopy and then dna testing can confirm the diagnosis. ...Read more
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 moreSee 2 more doctor answers
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?
The Whipple IRE procedure: Will I be given a choice between an epidural (PCEA) or having a PCA at the anesthesiologist's pre-surgical consultation?
Multiple: This is quite possible but really depends on what the procedures are. ...Read more
Several types: • Several approaches are used for lung bx to obtain enough tissue for histologic exam. The simplest is the Needle biopsy. With local anesthesia a needle is guided through the chest wall into a suspicious area CT or CAT scan or fluoroscopy. A transbronchial biopsy is performed through a fiberoptic bronchoscope and a Thoracoscopic biopsy is used with general anesthesia and also allows bx. ...Read more
There is no surgery : For osteoporosis, but there are surgery for its complication two surgical treatments, vertebroplasty and kyphoplasty, may relieve pain from spinal compression fractures resulting from osteoporosis. In these procedures, a surgeon injects bone cement through a needle into the crushed spinal bones (vertebrae). If you experience a hip fracture because of osteoporosis, you will need surgery to fix it. ...Read more
Hard to know: You may mean cardiac bypass or gastric bypass. The question you should ask is "what are the risks and the benefits of this surgery? What would happen if you didn't do surgery?" it may be that a gastric bypass surgery is necessary in order to relieve symptoms or remove the pancreatic cancer. But ask the doctor to explain until you're satisfied you understand the answer! ...Read more
What laboratory exams are typically ordered to follow a year(s) after a successful colon cancer surgery?
Generally: Depending on a patient's overall health, once or twice yearly physical examination, basic blood tests, maybe yearly colonoscopy. Blood cea testing sometimes. Also depends on the stage & grade of the cancer at the time of diagnosis. X- ray or ct scan not a routine usually unless there are clinical concerns. ...Read more