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Doctor insights on: Diagnostic Procedures For A Colectomy

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If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more

Dr. Raj Kapur
742 doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more


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How should I prepare for a total colectomy?

How should I prepare for a total colectomy?

Good bowel prep: Otherwise have good family support. I usually have patients take mag citrate 300ml times two starting 12 pm day before on liquid diet, morning of surgery a fleets enema. ...Read more

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Will i lose or gain weight after a colectomy?

Will i lose or gain weight after a colectomy?

Initially: You will lose a lot of weight depending how long until you can restart diet and you will need extra calories to recover. ...Read more

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What is the definition or description of: colectomy?

Colon resection: It can mean removal of part or complete colon with or without the rectum. ...Read more

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Post colectomy instructions...Diet, sex, return to work?

Post colectomy instructions...Diet, sex, return to work?

They are: And should have been instructed to you by the surgeon. We all have our own preferences for these things. Depends on how extensive and what portion of colon for diet . But my patients are usually at regular before leaving hospital. ...Read more

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Is it normal to gain weight after a right hemi-colectomy?

Sure: If you eat more and do less activity you will gain weight. If immediate post op or near surgery time it may be water retention which will eventually pass. ...Read more

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Hi my husband had a colectomy now ever since the op he gets black outs do we need to worry?

Hi my husband had a colectomy  now ever since the op he gets black outs do we need to worry?

Post op complication: If he has had major surgery and is now experiencing 'blackouts' he needs to be seen. ...Read more

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I have had a laproscopic colectomy and stil having a gripping pain inside what's wrong?

I have had a laproscopic colectomy and stil having a gripping pain inside what's wrong?

Need for workup.: It sounds like you had this pain prior to your colectomy so its unlikely due to the surgery. It is very hard to say what is the cause of your pain without more information. You will likely need further medical workup. ...Read more

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Constipation after a colectomy?

Constipation after a colectomy?

Yes: Could be ileus or obstruction depending on timing after surgery. Also is taking lots of narcotics this can leadto constipation. Best is to see surgeon. ...Read more

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