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Doctor insights on: Diverting Colostomy Procedure

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What is a colostomy and is this a common procedure?

What is a colostomy and is this a common procedure?

A bag: This is a surgically placed bag on the abdomen used for some patients who have had colon surgery. These are common procedures. ...Read more

Colostomy (Definition)

A colostomy is a surgically created outlet of your colon to the skin. It is sometimes referred to as a 'bag' since a bag is placed over the colostomy to catch the ...Read more


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What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. How easy or hard is the reversal procedure?

What do you suggest if my dad has a loop colostomy, and is hoping to reverse it. How easy or hard is the reversal procedure?

Very simple: Various procedures are used to divert the bowel, in particular when a low surgical resection of the sigmoid colon is performed. Here the anastomosis is given a chance to heal by diverting food from the suture line. Loop colostomy has an opening on top of the loop which is repaired, the adjacent tissue opened so that the closed bowel can be dropped into the abdomen. ...Read more

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My father has a loop colostomy, and is hoping to reverse it. How difficult is the reversal procedure?

My father has a loop colostomy, and is hoping to reverse it. How difficult is the reversal procedure?

Simple: The loop is performed proximal to an anastomosis to allow it to heal. At the time of closure the proximal and distal parts of the opened loop are divided and at skin level the margins are anastomosed and then droped back into the now open loop site which is then closed at fascial and skin levels. ...Read more

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Is a turnbull-cutait procedure still done for mutiple pelvic abscess complications as a last attempt to avoid permanent colostomy?

Is a turnbull-cutait procedure still done for mutiple pelvic abscess complications as a last attempt to avoid permanent colostomy?

For low rectal Ca: Turnbull-cutait rectal pull through procedure is done for low rectal cancers, other wise need permanent colostomy has 20 failure rate 6 % local recurrence is rarely done with advent of staple surgery, can get much better margins, less morboty ...Read more

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My colostomy always leaks how can I stop this I have tryed e everything?

My colostomy always leaks how can I stop this I have tryed e everything?

Get to a: Qualified enterostomal therapist. There are many tricks and maneuvers available to prevent this from happening. ...Read more

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Is a colostomy painful?

Is a colostomy painful?

No: If the appliance fits well it should not be painful. There may be post surgical pain as with any surgery. Make sure you care for the ostomy to prevent skin breakdown. ...Read more

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How is colostomy treated?

Nursing: Nursing ostomy care instructions will be given on care and colostomy supplies. ...Read more

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What is a reversal colostomy?

What is a reversal colostomy?

Reconnection: The reversal procedure is to re-establish colonic continuity so the patient can again eliminate via anus. Keep in mind that not all ostomies can or should be reversed. ...Read more

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What is a transverse colostomy?

ABDOMINAL OPENING: The second part of the colon, which runs from the right upper quadrant to the left upper quadrant is appropriately named the transverse colon. If this part of the colon is brought up to the surface of the abdominal wall, as a stoma, it is a transverse colostomy. I hope this helps. Good luck. ...Read more

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How is a colostomy usually done?

How is a colostomy usually done?

Surgery: A colostomy is a surgical procedure where the colon is divided after which the upstream part is sewn to the abdominal wall so that the bowel contents can be collected in a bag worn on the abdominal wall, thereby bypassing the anus. This may be permanent (for low rectal cancer) or temporary (after emergency colon surgery). This may be done via laparoscopic or open surgery, depending on the reason. ...Read more

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What is a loop or end colostomy?

A form of diversion: A loop colostomy isusually used to protect an anastomosis used in the distal bowel. This prevents fecal contents from reaching the suture line and is constructed temporarily. An end colostomy is usually permanent and diverts bowel content from reaching the anal region following a cancer procedure. ...Read more

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Could colostomy bags be temporary?

Yes: In the presence of a permanent colostomy, especially if the colostomy is in the distal bowel, daily irrigations and wearing a gauze pad can replace the need for a bag. A colostomy nurse can train to irrigate. After a while the stoma will not function unless irrigation is employed. ...Read more

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How do I exercise with a colostomy?

Go for it: People are able to live full, active lives with colostomies in place these days. You always want to check with your doctor but folks play all sorts of recreational sports with colostomies. You'll get more comfortable with it as you get used to it. ...Read more

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For how long does a colostomy last?

Depends: If it is done as a permanent colostomy or a temporary colostomy. Colostomies will last you a life time but you may only need it temporarily. ...Read more

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Why would a colostomy be performed?

Why would a colostomy be performed?

Colostomy may: Be needed for cancers too close to the rectal muscles to maintain continence, or any time that stool needs to be diverted away from necessary healing in the low pelvis. The former is not reversible, the latter is. ...Read more

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Does a colostomy have to be permanent?

Permanent no: A colostomy does not have to be permanent. But some patients are better off if it is permanent if the anal sphincter is weak or if the stool is frequent etc. Individual choices need to be made. You are in iowa city so jefffields at u iowa in gastroenterology can help guide you. ...Read more

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What should I expect after a colostomy?

What should I expect after a colostomy?

Life goes on: Is it permanent? If so, you will need to make adjustments and expect some inconveniences. You will be able to do mostly anything. Work closely with a ostomy nurse from the start. Support groups are helpful with good tips. ...Read more

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How can I travel with a colostomy pouch?

Advanced Planning: Pack plenty of supplies, take them with your carry-on luggage; delays and lost luggage happen often when traveling. Identify stoma professionals at your destination; professional stoma societies have directories on the web. Special multi-lingual certificates and travel health insurance are also available from stoma societies. See your doctor before leaving: traveler's diarrhea is a special concern. ...Read more

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How difficult is it to recover from colostomy?

Simple: Creating a colostomy - especially using laparoscopic techniques is a safe procedure. Recovery is quick and the only thing required is to get familiar with how the colostomy works. If additional procedures are required at the same time the colostomy is created recovery will based on the specific procedures. ...Read more

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What to do if I have a problem with my colostomy?

Check with surgeon: There are many issues that can arise with a colostomy including leakage, prolapse, herniation, partial or complete obstruction and other problems. You should always check with your surgeon who performed the colostomy first. They may wish to treat or handle the problem. You may sometimes be referred to an enterostomal therapist for certain problems. ...Read more

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How do I care for the stomal area of my colostomy?

Keep it Simple: Michelle - I think you will find this handout helpful - http://www. Ostomy. Org/ostomy_info/wocn/wocn_basic_ostomy_skin_care. Pdf. ...Read more

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When should I change my colostomy pouch? How often?

Depends: Ask your caregiver about how often to change your colostomy pouch. The amount of time that you should leave your pouch on your abdomen depends on many things. The type of pouch you wear affects the amount of time you can wear a pouch. The kind and amount of stool you have also affects how long the pouch stays on. ...Read more

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What type food should eaten after colostomy closure?

What type food should eaten after colostomy closure?

Initially: For about 2 weeks I put patients on a low fiber diet post op. Then when I see them me back in office 2 weeks post discharge, I advance them to eat whatever they want but recommend hi fiber hi fluid diet. ...Read more

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What is the definition or description of: colostomy?

'bag': A colostomy is a surgically created outlet of your colon to the skin. It is sometimes referred to as a 'bag' since a bag is placed over the colostomy to catch the stool that exits it. ...Read more

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Will colostomy significantly change my lifestyle forever?

Takes time to adjust: It is a major shift in life and takes tremendous courage and tolerance. It is a shift in thinking. Dr.Remen has one she speaks about her life her website http://www. Rachelremen. Com/ktw. Html I was inspired by dr. Remen you might be able to connect with her regarding coping. ...Read more

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Am I likely to need a colostomy? If so, might it be permanent?

Am I likely to need a colostomy? If so, might it be permanent?

Depends on disease: In order to give you an adequate response, I need to know what your diagnosis is. I am going to assume it is a colorectal malignancy. A colostomy is performed when it is necessary to bypass or remove the distal colon, rectum, or anus, and it is not advisable or not possible to maintain integrity of the bowel. The ostomy is permanent if the distal rectum or anorectal sphincter is removed. ...Read more

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If I have a permanent colostomy, is there any possibility to reconnect?

If I have a permanent colostomy, is there any possibility to reconnect?

If it is: Permanent, no. The surgeon must have removed all of rectum. If it were temporary, then it can potentially be reconnected at later date. ...Read more

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How long will it take for me to be back to normal after my colostomy is reversed?

How long will it take for me to be back to normal after my colostomy is reversed?

It depends: If you needed the colostomy because the rectum was removed then bowel function can be irregular for up to two years. Sitting on the toilet for a longer time will help the "new" rectum empty. If you have your rectum and had the colostomy for a different reason, bowel function usually returns to normal in 3 months. ...Read more

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Why when you have a really a colostomy B be your food goes right to the bag immediately?

Why when you have a really a colostomy B be your food goes right to the bag immediately?

Usually not: The food travels through the intestines at the same rate with or without a colostomy. The feces then comes out directly in to the bag, along with gas. Ileostomy (small intestine) outp[ut tends to be liquid, and empties much faster than a colostomy. Hope this helps! ...Read more

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How should I change a colostomy bag?

Colostomy bag: Http://www. Wocn. Org/
this is a website and an excellent place to start to find all kinds of great information regarding this question. I think you should be able to find an ostomy nurse who is best qualified to help with your needs. Good luck. ...Read more