Doctor insights on:
Entero Enteral Fistula
A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more
Colon, infiltratng mod. Diff. Adenocarcna, ulceration, no lymphovasc. Invasn. Intestinal type enteric, distal sigmoid mass. Ok to delay surgery to feb?
Colon cancer: I would advocate having the procedure done as soon as technically possible waiting weeks is generally ok but not months , unless the delay is to undergo neoadjuvant therapy. ...Read more
Usually not: A fistula is an abnormal connection between 2 organs. A vesicovaginal fistula is a connection between the bladder and vagina. There is usually no pain and the symptom is uncontrollable leakage of urine; some patients are even unaware that the origin is from the vagina. ...Read moreSee 1 more doctor answer
Tough one!: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum. There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon. Often the area is called the rectosigmoid region so this leads to the confusion. There is no ileorectal sigmoid anastomosis. ...Read more
Location: The location of the tube tells which one it is. A nasogastric tube is a temporary tube placed through the nose into the stomach. It can be used to remove fluid from the stomach, or used for instilling liquid food. A gastrostomy tube is a surgically placed tube through the abdominal skin into the stomach, usually used for longer term nutritional liquid feeding. ...Read more
J pouch: Ileoanal reservoir surgery is something used if a person needs their entire colon removed due to disease such as ulcerative colitis. It is an internal reservoir made from the small bowel at surgery to help control your bowel function after colon removal surgery. J pouch is one form, and there have been some other pouches made. ...Read moreSee 1 more doctor answer
Tear vs tunnel!: Anal fissure is a very painful tear of the sensitive anal lining, while a fistula is an infected tunnel that connects inside with outside. Often a fissure will heal without surgery, while a fistula usually won't, but get checked if you think you have either if these painful anorectal problems. ...Read more
Yes: This type of surgery which includes removal of all the colon and then an ileo-rectal pouch anastomosi is used for complicated ulcerative colitis, with complications that can be bleeding, transformation to pre-cancerous changes, or pain and fevers with failure of medications. It can be a very successful surgery with very good results, as long as the surgery is performed by a specialist in this. ...Read moreSee 2 more doctor answers
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
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
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
Depends: This is highly dependent on why this surgery is indicated. If the person is not too elderly or have other risk factors such as crohn's disease or extensive cancer, then a j-pouch may be appropriate. This is performed by a trained surgeon who has the proper knowledge. Some patients do not have a choice due to their disease condition and will need an ileostomy. ...Read moreSee 2 more doctor answers