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Doctor insights on: Fatigue After Subtotal Colectomy

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If subtotal colectomy with creation of Brooke Ileostomy placement has been performed, would the rectal stump still be present or is it removed?

If subtotal colectomy with creation of Brooke Ileostomy placement has been performed, would the rectal stump still be present or is it  removed?

It is often: preserved if a REHOOK-UP is the plan! Speak with your surgeon..this should not be an unanswered question!! Hope this helps! Dr Z ...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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If someone has had subtotal colectomy w/Ileostomy placement, can a partial colectomy be performed later on down the road? And what's the difference?

If someone has had subtotal colectomy w/Ileostomy placement, can a partial colectomy be performed later on down the road?  And what's the difference?

Big difference : A subtotal colectomy is removing almost all the colon; usually just a couple of inches are left near the rectum. A partial colectomy is not done AFTER a subtotal colectomy because there is basically no colon left. A partial colectomy implies that only a segment of colon is removed, like the right or left, and a good amount of colon is left. ...Read more

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Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?

Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?

Yes: After removal of all colon to the peritoneal reflection or just below, there is a stump of distal bowel that remains. In many cases the surgeon can anastomosis proximal bowel to the anal stump at the levators . (the muscles of the rectal sphincter). If an exiting ileostomy is present, a pouch can be formed and anastomosed to the region just above rectum. ...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?

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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If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?

If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?

It depends : This is a difficult question to answer without more data. Assuming they had some sort of small bowel resection and truly has "short gut," then reconnecting to a rectal stump will likely not improve the condition, as the rectum does not provide adequate nutritional absorption (mainly just water resorption). This needs to be discussed with a general surgeon along with radiographic evaluation. ...Read more

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What would be the reason for having a patient who's had subtotal colectomy with Ileostomy placement undergo a Fluroscopic Single Contrast Enema test?

What would be the reason for having a patient who's had subtotal colectomy with Ileostomy placement undergo a Fluroscopic Single Contrast Enema test?

Many reasons: If it was subtotal colectomy with anasthomosis to rectum and protective iliostomy then most likley it's to check the anasthomosis prior to iliostomy closure ...Read more

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What would be the approx life span for someone that has intestinal malabsorption due to subtotal colectomy, Ileostomy placement, short bowel syndrome?

What would be the approx life span for someone that has intestinal malabsorption due to subtotal colectomy, Ileostomy placement, short bowel syndrome?

Maybe long: The colectomy and ileostomy will not typically shorten life expectancy. Short bowel syndrome may shorten life span, but it depends on severity. There are a few centers in the US that perform bowel lengthening procedures and small bowel transplant. Ask you surgeon about the severity of the short bowel, and think about support groups for ileostomy help. Hope this helps! ...Read more

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I had a Subtotal Colectomy with Ileostomy placement in 2001 in which ALL of my Large Intestine and most of my Small were removed. This year 13yrs later, after being told I was a candidate for an Ileostomy Reversal surgery during a Consultation visit with

I had a Subtotal Colectomy with Ileostomy placement in 2001 in which ALL of my Large Intestine and most of my Small were removed. This year 13yrs later, after being told I was a candidate for an Ileostomy Reversal surgery during a Consultation visit with

Finish question: Your question was cut off because only a limited number of characters can be used. Re-ask and try to shorten some (& for and, "After" instead of "I had a", w/ for with, etc. It's tough if you have a complicated question. We have limits to and it's tough for us to answer fully as well! ...Read more

Dr. Michael Rothman
1,268 doctors shared insights

Lethargy (Definition)

Lack of energy, ...Read more