Doctor insights on:
Fatigue After Subtotal Colectomy
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
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?
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
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
Multiple subtotal colectomy (STC) since 2000. Have had diarrhea every BM every day for 14+ yrs. Have followed FOD MAP diet, probiotics, etc. Help!
Kathleen: Try taking two to three Immodium AD capsules (OTC) ...Read more
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
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 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
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
SURGEONS: If a patient who had a Subtotal Colectomy w/Ileostomy placement 13yrs ago, resulting in short bowel syndrome & frequent loose bowels, but was wanting an Ileostomy Reversal, what would do & Y?
Difficult question: To answer without knowing much more details. Why was that surgery done? What is the remaining anatomy? Remaining colon or rectum in place? Reconnecting an ileostomy after 13 years might not be well tolerated with resulting frequent diarrhea, poor anal muscle control, anal irritation & the surgery would not correct a short bowel condition. Need many more details to try to answer this question. ...Read more
What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?
Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?
Had a subtotal colectomy over 8 yrs ago a j pouch resrction and part of my rectum removed due to ulcerative colitis and extetensive adhesions had a severe pain in rectum area and pelvic region had a complete hystotectomy also I have no ins.?
Hard to tell...: Without an examination. Pouchituts is a painful inflammation of the rectal pouch treated with antibiotics. Urinary bladder infection can cause pelvic discomfort. Adhesion form after all surgery & do not generally cause pain unless there is a bowel obstruction with vomiting & no bowel function. Needs a physician examination. ...Read more
My father had cancer colon and did subtotal colectomy, liver metastasis and intestinal leakage occuerd, ileostomy was done. Can reanastomosis done?
My son (22) had a colectomy, his colon was removed and subsequent J Pouch etc. He recently is very fatigue, weightloss etc could this be a b12 defiec?
Unlikely: B12 absorption and the intrinsic factor that are involved in the process are all part of the small intestine function. The colon is more of a storage area, water retriever than anything else, so loss doesn't often give significant problems. Fatigue is a good reason for an office evaluation. ...Read more
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
The suffix: When a word ends in ectomy it refers to removal of:an organ such as colon in colectomy and kidney in nephrectomy, When the word ends in oscopy it refers to examination of an organ with a device or scope such as in endoscopy, laryngoscopy, proctoscopy. Colonoscopy refers as such to examination of the colon with a colonoscope. ...Read more
Varies: This depends on the reason for the colectomy, the approach used. In general, one should be stool within a matter of days. If not, it is possible that there is another reason at work and further evaluation should occur. If you have been operated upon many times before, the operation may have been difficult and slow you intestine is slow to recover. The length of time postoperatively is importan. ...Read more
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