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Doctor insights on: Hemicolectomy For Cecal Volvulus

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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy. ...Read more

Dr. Adam Lewis
50 doctors shared insights

Volvulus (Definition)

A condition in which a loop of intestine twists, cutting off blood supply to the part of the intestine beyond the twisted area. It is seen as an emergency because the twisted loop ...Read more


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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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Can ulcerative colitis after having colostomy reversal surgery?

Can ulcerative colitis after having colostomy reversal surgery?

Not to worry: If there is no history of ulcerative colitis in the past there is no reason to believe a reversal procedure will precipitate one. If you did not have ulcerative colitis before surgery you don't have to worry about it after. ...Read more

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Is a colon resection always necessary following an acute diverticular abscess?

Is a colon resection always necessary following an acute diverticular abscess?

No, but...: ...Each case is unique, and depends on your history of prior diverticulitis, risks of recurrence, underlying complications, response of abscess to conservative management, co-morbidities, etc. ...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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Is surgery needed for spastic diverticulosis + severe narrowing of luminal + severe diverticulosis in a patiient with IBS. Colonostopy +Barium failed?

Is surgery needed for spastic diverticulosis + severe narrowing of  luminal + severe diverticulosis in a patiient with IBS. Colonostopy +Barium failed?

Surgery not for IBS: This may only be a partial answer to your question. Surgery is not indicated for IBS or "spastic colon". IBS is a functional disorder and cannot be cured by the knife. It must be managed in more conservative ways. Now if there is luminal narrowing of your colon, you must get seen to find out why and it is possible that surgical intervention may help depending on the etiology. ...Read more

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Is colonic irrigation following bowel resection normal?

Is colonic irrigation following bowel resection normal?

Not sure: Not sure what kind of surgery you had, but colonic irrigation is not usually done after bowel surgery. You should ask your surgeon specifically what type of surgery you had and why. ...Read more

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Colostomy surgery 3-2011 for colon/bladder fistula&divticulits. Now test shows stricture. Is it for sure stricture a result of reoccuring diverticuli?

Colostomy surgery 3-2011 for colon/bladder fistula&divticulits. Now test shows stricture. Is it for sure stricture a result of reoccuring diverticuli?

No: Recurrent diverticulitis after surgery is less than 15%. Stricuring after colon surgery is more likely due to scarring at the new intestinal connection. A gastroenterologist mat be able to dilate the anastomosis if it is causing you any problems or symptoms. If it is causing you no symptoms, then it may just be able to be observed. ...Read more

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Which is best after colectomy: ileostomy or j-pouch?

Which is best after colectomy: ileostomy or j-pouch?

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 more

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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

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How long to wait for safe colonoscopy after colon resection? Polyp in rectum, blood in stool, no stoma.

How long to wait for safe colonoscopy after colon resection? Polyp in rectum, blood in stool, no stoma.

Coordinate: With your surgeon & your gastroenterologist. Maybe wait 4-6 weeks after surgery, but would be best to get the approval from your surgeon who knows your condition in detail, before having colonoscopy. ...Read more

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Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?

Ulcerative colitis: All of the biopsies from colonoscopy showed inflammatory changes consistent with ulcerative colitis. The later is part of the spectrum of IBD but involves only the mucosal layer of the bowel. Chrons disease is a form of IBD that involves all layers of the bowel and can be recognized on scans of the bowel or deeper layers of bowel on bx. ...Read more

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Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.

Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.

Possibly: From what you describe, it sounds like surgery is a good option. If this is the first episode of diverticulitis, then the doctor may give antibiotics a try and determine later if surgery is required. Usually surgery is needed at some point. ...Read more

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Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

No, not common: Bowel obstruction can occur due to post op adhesions(uncommon) or tumor left behind(this will happen if the cancer was advanced/late stage. Your doctor will have to sort out which of these two possibilities apply to your case. ...Read more

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Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

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 more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more

Dr. Raj Kapur
749 doctors shared insights

Colectomy (Definition)

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