Doctor insights on:
Depends on: A lot of factors. Whether the operation is done via laparoscopy or open, whether there are any associated local problems, whether there are any co-existing medical problems, the person's age, general health status. In general, the hospitalization is about one week, time spent in home recovery is several weeks. ...Read more
Following a hemicolectomy, how long does it take before my patient can resume eating and taking fluids?
Can you tell me in what ways can a hemicolectomy affect the renal system or any other physiological systems?
Nothing long term: While during the perioperative period there could be a variety of systems temorarily affected, there shouldn't be any long term affects of removeing a segment of colon. Check with your surgeon to be sure about your specific case. ...Read more
How do I best prepare for a right hemicolectomy? Are pre-operative nutrition drinks and antibacterial showers recommended?
Colon Resection: The literal definition would be "removal of half of the colon", either left or right. This typically refers to cancer operations in which the extent of resection corresponds with the blood supply & lymph node distribution of the colon. In actuality, we usually perform "segmental" resections, typically removing 1/3 to 1/4 of the colon. ...Read more
Balanced: Typically, the first 2 weeks should be a low fat and low fiber diet with stool softeners. This reduces stretching on the new bowel connection. After this, a healthy balanced diet with fiber is recommended. There are studies that support using probiotics such as lactobacillus or acidophilus for improved function. Start probiotics after the first two weeks following surgery. ...Read more
6-8 weeks: 6-8 weeks.Get a more detailed answer ›
Varies: Very quick if it is a laparoscopic procedure and a bit longer for an open procedure. ...Read more
Adjustment: Diarrhea after hemicolectomy can occur. Remember the main function of the colon is to absorb water. When you remove a segment of the colon then the transit time changes. Keep a record of food that causes diarrhea. An adjustment time will let you find food to help. ...Read more
Cecum is the beginning of the right colon.
Cecum, ascending is on right, then transverse, descending is left colon, then rectum.
Hemi is about half.
Ectomy is removal of something.
So more colon removed than just a part of cecum! Why?
Not a very common operation? ...Read more
Different procedures: The terminal small bowel (ileum) enters into the rt. lower colon or cecum where the appendix is attached. If there is a small polypoid lesion of cecum or appendicitis one can resect a portion of the cecum and anastomose termnal ileum to rt. colon. In the case of cancer of the cecum, in order to remove draining nodes, the rt. colic vessesl are removed with nodes and a rt. hemicolectomy is done. ...Read more
Been having really sharp intense pains under my left rib for a few months now. Also, had an r hemicolectomy only 2 months ago. What do you think?
Need to work it up: Symptomatic treatment with antiinflamatory medications and additional work up to rule out post surgical collections of fluid, blood or pus, inflammatory changes at intestinal connection or even pneumonia. If the surgery was open, could consider rib pain from retractor used during surgery. I recommend to start by visiting your surgeon. ...Read more
2 years after left hemicolectomy, still have pain on left side, at times very sharp extremely constipated. Sometimes need heavy dose of laxitives.
Laxatives R not the-: -answer. U need stool softeners, as well as drinking lots of water. The colon does remove water from the stool, & fiber, stool softeners & lots of water. Many R available OTC & on line. My wife & I use friendly fiber from vita cost.com. Fiber + probiotics. Or talk 2 Ur PCP about this. ...Read more
Last may had a right hemicolectomy remove hgd polyp. Try schedule a 1st annual scope for april but surgeon wants a consult to see if 2nd scope needed?
Could be: If a cancer is found and you've consented to let the surgeon do what's needed once inside, a hemicolectomy when the clinical diagnosis suggests a cancer was found in the appendix or nearby, but there are other possibilities. If it is your colon, then your surgeon has a duty to explain. If it is someone else's, I'm not going to second-guess. ...Read more
Not necessarily: Other reasons for removing a portion of the colon when planning to do an appendectomy could include crohn's disease, cecal diverticulitis, or severe inflammation at the base of the appendix. However, rather than speculating, this question can be answered with 100% accuracy by asking the surgeon who performed this procedure. ...Read more
I had a right hemicolectomy last year then 6 months chemo. I am now having dietary issues following pains & bloating. Can you suggest a suitable diet?
Diet is not critical: There is no special diet after partial colectomy. Most such folks can eat what they like without. It is by trial and error. So try changing some of the items around,. Sometimes avoiding dairy foods(lactose intolerance) can be an issue, so try that. Your doctor can also give you some medication incase you have diarrhea or frequent bms. It should settle down with some experimentation on your own. ...Read more
Practice "Safe" Sex: There is nothing intrinsically dangerous about having sex after a right-colon resection. However, depending on the surgical technique, we don't want to overly stress the healing abdominal incision(s). Therefore, if you can have sex without any "heavy lifting", any time is fine. ...Read more
BRAT diet: The banana rice apple (sauce) toast (brat) diet may temporarily increase the consistency of your stools as well as the use of some medications to decrease motility. However, I am confident that your surgeon may have these readily available. In many instances the resorption capacity of your remaining colon will compensate over time as well. ...Read more