Doctor insights on:
How Long Should I Be Off Prednisone Before I Have My Illiostomy Reversed
Depends: A patient can go home in as little as 24-48 hours after an ileostomy. Many factors are involved such as the underlying reason for the ileostomy, method of creation (open vs laparoscopy), patient age, social support at home, other procedures at the same time, etc. The most important determinant is the resumption of normal bowel activity. ...Read more
Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more
Depends: If you are having a full abdominal surgery with intestinal removal, then a few days in the hospital and 6 week recovery with gradual increasing activities would be common. If it is only an operation for repairing or revising an ileostomy, then it would be a shorter surgery and return to home the same day with quicker return to normal. If the surgery is laparoscopic, then recovery would be faster. ...Read more
2 weeks to 1month: Ileostomy is usually performed for obstructing cancer or blockage. Also for ulcerative colitis. After having an ileostomy the incision will heal from the inside. The sutures will last about 1 month. Watch your diet and fluid intake. Too much output from ileostomy can make you dehydrated. ...Read more
Depends: This would depend on why that surgery was needed, overall health condition, medications such as Prednisone (steroids), etc. May be 3-6 months but entirely dependent on above conditions & evidence that everything is fully healed & recovered internally (such as intestinal pouch integrity, etc). ...Read more
I am going in for ileostomy reversal surgery in 5 days...How long and how difficult of a recovery can I expect?
Not really: A loop ileostomy is an ostomy where both upstream and downstream ends of the bowel come through the same opening in the abdominal wall. It can be different in terms of what segment of bowel is used. It usually allows for a simpler closure of the ileostomy and a shorter recovery time following pouch surgery. ...Read more
Controllable: An ileostomy is placement of the end of the small intestine out of an opening made in the abdominal wall. Most of these will drain or empty spontaneously, without any control. A valve can be constructed at the opening of the intestine (stoma) which will allow no drainage unless a catheter is passed into the opening--we call this a "continent" ileostomy. ...Read more
Yes: There is primarily one type of ileostomy commonly performed, the straight or brooke ileostomy. I am not sure if many are performing a koch pouch ileostomy anymore, which is a type of pouch used under the skin. ...Read more
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
Hernias may form: Yes, it is possible to develop a hernia around the stoma if you do anything that uses your abdominal muscles since the ileostomy goes through the rectus muscle. A hernia may develop around the stoma site. I would definitely limit the amount of weight you lift at a time and try to limit the use of your rectus muscles if possible. ...Read more
What is Intestinal Postoperation Non-absorption? How would it relate to an Ileostomy Reversal surgery?
Yes it might: Removing part of the intestines, specially the ileum can cause mal-absorption of nutrients and vitamins. Reversal of the ileostomy is just putting the intestines back to normal, which may improve the mal-absorption of nutrients and vitamins and water. ...Read more
If a patient has Crohn's disease would the disease have to be in remission before an ileostomy reversal?
If there is no large intestines and no rectum, is it possible to have Ileostomy Reversal or Ileoproctostomy? Why
No: You need to have at least 5 cm of a healthy rectum to hook any large vowel or small one ...Read more
I have been feeling unwell and have an ileostomy bag and keep getting bladder infections. I'm starting to worry.?
Possible fistula: The question would be why do you have an ileostomy Recurrent urine infections can be caused by many things. In males it's less common One cause could be a connection to part of your go tract and your bladder causing bacteria to enter your bladder. Another cause may be your bladder is not emptying properly because of the surgery you have had. You will need an exam and probably a cat scan to evalua ...Read more
What tests (if any) is a surgeon required to have a patient get done before performing an ileostomy reversal surgery?
Depends: Depending on your medical issues, medications and recent past testing you may not need any new testing. Often surgeons will at least ask for a blood count to make sure you aren't really anemic (low red blood cell count) and that your platelet numbers are fine (too low and the risks of bleeding go up) and coagulation studies (if they are abnormal the risk of bleeding can go up too). Best of luck. ...Read more
Entire Large intestines & rectum removed. Brooke Ileostomy created. Can Brooke Ileostomy later be reversed using the rectal stump?
Your PMD..: Your PMD/Surgeon will answer it better.....too many variables. .....not disclosed. ...Read more
Hi, I have had an operation and lost a lot of weight. What can I eat to regain the weight, bearing in mind I now have an ileostomy bag?
This can depend: Depending on co-existing medical conditions such as kidney disease, diabetes or so fat malabsorption conditions this answer can vary widely. Discuss with your surgeon first and he/she may refer you to a nutritionist for further guidance. There are many supplement shakes on the market that can help add calories to your diet will not necessarily increasing the bulk of your stool. ...Read more
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
When a permanent irriversible ileostomy surgery is performed, does it matter what side the ostomy site is placed? (Left or Right lower quadrant)
My medical records for a recent failed Ileostomy Reversal surgery, indicates that cocaine was used. What would be the reason for that? Legal? Common?
Correct drug: Are you sure it was not codeine? ...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
I've had an Ileostomy 4 over 13yrs after having SubColectomy & most of my small intestines removed. There's a 2nd stoma developing @ Ostomy site? Why?
See your Surgeon: This is a very complicated surgical history. You need to follow up with your surgeon. ...Read more
L had Crohn's Disease for 25 years so in May I had to have a ileostomy. After having a recent blood test my Gamma levels were raised is this normal?
Yes: The albumen/globulin test is often abnormal in "auto-immune" disorders which Chron's is thought to be an example! ...Read more
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