Doctor insights on:
Ileo Anal Pouch
Tough one!: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum. There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon. Often the area is called the rectosigmoid region so this leads to the confusion. There is no ileorectal sigmoid anastomosis. ...Read more
Easy BM diet: Fissure is a tear in the lining of your anal canal. You need to minimize mechanical stress/ trauma of defecation to heal. Any food known to give you constipation or loose bm should be avoided. Many find adjusting the amt of fiber supplement helpful in achieving the bm consistency that don't hurt as much. Sitz bath and otc meds can promote healing too. If nothing helps, see your doc. ...Read moreSee 3 more doctor answers
Colonoscopy revealed grade 1 external hemorrhoids, hypertrophied anal papilla (3mm), & tortuous sigmoid colon. Please explain what this all means.
Fairly normal: These can all be common and benign findings. Grade 1 are tiny hemorrhoid veins located at the anal opening & needs no treatment. Hypertrophied papillae means enlarged skin structures at the anal opening that need no treatment. Tortuos colon just means there are extra turns in the colon & no treatment. Avoid constipation. Eat more fiber. See your GI doctor for follow up. ...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
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
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
It may...: The bowel sliding into hernia sac may at time become incarcerated with no hope to slide back to abdominal cavity; this condition definitely causes bowel obstruction, called incarcerated hernia, and requires emergent surgery. How to handle sickness correctly? Follow suggestion in articles listed in http://formefirst.com/onDealSickness.html. Best wish to health... ...Read more
Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more
Folds of the bowels: Your body has about 20 feet of small intestine (small bowel) and 5 feet of large intestine (large bowel). The intestines are folded and form loops to fit into the abdomen. Large bowel loop refers to the folds of the large intestine and small bowel loops refers to the folds of small intestine. This reference is usually made during xray or CT imaging done. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Not likely.: Anal cancer can result from chronic irritation from condyloma acuminata, perianal fissures/fistulae, chronic hemmorrhids, leukoplakia, and trauma from anal intercourse. This presents with a triad of bleeding, pain, and perianal mass. Anal fissures, by themselves, do not lead to cancer, but if they are caused by some chronic process (anal intercourse), the epithelium react and can become cancer. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Colon cancer, 2006, multiple incisional hernia repair, 2007, heart attack 2008, gall blabber surgery 2009, small bowel repair, radiation burns (8inchs?
Stool in small Intestine means obstruction?Ct shows intussusception & stool in small intestine ,stool seen in exploratory surgery,surgeon did nothing
I have 2to hernias from colon resection (hemicolectomy) which surgeon should correct TSH and incisional hernia with transverse colon in umbilical site? Colon or hernia specialist
27/f, sigmoidoscopy results- internal hemorrhoids + mild erythma & petechiae in sigmoid colon & distal rectum. Took biopsies. What does this mean?
My anal sphincter size has reduced due anal fissure & int. & ext hemorrhoids too .Can the size of sphincter b regain without any operation & dialtion?
Yes: Your anal sphincter will never reduced in size it feels that way because the muscle spasm associated with the anal problem you have .the only thing that will reduce the size of your sphincter is scars from surgery use a sirz bath by sitting in a hot water in the tub that will relax your muscle ...Read more