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Doctor insights on: Ileostomy And Phantom Rectum

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Can a loop ileostomy be reversed if there's no active Crohns but a lot if scare tissue in the rectum?

Can a loop ileostomy be reversed if there's no active Crohns but a lot if scare tissue in the rectum?

Possibly: Whether this can be done depends on how much scar tissue there is around the rectum. Your surgeon and gastroenterologist will be important resources to help you answer this question. ...Read more

Rectum (Definition)

The rectum is the last portion of the GI tract where the colon ends. It is heavily muscled and generally remains contacted to control the colonic contents but is under conscious control when a ...Read more


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Could I still pass gas out of rectum with an ileostomy?

Could I still pass gas out of rectum with an ileostomy?

Yes absolutely: If there's any colon left, even just a rectal stump, some gas , on occasion, my pass. Also, there will occasionally be a smidgen of discharge, such as mucus, from the living large bowel. Hope this helps. Good luck. ...Read more

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Dr says he will do an ileostomy reversal by inserting a tube which he'll connect my stoma to 1 end & rectum to the other. Is that how a reversal is?

Dr says he will do an ileostomy reversal by inserting a tube which he'll connect my stoma to 1 end & rectum to the other. Is that how a reversal is?

No: an ileostomy is a safety valve in the proximal intestine to prevent intestinal content from reaching a stitch line in a lower segment of colon near the rectum where a tumor has been resected and the ends of colon stitched together . This safety valve can then be closed.when the stitch line has healed. The ends of the ileostomy are mobilized and resutured. ...Read more

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If the entire large intestines and rectum are removed followed by creation of Brooke Ileostomy... How much of the rectal stump is usually left, if any?

Depends: The amount of rectum remaining will vary from person to person depending on the reason for the surgery in the first place. Is the procedure planned for inflammatory bowel disease? colon cancer?, trauma? some other condition? The best person to ask is the surgeon and or surgical team. ...Read more

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SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?

SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?

Maybe: It depends on whether or not the rectum was removed or not. There's no reason to think you have a sphincter problem, and if that's true, along with the presence of the rectum, you may be able to get reversed. Without most of the colon, likely to have frequent BM's. see a colorectal surgeon for a more complete eval. Hope this helps! ...Read more

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Have 1st visit @Mayo Clinic next week due to removal of ALL intestines & rectum w/ileostomy. Faild Revrsl. Stoma has 3 holes instead of 1... Why?

Have 1st visit @Mayo Clinic next week due to removal of ALL intestines & rectum w/ileostomy. Faild Revrsl. Stoma has 3 holes instead of 1... Why?

Very complex: The folks at Mayo are literally the world's experts on complex colorectal problems. They will take a complete history and physical examination and may get more tests before making a recommendation. I would listen to whatever they say! ...Read more

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When would one need ileostomy?

Some diseases: Conditions when all of the colon needs to be removed such as crohn's or ulcerative colitis. Emergency surgery when there is a colon blockage such as from cancer, or emergency due to colon ischemia, or other emergencies when the colon cannot be reconnected. ...Read more

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Are there different types of loop ileostomy?

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

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Dr. Wayne Myles
280 doctors shared insights

Ileostomy (Definition)

A portion of the small intestine attached to the abdominal wall in order to be able to go to the bathroom if something happened to ...Read more