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Doctor insights on: Ileostomy And Stoma Pouch

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Dr. Oscar Novick
29 doctors shared insights

Stoma (Definition)

A stoma is a surgically created hole that creates a connection between the digestive tract and the skin so that liquid food can be put into the stomach, or liquid waste ...Read more


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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

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Where is ileoanal pouch?

Where is ileoanal pouch?

In the pelvis.: The pouch is made out of small intestine and sewn to the anal muscles. The actual location of the pouch is the pelvis. The pouch is completely inside you. ...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

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Whats ileorectal sigmoid anastomosis?

Whats  ileorectal sigmoid anastomosis?

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

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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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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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Who makes the best ostomy pouch?

Who makes the best ostomy pouch?

Ostomy supplies: There are several manufacturers of ostomy supplies. The label "best" is individual for your ostomy. Sometimes you will need to try several types and brands before you find best. Home nurses, insurance contracting and durable medical supplier provide the different ostomy supply choices. ...Read more

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Is the intubation process of continent ileostomy painful?

Is the intubation process of continent ileostomy painful?

Maybe Initially : You need to work closely with your ostomy nurse. Once you've done it a few times - it becomes almost automatic. It really is like inserting a pressure release valve, you will get good at it overtime. ...Read more

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What's the difference between a Brooke Ileostomy placement and an Ileoproctostomy?

What's the difference between a Brooke Ileostomy placement and an Ileoproctostomy?

Good difference: Brooks ileostomy is when a person loose all their colon or most of it by preserving the rectum, and the end of the ileum come out through the abdominal wall and connect to a bag to collect the stool it comes in different forms and function like continent vs incontinent . Visible vs non visible. Ileoproctostomy is when they connect that distal ileum to what ever left of the Colon mostly the rectum. ...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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What's the difference between an ileostomy reversal surgery and a Ileoproctostomy?

What's the difference between an ileostomy reversal surgery and a Ileoproctostomy?

Amount of bowel: Ileum to another section of small intestine if available to maximize absorption surface, or anastomoses to section of colon or rectum if no other usable small intestine. ...Read more

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What's the difference between an ileostomy reversal surgery and a Ileoproctostomy?

What's the difference between an ileostomy reversal surgery and a Ileoproctostomy?

Bowel connections: Ileostomy reversal takes down outside cutaneous opening of ilium (part of small bowel) and attaches it to another loop of bowel usually colon for internal connection. Ilioproctostomy specifically attaches ilium to rectum. ...Read more

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Is there a difference in pelvic abscess and a stricture of the bowel after ileostomy reversal surgery?

Is there a difference in pelvic abscess and a stricture of the bowel after ileostomy reversal surgery?

Yes: Following reversal the bowel is reconnected and dropped back inside. If the new connection leaks or bacteria gets in, an abscess can form causing pain /fever (treated with antibiotics, drainage or more surgery). This and other problems like mild infections, scarring, kinking, recurrent disease, etc, can cause strictures (narrowing). If severe, that causes partial blockage, bloating, pain. ...Read more

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Gastroplasty doctors: what is revise stomach bowel fusion'?

Gastroplasty doctors: what is revise stomach bowel fusion'?

Passage adjestment: Small pouch of stomach made in 'gastric by pass' is attached to small intestine (rest of stomach left out ) in order to allow the food pas through , sometimes this is area is too narrow, or developed adhesions, or area is kinked requires correction (revision ). ...Read more

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What is the rectal output like after a colostomy or ileostomy?

What is the rectal output like after a colostomy or ileostomy?

Rectal output: This depends if any rectum was removed when the colostomy or ileostomy was created. If the rectum is completely removed and the anus closed (APR operation), then there should be no output as there is no rectum remaining. If rectum is still present, then it is not uncommon to pass mucous produced by the lining of the rectum every few days or so. ...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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What is the difference between gastric bypass, stomach stapling and gastric band?

What is the difference between gastric bypass, stomach stapling and gastric band?

Degrees: Band: appliance surg inserted to cinch stomach; adv.-easier surgery, reversible; disadv-less wt loss, less sustained, higher failure rate, compl, slippage, etc. Stapling-surg restrictive procedure; adv: more sustained, succ. Than above; disadv-still easy to cheat/wt gain (e.g. Melt ice cream, then drink it). Bypass: combo restrict and malabsorp; adv: more effective; dis: bigger op, more nutr risk. ...Read more

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Dr. Wayne Myles
282 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