Doctor insights on:
Ileostomy How It Is Performed
In regards to tests performed for possible ileostomy reversal, what does this mean: scan to check that timing for reversal is correct?
Anastomosis intact: Purpose of an ileostomy is to allow function of small bowel when there is a colonic problem. If total colectomy, then an end ileostomy is performed If ileostomy is used to protect a distal colon resection where continuity is provided by a an anastomosis that may have compromised circulation the ileostomy protects the anastomosis. until healing demonstrated by x-ray studies. ...Read moreSee 1 more doctor answer
It depends: Depends on the operation. An ileostomy is usually placed in the right lower quadrant of the abdomen, but this can vary. A colostomy is typically formed in the left lower quadrant or right lower quadrant. Again, this can vary. Your surgeon should be able to tell you where a planned ostomy will be prior to surgery. It is important to meet with a stomal nurse before to optimize the location. ...Read more
Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?
Yes: After removal of all colon to the peritoneal reflection or just below, there is a stump of distal bowel that remains. In many cases the surgeon can anastomosis proximal bowel to the anal stump at the levators . (the muscles of the rectal sphincter). If an exiting ileostomy is present, a pouch can be formed and anastomosed to the region just above rectum. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
When a permanent irriversible ileostomy surgery is performed, does it matter what side the ostomy site is placed? (Left or Right lower quadrant)
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
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
Went into hospital with double pneumnia & a week later, I woke up wearing a colostomy bag and was told they had to perform an ileostomy placement. Y?
Wow.: I imagine that was quite a shock. I am sure that ileostomy isn't part of the usual treatment of pneumonia. I think you need to inquire further when your doctor makes the rounds, if still hospitalized. Maybe you had a bowel emergency as well such as obstruction or necrotic bowel after loss of blood flow. If you were extremely ill in ICU that could be possibly connected. Perplexing. ...Read moreSee 1 more doctor answer
What causes an anastomotic leak after an ileostomy reversal surgery? Does a surgeon usually perform an Exploratory Laparotomy to correct?
Variety of causes: Anastomotic leaks can occur for a variety of reasons and are a known complication of GI surgery. The primary concern with anatomic leak is the passage of stool into the abdomen with the formation of abscesses and possibly systemic infections. The treatment for this is often to operate, find the leak, and wash out any stool that may have collected in the process. ...Read more
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