Doctor insights on:
Ileostomy Reversal Surgery Recovery
I am going in for ileostomy reversal surgery in 5 days...How long and how difficult of a recovery can I expect?
Is there a difference between an Ileostomy Reversal surgery and an Ileoproctostomy surgery? If so, what's the difference?
Colorectal Surgeon: The two surgeries you describe are very different. I am first going to presume you have an existing ileostomy. An "ileostomy reversal surgery" does exactly what the name suggests. Your diverted segment of small bowel will be reconnected to the prior site. A "ileoproctostomy" would instead take the small bowel and connect it directly to your rectum. ...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
What is Intestinal Postoperation Non-absorption? How would it relate to an Ileostomy Reversal surgery?
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
My medical records for a recent failed Ileostomy Reversal surgery, indicates that cocaine was used. What would be the reason for that? Legal? Common?
I have a temporary ileostomy from a total colectomy, how common are hematomas and infections or other problems in the reversal surgery site?
Ileostomy reversal: Although it varies slightly depending on exactly what kind of reversal will be done, surgical complications such as infection and hematoma are rather unusual these days. If you follow your surgeon's advice, they are unlikely to happen. If you have any problems after the surgery, be sure to contact the surgeon promptly. Good luck ...Read more
Had ileostomy reversal surgery that failed due 2 anastomotic leak/abscess fluid filling up. Y would Dr wait 5days b4 doing 2nd surgery 2 correct?
Ileostomy reversal: He most likely wanted to give the leak an opportunity to close on its own. ...Read more
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 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
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
What problems would a patient have if they suffered an anastomotic leak from failed Ileostomy reversal surgery & treatment was delayed for 1 week?
Ileostomy: The fact there is still an ileostomy. After the recovery period, there shouldn't be any long term affects in addition to what the initial surgery could have without the leak. If going for another ileostomy reversal, ask you doctor about near infrared imaging with administration of ICG. This MAY help determine adequate blood supply to the area being reconnected. ...Read more
I had a Subtotal Colectomy with Ileostomy placement in 2001 in which ALL of my Large Intestine and most of my Small were removed. This year 13yrs later, after being told I was a candidate for an Ileostomy Reversal surgery during a Consultation visit with
Finish question: Your question was cut off because only a limited number of characters can be used. Re-ask and try to shorten some (& for and, "After" instead of "I had a", w/ for with, etc. It's tough if you have a complicated question. We have limits to and it's tough for us to answer fully as well! ...Read more
Per my medical records for an Ileostomy Reversal surgery I underwent, it states the surgeon did a Renal Autotransplant involving retroperitoneal fibrosis. Normal procedure? Explain, please.
My take is. ..: This question should be directed to the then surgical team. No one should make a "smart" comment or suggestion now after years from the surgery because how, when, and what should be done in individual procedures for medical calamities have changed and evolved over time. That is life. Let life and medicine evolve and move; it's unfair / un-smart to be a hind-sighted smart one. ...Read moreSee 1 more doctor answer
When a permanent irriversible ileostomy surgery is performed, does it matter what side the ostomy site is placed? (Left or Right lower quadrant)
What is the mortality rate of getting an ileostomy for the 10th time? Patient is male and 60 years of age. First ileostomy surgery was at 21 years old
I: I am so sorry that he is having to go through all of that. There is no simple answer for your question. Every surgery carries a risk as you know, including risk of infection, bleeding, and anesthesia. Morbidity and mortality also depends on the underlying condition of the patient, including other illnesses (co-morbid conditions), nutritional status, and body weight (too high or too low both carry risks). The most important thing is be sure that the patient has optimized their nutritional status, isn't smoking, and has other medical issues under control and has been cleared medically. Share all health concerns with the surgeon and anesthesiologist and be sure they are up to date with any current health issues of the patient. There are many patients who have to undergo repeat surgeries and they do well. I wish you the best through this procedure. ...Read more
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