Doctor insights on:
Laparoscopic Sigmoid Colectomy
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
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
For postmenopausal:: I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female i would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely. For a premenopausal patient i would recommend cystectomy. ...Read more
Can having multiple abdominal surgeries cause colon thickening? Lap RNY, abdomnio, gall bladder removal, rt adrenalectomy? History of bleeding ulcers
If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.
YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more
Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more
MRI post liver resect w/abd incision swelling/pain showed 5.6cm anterior abd wall hernia w/protrusion of small bowel loops/mesenteric fat. Is surg req?
Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
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
Just had colonoscopy. Sigmoid colon: a diminutive adenomatous looking polyp and a hyper plastic polyp. transverse colon: adenomatous polyp. Bad? Thnx
My father had cancer colon and did subtotal colectomy , liver metastasis and intestinal leakage occuerd , ileostomy was done.Can reanastomosis done
Had complete hysterectomy gallbladder appendix removed had endometreosis would this cause pancreatitis?
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