Doctor insights on:
Life After Colostomy Reversal
ASK your DR: This is a question you should be addressing with the DR who will be doing the operation. ...Read more
If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?
It depends : This is a difficult question to answer without more data. Assuming they had some sort of small bowel resection and truly has "short gut," then reconnecting to a rectal stump will likely not improve the condition, as the rectum does not provide adequate nutritional absorption (mainly just water resorption). This needs to be discussed with a general surgeon along with radiographic evaluation. ...Read more
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
SURGEONS: If a patient who had a Subtotal Colectomy w/Ileostomy placement 13yrs ago, resulting in short bowel syndrome & frequent loose bowels, but was wanting an Ileostomy Reversal, what would do & Y?
Difficult question: to answer without knowing much more details. Why was that surgery done? What is the remaining anatomy? Remaining colon or rectum in place? Reconnecting an ileostomy after 13 years might not be well tolerated with resulting frequent diarrhea, poor anal muscle control, anal irritation & the surgery would not correct a short bowel condition. Need many more details to try to answer this question. ...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
Can a Selective Tubal Cannalization or Fallopian Tubal Recanalization be done rather than having a Tubal Reversal done?
Still hiccuping after eating 3 months post-nissen fundoplication. Is this permanent? Otherwise, surgery was complete success.
Hiccups post Nissen: This is likely related to ingesting air. Many reflux patients swallow air. This behavior must be "unlearned". It often resolves with time but takes months. Delayed gastric emptying is also possible. Try simethicone to see if it improves symptoms. Also avoid carbonation, gum, straws, raw veggies, and crunchy foods as these all increase gastric air swallowing. ...Read moreSee 1 more doctor answer
Husband had an end colostomy for a sigmoid diverticular abscess. 62 great shape. never smoked. Chance of success?
Once infection: has cleared, your husband can probably safely have another operation to take down the stoma and have the colon re-connected to his rectum in several months. The exact timing depends on the severity of the original infection and his response to treatment. Chances of success are very good. Ask his surgeon for specific details. ...Read more
Previous question was to read, chance of success of end colonoscopy reversal? Hubby 62 good health colostomy due to diverticular abscess.
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
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