Doctor insights on:
Life After Subtotal Colectomy Surgery
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
What would be the approx life span for someone that has intestinal malabsorption due to subtotal colectomy, Ileostomy placement, short bowel syndrome?
Maybe long: The colectomy and ileostomy will not typically shorten life expectancy. Short bowel syndrome may shorten life span, but it depends on severity. There are a few centers in the US that perform bowel lengthening procedures and small bowel transplant. Ask you surgeon about the severity of the short bowel, and think about support groups for ileostomy help. Hope this helps! ...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 more
What parts would a patient need to have in order to be a candidate for Ileostomy Reversal after having had subtotal colectomy w/Ileostomy placement?
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
Multiple subtotal colectomy (STC) since 2000. Have had diarrhea every BM every day for 14+ yrs. Have followed FOD MAP diet, probiotics, etc. Help!
Kathleen: Try taking two to three Immodium AD capsules (OTC) ...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
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
What would be the reason for having a patient who's had subtotal colectomy with Ileostomy placement undergo a Fluroscopic Single Contrast Enema test?
What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?
Had a subtotal colectomy over 8 yrs ago a j pouch resrction and part of my rectum removed due to ulcerative colitis and extetensive adhesions had a severe pain in rectum area and pelvic region had a complete hystotectomy also I have no ins.?
Hard to tell...: Without an examination. Pouchituts is a painful inflammation of the rectal pouch treated with antibiotics. Urinary bladder infection can cause pelvic discomfort. Adhesion form after all surgery & do not generally cause pain unless there is a bowel obstruction with vomiting & no bowel function. Needs a physician examination. ...Read more
My father had cancer colon and did subtotal colectomy, liver metastasis and intestinal leakage occuerd, ileostomy was done. Can reanastomosis done?
Hi, I am 6 months out of Colectomy surgery, with multiple follow up surgeries, What causes pain in lower left side after this long? I have 1Ft. Of col
Maybe adhesions?: Causes of recurrent llq abdominal discomfort may be identified by first addressing accompanying signs/symptoms so as to localize the organ involved: vaginal discharge or bleeding, alteration in periods, pregnancy risk? Fever, nausea, vomiting, altered stool pattern, blood with stool, tenderness, distension? Painful urination, blood in urine? Recent trauma, herniations? Age? Gender? Risk factors? ...Read more
I had a sigmoid colectomy in Aug 2015 for recurrent diverticulitis--completely unremarkable surgery and recovery...except, I keep losing weight! I?
Surgery not related: Discuss with MD and eat more food. ...Read more
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
In order to manage the pain after a sigmoid colectomy (open surgery), what are the differences in efficacy between Exparel and an epidural? Is one considered generally better?
Apples and oranges: Sorry if names sound similar, it might be confusing. Exparel is a brand name for the paricular formulation of a numbing medicine, or local anesthetic - liposomal bupivacaine. This or traditional bupivacaine could be administered via particular injection technique, that received the name from the anatomical location - epidural space. Your anesthesiologist or any specialist on HealthTap can help ...Read more
I have just had a partial laparoscopic colectomy and my surgery is 8 weeks old. My Hemocult Sensa Test showed 2 specimens positive and 1 negative?
I have a colectomy it done over 20 yrs ago ant to get lap band surgery would be safe for me had colectomy done for Crohn's disease and colectomy can I have a lap band surgery even thought I have the colectomy done overr 20 years ago
Lap band colectomy: Yes, it can be done. I have placed bands in people that have had colectomies. It can be tough because of all the scar tissue, but bands and sleeve gastrectomies can be done. A bypass would be very difficult to do though. ...Read more
I had a right colectomy with open abdominal surgery. Why did they gave me a horizontal cut next to my belly button?
Depends: I do not know why you had colon surgery. Some surgeons trained with performing a transverse incision for right colon surgery. It may be a personal preference of the surgeon, or your type of condition was best suited for that incision. Your surgeon would be able to better inform you as to reasons for a type of incision. ...Read more
My spouse had partial colectomy 7 days ago for diverticulitis. He has not had a BM since before the surgery. He is walking, eating and drinking well. Discontinued Percocet and now taking Tylenol and Colace?
2 surgeries in one month for 75y old (partial and total colectomy) caused hyponatremia (128).In one month, it increased from 126 to 128.How to reach 135?
See answer: In hyponatremia, there is an imbalance of water to salt which can have many causes. Most important thing is to determine the cause or reason (s) for your hyponatremia so that appropriate targeted treatment can be recommended. In general, treatment includes water restriction and medication. You should discuss this with your doctor. ...Read more
75y old (single kidney, high creatinine, pressure ok), had dizziness since total colectomy surgery 6 months. Co2 level is low (~114).May this be the reason?
Here are some. ..: Has the dizziness been constant (24 hrs a day) or intermittent or just related with positioning? If constant, need to consider some change in central nerve system incurred in the recent past including drug use; if off & on or positioning-related, consider postural hypotention. In short, is there any problems in central nerve, drug effects (iatrogenic), or indeed low red blood cell count, etc. ...Read more
I had a colectomy & j pouch surgeries this year. Since I do no have my large intestine, will this affect the effectiveness of the birth control pill?
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