Doctor insights on:
Life After Total Colectomy
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
Colon resection: It can mean removal of part or complete colon with or without the rectum. ...Read more
I had a total colectomy over 20 years ago, any special diet that I need to follow now that I am on my fortys?
Colectomy and diet.: What is your family doctor telling you when you go in for your routine physical? ...Read more
Yes, for Certain dx: Constipation, common problem that is managed by medicines and diet the vast majority of the time. For certain conditions (colonic inertia, megacolon- where patients aren't going to the bathroom for >5days) surgery is an option. Often entails removal of the colon and sewing the small bowel to the rectum. Done laparoscopically. Tremendous improvemnt in quaility of life when properly selected. ...Read more
The suffix: When a word ends in ectomy it refers to removal of:an organ such as colon in colectomy and kidney in nephrectomy, When the word ends in oscopy it refers to examination of an organ with a device or scope such as in endoscopy, laryngoscopy, proctoscopy. Colonoscopy refers as such to examination of the colon with a colonoscope. ...Read more
Varies: This depends on the reason for the colectomy, the approach used. In general, one should be stool within a matter of days. If not, it is possible that there is another reason at work and further evaluation should occur. If you have been operated upon many times before, the operation may have been difficult and slow you intestine is slow to recover. The length of time postoperatively is importan. ...Read more
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
Yes: It depends on the reconstruction. If you have a j pouch and the contents are moving through rapidly and you have not adapted, a patient may have many stools per day and the area around the anus may be raw. Local treament with creams to the area are helpful. If it remains, your doctor can add things to thicken the stool or medicine to slow it done until you adapt. Good luck. ...Read more
Depends: This is highly dependent on why this surgery is indicated. If the person is not too elderly or have other risk factors such as crohn's disease or extensive cancer, then a j-pouch may be appropriate. This is performed by a trained surgeon who has the proper knowledge. Some patients do not have a choice due to their disease condition and will need an ileostomy. ...Read more
Depends on the: Indications for the surgery. Crohn's disease should never be treated with a j pouch. Then it is an issue with the patients preferences and life style and skills of your surgeon. J pouch usually requires a temporary ileostomy and thus an extra operation to close the temporary ileostomy. These are issues to discuss with the surgeon and contact your local ostomy association, meetings and ask members. ...Read more
No: If everything is healed there would be no additional risks. ...Read more
Best to ask: Your surgeon!!!! . Not sure how far out from your surgery you are and why the bowel resection was done, and how the repair was made. All of these will determine an appropriate answer to your question. Your surgeon should have given you a recommended diet. If not call their office and get one!! ...Read more
Is it possible for diverticulitis to cause pain on the right side if I've already had a partial colectomy?
My girlfriend had a partial colectomy and there is a bit of tissue that is coming out of the body were the staples are is that normal?
Surgeon needs this: Please understand that surgery carries significant risks and surgeons must know about complications. Your friend would have been given post operative instructions and a list of things to watch for. On that list will also be instructions on how to page the doctor should a complication arise. Without seeing this friends' 'tissue' in person it would be difficult for any of us to comment. ...Read more
If it is an elective: Operation, only rarely, depends on location of abnormality for which the colectomy is being done. If you need to have a complete procto-colectomy, yes, you would need a permanent colostomy. In all other cases, a colostomy would usually be a temporary one, even if necessary. If it is a right hemi-colectomy or an ileo-colectomy, chances of a stoma are very low. Ask your surgeon for specifics. ...Read more
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