Doctor insights on:
Living With An Ileostomy
Is it safer for a woman to bear a child with a traditional ileostomy versus a continent ileostomy being that the pouch is internal with a continent ileostomy ?
Some set backs: Most of the time will be small bowel problems partial or complete obstruction, trditional ileostomy will have least problems. In ci like j pouch as is existing precariouly, with poor blood supply, poor function, pouchitis, pelvic sepsis, etc gravid utereus will give problems to pouch and its function. ...Read moreSee 1 more doctor answer
Are Antibiotics required in the UK or USA
for Endoscopy GI for a person with Mitral Valve Annuloplasty Ring Repair with Proshetic Material ?
Can an intestine transplantation be done to a patient with an intestine comletely removed and currently is in icu?
Possible: This question is too complicated to be addressed in this forum. Intestinal transplants are not common and you need to consult your doctors to assess the suitability of the patient for the procedure. ...Read more
Opting for a total hysterectomy for reoccurring cin3 ( keeping ovaries) ... Is an abdominal or vaginal procedure the best in this situation?
Discuss with Surgeon: It is a decision you can make with your surgeon as there can be different benefits and risks depending on each individuals case. A vaginal approach of course, precludes having a scar on your abdomen which is important to some. Best wishes. ...Read more
Median is 5.5 yrs: That being said, population statistics can't be applied to individuals. How well the surgery went, the match characteristics, how well oh avoid infection, your fitness prior to transplant, how well you tolerate the transplant regimen, etc all effect your quality of life and longevity. ...Read more
Considering I must have one or the other, is the quality of life considered better having an ileostomy or a colostomy?
Colostomy better: In terms of ease of management the colostomy is probably better. The cautionary note, however, is that it depends why you're getting the surgery. If removing all the colon saves you from ongoing surveillance and possible surgery later in life that may be preferable. Also - are there fertility ramifications?I would definitely sit down with the surgeon, take notes, and carefully explore pros & cons. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Is it possible for someone with gastroparesis to live with a jejunostomy tube and have a decent quality of life/active life?
It is: It may be more difficult than others, due to the careful need to monitor your nutritional status and manage the jejunostomy tube. But gastroparesis requiring tube feeds in itself shouldn't preclude you from having good quality of life. Have faith and be a mindful active participant in your healthcare. Best of luck. ...Read more
Autoimmune Paleo: The best way to improve colitis is by stopping foods like grains, lentils, potatoes based items. Avoid nightshades (peppers, tomatoes, eggs) and milk protein since they also cause inflammation Healthy foods: fish, meats, vegetables, avocados, some saturated fat (butter, coconut oil), olive oil are very effective. Probonix probiotic, vitD3 10k IU/day. The Paleo Solution by R. Wolfe is a great book ...Read moreSee 1 more doctor answer
Senior transplant: Depends not so much on chronologic age, but rather physiologic age and overall performance status/co-morbidities. ...Read more
Yes: You will have to go through your command chain in order to be approved to donate. Then you will have to be cleared medically by the transplant center. Realize that you may be forced to change you mos if you do donate an organ. Also depending on your relationship to the person in need and the current needs of the military you may not be given permission. ...Read more
Stoma Therapist: The most important consideration is care of the skin surrounding the colo/iliostomy appliance to prevent skin breakdown. Consult a stoma therapist to fit the appliance to your needs and help care for and maintain it. Consult your surgeon for the names of these RN Specvialists ...Read more
Who qualifies to be a living donor of a baby born with gastroschisis with only 2/3 of the colon remaining?
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
Liquid diet: For a procedure on the GI tract, the less food content in the bowel at the time of surgery, the easier for surgery to be performed. With colostomy and ileostomy the stoma is created on the abdominal wall in the absence of a needed anastomosis so that there is no problem with food products having to cross an early created anastomosis. A liquid diet prior to this surgery is helpful. ...Read more
Does anyone know an obgyn around the country with a special interest in hidradenitis superativa treatment and surgery?
Elizabeth Stewart: At harvard. She's one of the best vulvar specialists. I don't know if she is an expert at treatment and surgery for hidradenitis, but if she's not, she might know who is. ...Read more
Anything: You can still eat much of what you like; the colons job is to remove water. So you may have to drink extra water to make of for your inability to collect it. I think everyone should be on what i call an acid-free diet. Check my website for details on that; but it is really a diabetic diet with no sodas, avoidance of toxins and supplementation. ...Read more
I have an ostomy as well as hernias and neurofibromatosis/no sense ganglia in colon. Is reversal a good idea for me?
Need the ganglia: In order the colon to evacuate stool need the ganglia ( nerves ) reversal will not help with out removal of the entire diseased colon , like hirsprung's disease , then you can have reversal and repair of hernia, need more info on nf & hernia ( ? Paracolostomy hernia ). ...Read moreSee 2 more doctor answers