Doctor insights on:
Partial Colon Removal
I have had ulcerative colitis for 13 yrs getting routine colonoscopies every 2 years. Last one showed cancer tumor. Full or partial colon removal?
Probably: Best is total colon removal because leaving diseased colon in place would keep you at risk for more colon cancers in the future, and you would need frequent colonoscopy. Can get off colitis medications with surgery. Best to see a colon rectal surgery specialist, maybe at a university, who has extensive experience in ileo-anal pouch surgery. ...Read moreSee 1 more doctor answer
I have had ulcerative colitis for 13 years. A recent colonoscopy showed a cancer tumor in the right side of colon. Should I go for a full or partial colon removal?
Probably: Best is total colon removal because leaving diseased colon in place would keep you at future risk for more colon cancers in the future, and you would need frequent colonoscopy. Can get off colitis medications with surgery. Best to see a colon rectal surgery specialist, maybe at a university, who has extensive experience in ileo-anal pouch surgery. ...Read moreSee 2 more doctor answers
Talk with your: Surgeon, GI doctor, or et nurse. As you are not specific about the health problems, it is difficult to say more. But most patients actually feel a whole lot better after removal of the disease, rather than worse. Talk openly with your doctor and go to the local crohn's and colitis foundation meetings to see others who may have had the same problems and learn how they solved them. Good luck. ...Read more
I'd say "Normal":
Ulcerative colitis is a terribly devastating disease. Total colectomy is a "cure".
If your rectum is preserved, you will need to have that checked every 6 months or so for your lifetime.
If it is not preserved, you are "cured" and should lead a normal life and have, hopefully, a long and happy life ahead.
All the best, peter wilk, md. ...Read more
Is their a cure for ulcerative colitis? Is colon removal the only option? Had flared since may 2013, almost a breaking point :- (
Should I go in for colon removal surgery next week had a foot of it removed last year due to cancer it's back now?
Difficult question: It sounds like you are already scheduled for surgery next week. I suspect and hope you have had appropriate follow up with your gastroenterologist, surgeon and surgical oncologist. Hopefully you have had the opportunity to have all questions answered but if not talk to the doctors who are familiar with your history and get their opinions. ...Read more
Can you advise me on going in for colon removal surgery next week had a foot of it removed last year due to cancer it's back now?
D/w your onc team: Please discuss in detail with your oncology team- surgeon, oncologist about this. Yes, you would have some adjustment to make after surgery- i.e. dietary, problem with bowel movement etc- possible short gut syndrome etc- however, unfortunately you've got to do what you've got to do. You have to weigh the risk and benefit. And the risk for you will be higher I f you do not have surgery. God bless ...Read more
3 wks postop sigmoid colon removal pain free till yesterday. First menstruation since surgery today and hard cramping at preop pain area.?
Not unusual: During menstruation the engorged uterus contracts to expel the menstrual blood. This is likely putting pressure on the surgical site. The hormones of the luteal phase of the cycle also slow gut motility- this may also contribute to the discomfort. See your surgeon if this persists or worsens. ...Read more
Essential: The only way colon cancer can be cured is by colectomy with removal of adjacent lymph nodes. The primary lesion is polyclonal and continues to produce subsets each capable of a different path of metastasis. If there is a liver or lung lesion they are clonal and cant spread. Leaving a primary can in time result in different paths of spread that may be uncontrollable. ...Read more
Can colon resection (~25cm)lead after few days to complications (e.G.Arteriosclerosis) and eventually to total colectomy within 10days? Is that frequent?
Deoends: I do not have enough information. Why was the first colon surgery - cancer? Colon surgery does not cause arteriosclerosis but diabetes, high blood pressure, obesity ; elevated cholesterol can. Surgery risks are increased with increased age, diabetes, high bp... If there was already vascular disease before the first surgery, bleeding, anemia, bowel obstruction, emergency surgery...= increased risks. ...Read more
Colon 20cm resection 10days ago (75 y old).Today, discovered all colon dead (arteriosclerosis).So, had total colectomy (1.5 meter).Was that medical error?
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
I recently had a total colectomy with ileorectal anastomosis for severe chronic inertiia that was unresponsive to other treatmentswhen they removed my colon they were surprised to find some areas of early stage cancer as well I had been undergoing regular
My son (22) had a colectomy, his colon was removed and subsequent J Pouch etc. He recently is very fatigue, weightloss etc could this be a b12 defiec?
Unlikely: B12 absorption and the intrinsic factor that are involved in the process are all part of the small intestine function. The colon is more of a storage area, water retriever than anything else, so loss doesn't often give significant problems. Fatigue is a good reason for an office evaluation. ...Read more
I had a colectomy (13 in of large intestine/colon removed) 3 years ago & just found out I'm 8 weeks pregnant...Any advice/concerns?
Enjoy the pregnancy: Can tolerate loss of 13" of colon quite well (still have 4-5 feet left), pregnant or not. Follow up with gyn; take your prenatal hits, eat right, stay active. ...Read more
I have stage 2 colon cancer and just had a colectomy the oncologist is performing an expensive blood test to see next steps what is this test?
Had colectomy 10/12. Severe colonic inertia. Dad had 9" removed of colon same issue. Muscles & nerves bad. Any connection? Ibs in family both sides. Can there be a genetic connection?
Colectomy for cancer postponed due to likely severe cad, cath tomorrow. Is it risky for cath/stent/bypass with blood thinners for colon hemorrhage?
Risks increased: Those are both serious medical problems. Most patients with cardiac disease can undergo noncardiac surgery safely provided their cardiac issues are stable and their functional status is good (able to achieve >4 mets without symptoms--the equivalent of carrying 2 bags of grocery briskly and climbing stairs). If having cv symptoms, should expedite a cardiac workup w tests/possible cath first. ...Read more