Doctor insights on:
Pregnancy After Total Colectomy
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
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...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
No bag: A colostomy is performed when the bowel is resected and there is a significant length of proximal colon and minimal or no length of distal colon to bring the ends together as with an APR. When a stoma is present, irrigations should be started on a daily basis and a square pad placed over the stoma. With daily performance the colon will eventually function only when irrigation employed. ...Read more
Which one is better - colectomy or remicade (infliximab) for left sided colitis? Advice from 2 different gis.
Hard to say: It all depends. Surgery is usually reserved for medically refractory toxic disease or dysplasia/surgery. Most patients with severe disease will have an opportunity to respond to medications such as Remicade (infliximab) or cyclosporin before surgery is performed. Colectomy is curative but having an ipaa also presents problems. ...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
I had a colectomy 4 months ago and now have a hernia the size of a grapefruit it has been starting to hurt, especially when I cough.
What do you suggest if my husband had a partial colectomy a month ago due to diverticulits. But now he is having internal hemmorhoids?
He should talk: With his surgeon and determine what is causing his hemorrhoid flare. Usually his surgery should not be a cause of hemorrhoid flare unless he has been constipated or having frequent diarrhea due to his surgery. Again his surgeon should be notified and evaluate your husband ...Read more
My husband had a partial colectomy a month ago due to diverticulits. But now he is having internal hemmorhoids. Could these be related?
No: He probably had the hemorrhoids before, but without symptoms. He probably was taking pain killer that will make him constipated, which can make the hemorrhoids to enlarged and cause pain with occasional bleeding. He should contact his surgeon and be evaluated. ...Read more
After colectomy, in first few weeks there is a frequent secretion of stool. Why is this? And colour of stool is that of what I eat. Why so?
Bowel irregularity: A change in bowel habits is normal after colectomy. This varies according to the segment removed and most change returns to normal in several weeks. Removal of some sections of the colon can cause a more prolonged chane (ie. Removal of the right colon along with the ileocecal valve). We usually advise our patients to maintain a low fiber diet for a week or two after colon rersection and give thing. ...Read more
Had a lap assisted right hemi colectomy 4 months ago. He had an episode of bleeding from his rectum about 1 month ago and is bleeding again. Why?
See surgeon: Cannot determine cause without looking. Could be as simple and innocent as hemorrhoids but too little information provided. Why was colectomy performed? Was it complicated? Has patient seen surgeon back in follow up. Recommend return to surgeon who performed operation. Also would suggest seeing a gastroenterologist. ...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?
Colon resection: It can mean removal of part or complete colon with or without the rectum. ...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
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