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Doctor insights on: Proctocolectomy

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Whats ileorectal sigmoid anastomosis?

Whats  ileorectal sigmoid anastomosis?

Tough one!: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum. There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon. Often the area is called the rectosigmoid region so this leads to the confusion. There is no ileorectal sigmoid anastomosis. ...Read more

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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy. ...Read more

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Can ulcerative colitis after having colostomy reversal surgery?

Can ulcerative colitis after having colostomy reversal surgery?

Not to worry: If there is no history of ulcerative colitis in the past there is no reason to believe a reversal procedure will precipitate one. If you did not have ulcerative colitis before surgery you don't have to worry about it after. ...Read more

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Constipation after a colectomy?

Constipation after a colectomy?

Yes: Could be ileus or obstruction depending on timing after surgery. Also is taking lots of narcotics this can leadto constipation. Best is to see surgeon. ...Read more

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Is colonic irrigation following bowel resection normal?

Is colonic irrigation following bowel resection normal?

Not sure: Not sure what kind of surgery you had, but colonic irrigation is not usually done after bowel surgery. You should ask your surgeon specifically what type of surgery you had and why. ...Read more

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Constipation following myomectomy?

Constipation following myomectomy?

Pain meds: Pain medications after any kind of surgery can be constipating. Inaddition, pelvic surgery can stimulate spasm of the muscles around the rectum that have to relax to allow bowel movements. Stool softeners can be quite helpful until off the pain medications and the muscles have relaxed. ...Read more

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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more

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Did anyone benefit from the surgery ileorectal anastomosis for ulcerative colitis?

Yes: This type of surgery which includes removal of all the colon and then an ileo-rectal pouch anastomosi is used for complicated ulcerative colitis, with complications that can be bleeding, transformation to pre-cancerous changes, or pain and fevers with failure of medications. It can be a very successful surgery with very good results, as long as the surgery is performed by a specialist in this. ...Read more

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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more

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Is surgery necessary for rectal prolapse?

Is surgery necessary for rectal prolapse?

Up to patient: True rectal prolapse which means the rectum literally falls out of the body is rarely dangerous but causes significant symptoms. If the rectum gets caught outside it can begin to die and require emergency surgery but this is unusual. On the other hand the only way to correct or get rid of the prolapse is surgery, and there are MANY procedures that are available. Must consult Colorectal Surgeon ...Read more

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Is proctitis, colitis, or ulcerative colitis contagious?

Ulcerative colitis: Is not. However proctitis or colitis caused by bacteria especially clostridia difficile can be very contagious as can other forms of infectious colitis. Use good hand hygiene and be sure to not contact stool or underclothes and get a correct diagnosis and treatment. ...Read more

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Which is best after colectomy: ileostomy or j-pouch?

Which is best after colectomy: ileostomy or j-pouch?

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

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more

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Chemotherapy after bladder radical cystectomy needed?

Chemotherapy after bladder radical cystectomy needed?

Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more

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Nausea after prolapsed bowel surgery?

Nausea after prolapsed bowel surgery?

Yes common: Try adds- powerade, coolaid, gatorade , lemon aid. Brat diet -bananas, rice apples toast. Talk to doc in am i not tolerating. ...Read more

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Explain the surgery to repair vaginal rectal fistula?

Explain the surgery  to repair vaginal rectal fistula?

Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more

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Is snare polypectomy used for hemmroid surgery?

Is snare polypectomy used for hemmroid surgery?

No, but banding is.: Appropriately sized internal hemorrhoids can be treated by rubber band ligation, often in the office without anesthesia. This is a tried and true treatment for bothersome internal hemorrhoids. Snare polypectomy is a technique used during colonoscopy to remove larger polypoid growths in the colon. ...Read more