Doctor insights on:
Symptoms Of Anastomotic Leak Colectomy
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
I had a laparoscopic colectomy with ileorectal anastomosis surgery on 1/18 and I am experiencing cramping when i lay down and at night. Is this normal?
What is a subtotal colectomy with small bowel sigmoid anastomosis appearing at the level of upper pelvis mean?
Local vs peritonitis: Presumably this refers to an intra-abdominal anastamosis, likely intestinal. "Contained" means the leak was probably slow and there was time for an inflammatory reaction that kept the leak localized and maybe small. Free means intestinal contents leaked more widely into the abdominal cavity. Free is much more serious, usually with peritonitis. Most important that you discuss with your surgeon. ...Read more
Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more
What causes an anastomotic leak? Is an Exploratory Laparotomy the procedure needed to correct? What are Exploratory Laparotomy usually needed for?
Variety of causes: Anastomotic leak is a term used to describe the breakdown between two surgically connected sites and is often used to describe GI anatomy. This may be where two pieces of bowel are brought together, or the outflow of an organ such as the liver or kidney is connected. When organs leak, infection in the abdomen can ensue. An exploratory laparotomy is the right choice to find and fix the leak. ...Read more
I had a partial sigmoid colectomy ten months ago, diverticulitis symptoms gone. Still have chronic llq pain. Lifting left leg causes pain.
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