Doctor insights on:
Symptoms Of Anastomotic Leak Colectomy
None: Blood in an ostomy punch can be many things. Is it a colostomy or ileostomy? Why was the surgery done, history cancer or diverticulitis or colitis? How long ago was the ostomy surgery? Bleeding does indicate need for a doctor evaluation. Can be ostomy appliance irritation, colitis, etc. There is no cancer staging associated with intestinal bleeding. ...Read more
What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?
Ileorectal anastomosis vs permanent colostomy Had most of colon removed, no disease, possible ischemic colitis caused stricture ?
Are mesenteric varices a potential complication of abdominal adhesions after colectomy be of colon cancer? (in the setting of none to mild cirrhosis)
Very rarely: There are 3 reasons why a stoma may be needed: 1-if the cancer is so close to the anus that removal would leave too little to re-connect to. Using modern techniques, this is very rare. 2-if the cancer caused complete blockage or perforation requiring emergency surgery, a temporary stoma may be necessary. 3-if we are concerned that the new connection may leak, we temporarily divert w/an ileostomy. ...Read moreSee 2 more doctor answers
Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?
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
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
Risk factors: Risk factors for colon cancer include smoking, obesity, high fat diet, high red meat diet, low fiber diet, history of polyps, family history of colon cancer. I am not aware of gastric bypass surgery increasing the risk of colon cancer, but the need for gastric bypass surgery suggests that some risk factors mentioned above are likely present. ...Read moreSee 1 more doctor answer
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
Frequency: Bladder surgery is often done for prolapse by placing the bladder in a more correct anatomic position. Sometimes people struggle to completely empty their bladder after surgery. You will get infections, frequency, and have the feeling of incomplete emptying. Talk with your doctor about this. ...Read more
Can resection surgery at the junction of the small and large intestine cause chronic sibo? Assume the ileocecal valve was removed.
Define: I don't know what sibo is. In general, if the ileocecal valve is removed, some patients can have , at least temporarily, some looser stools or urgency. I usually suggest Imodium (loperamide) as needed, a good general diet, avoidance of large meals, and the inclusion of yogurt in the diet. If i'm missing the boat here, define sibo. Good luck. ...Read more
It can be.: The most common symptoms include cramping, generalized abdominal pain, nausea, vomiting, bloating, and the absence of any passage of stool or gas. We call this last symptom obstipation, and it is a very important predictor of the severity of the episode. In some cases, the pain becomes constant and severe--this may represent a compromised blood supply to the bowel, requiring emergency surgery. ...Read moreSee 1 more doctor answer
Explain : subtotal colectomy w/small bowel sigmoid anastomoses which appears to be at the level of the upper pelvis?
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