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Doctor insights on: Total Colectomy With Ileostomy

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If a patient had total colectomy w/ileostomy placement, what would be the purpose in having them undergo a Fluoroscopic Single Contrast Enema Exam?

If a patient had total colectomy w/ileostomy placement, what would be the purpose in having them undergo a Fluoroscopic Single Contrast Enema Exam?

After the resection-: -the bowls R usually hooked up again 2 what remains. The colostomy is done 2 divert the contents of the bowls. This is what is done in the acute phase of diverticulitis. The study is 2 see how the anastomoses is doing. If it's a permanent colostomy, it's 2 eval the rectum & what's left of the colon. Tumors can B seen. If a temporary 1, if all is OK,the colostomy is taken down. ...Read more

Dr. Wayne Myles
281 doctors shared insights

Ileostomy (Definition)

A portion of the small intestine attached to the abdominal wall in order to be able to go to the bathroom if something happened to ...Read more


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If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

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

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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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Expert opinions? Which is better after colectomy: ileostomy or j-pouch?

Expert opinions? Which is better after colectomy: ileostomy or j-pouch?

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

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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

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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?

Rectum: As long as at least some of the rectum is there. the possibility for ileostomy reversal exists. Ask you surgeon about your specific case. If your not satisfied with the answer, consider another opinion from a board certified colorectal surgeon. Hope this helps! ...Read more

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If subtotal colectomy with creation of Brooke Ileostomy placement has been performed, would the rectal stump still be present or is it removed?

If subtotal colectomy with creation of Brooke Ileostomy placement has been performed, would the rectal stump still be present or is it  removed?

It is often: preserved if a REHOOK-UP is the plan! Speak with your surgeon..this should not be an unanswered question!! Hope this helps! Dr Z ...Read more

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If someone has had subtotal colectomy w/Ileostomy placement, can a partial colectomy be performed later on down the road? And what's the difference?

Big difference : A subtotal colectomy is removing almost all the colon; usually just a couple of inches are left near the rectum. A partial colectomy is not done AFTER a subtotal colectomy because there is basically no colon left. A partial colectomy implies that only a segment of colon is removed, like the right or left, and a good amount of colon is left. ...Read more

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I have a temporary ileostomy from a total colectomy, how common are hematomas and infections or other problems in the reversal surgery site?

I have a temporary ileostomy from a total colectomy, how common are hematomas and infections or other problems in the reversal surgery site?

Ileostomy reversal: Although it varies slightly depending on exactly what kind of reversal will be done, surgical complications such as infection and hematoma are rather unusual these days. If you follow your surgeon's advice, they are unlikely to happen. If you have any problems after the surgery, be sure to contact the surgeon promptly. Good luck ...Read more

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If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?

If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?

It depends : This is a difficult question to answer without more data. Assuming they had some sort of small bowel resection and truly has "short gut," then reconnecting to a rectal stump will likely not improve the condition, as the rectum does not provide adequate nutritional absorption (mainly just water resorption). This needs to be discussed with a general surgeon along with radiographic evaluation. ...Read more

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What would be the reason for having a patient who's had subtotal colectomy with Ileostomy placement undergo a Fluroscopic Single Contrast Enema test?

What would be the reason for having a patient who's had subtotal colectomy with Ileostomy placement undergo a Fluroscopic Single Contrast Enema test?

Many reasons: If it was subtotal colectomy with anasthomosis to rectum and protective iliostomy then most likley it's to check the anasthomosis prior to iliostomy closure ...Read more

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What would be the approx life span for someone that has intestinal malabsorption due to subtotal colectomy, Ileostomy placement, short bowel syndrome?

What would be the approx life span for someone that has intestinal malabsorption due to subtotal colectomy, Ileostomy placement, short bowel syndrome?

Maybe long: The colectomy and ileostomy will not typically shorten life expectancy. Short bowel syndrome may shorten life span, but it depends on severity. There are a few centers in the US that perform bowel lengthening procedures and small bowel transplant. Ask you surgeon about the severity of the short bowel, and think about support groups for ileostomy help. Hope this helps! ...Read more

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I had a Subtotal Colectomy with Ileostomy placement in 2001 in which ALL of my Large Intestine and most of my Small were removed. This year 13yrs later, after being told I was a candidate for an Ileostomy Reversal surgery during a Consultation visit with

I had a Subtotal Colectomy with Ileostomy placement in 2001 in which ALL of my Large Intestine and most of my Small were removed. This year 13yrs later, after being told I was a candidate for an Ileostomy Reversal surgery during a Consultation visit with

Finish question: Your question was cut off because only a limited number of characters can be used. Re-ask and try to shorten some (& for and, "After" instead of "I had a", w/ for with, etc. It's tough if you have a complicated question. We have limits to and it's tough for us to answer fully as well! ...Read more

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SURGEONS: If a patient who had a Subtotal Colectomy w/Ileostomy placement 13yrs ago, resulting in short bowel syndrome & frequent loose bowels, but was wanting an Ileostomy Reversal, what would do & Y?

SURGEONS: If a patient who had a Subtotal Colectomy w/Ileostomy placement 13yrs ago, resulting in short bowel syndrome & frequent loose bowels, but was wanting an Ileostomy Reversal, what would do & Y?

Difficult question: to answer without knowing much more details. Why was that surgery done? What is the remaining anatomy? Remaining colon or rectum in place? Reconnecting an ileostomy after 13 years might not be well tolerated with resulting frequent diarrhea, poor anal muscle control, anal irritation & the surgery would not correct a short bowel condition. Need many more details to try to answer this question. ...Read more

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How should I prepare for a total colectomy?

Good bowel prep: Otherwise have good family support. I usually have patients take mag citrate 300ml times two starting 12 pm day before on liquid diet, morning of surgery a fleets enema. ...Read more

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What is the definition or description of: colectomy?

Colon resection: It can mean removal of part or complete colon with or without the rectum. ...Read more

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How can I doctors control pain after a colectomy?

Multiple ways: Intravenous patient controlled anesthesia is most common with narcotics. This can be supplemented with Iv Tylenol (acetaminophen) or Toradol with good results until oral meds can be initiated ...Read more

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What is the difference between a colectomy and a colonoscopy?

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

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How long should it be before you have a bm after a sidgmoid colectomy?

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

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Dr. Raj Kapur
747 doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more