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Doctor insights on: Ulcerative Colitis Status Post Total Colectomy With Procedure

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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

Dr. Jonah Essers
533 doctors shared insights

Ulcerative Colitis (Definition)

An inflammatory bowel disease (IBD) that causes long-lasting inflammation in part of your digestive tract. Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum.There's no known cure for ulcerative colitis, but therapies are available that may dramatically reduce ...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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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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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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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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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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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...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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Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?

Ulcerative colitis: All of the biopsies from colonoscopy showed inflammatory changes consistent with ulcerative colitis. The later is part of the spectrum of IBD but involves only the mucosal layer of the bowel. Chrons disease is a form of IBD that involves all layers of the bowel and can be recognized on scans of the bowel or deeper layers of bowel on bx. ...Read more

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Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.

Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.

Wow: We have only 400 characters here, answering your question minimally would require a lot more. Explanation and diet is not possible here; but advice is ok : ask your dr with the studies in front of you. ...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 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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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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Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?

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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My colon results show 90% ulcerative colitis and 10% Crohn's disease. Whats the percentage of pouch surgery being successful?

Inflammatory Bowel: I think you should see an experienced functional medicine doctor or integrative medicine doctor in addition to your GI doctor and surgeon. Watch Dr Mark Hyman's YouTube videos on your condition. Also, if you have not changed your diet already, strictly remove gluten and dairy from your diet. I wish you the very best. ...Read more

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Can you have gastric bypass after total colectomy?

Bypass: If you have extensive abdominal surgery such as a tital colectomy a gastric bypass is not a good choice for you however you can look into other options such as the band or the sleeve gastrectomy. ...Read more

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Dr. Scott Bolhack
2,076 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Dr. Raj Kapur
747 doctors shared insights

Colectomy (Definition)

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