Doctor insights on:
What Exactly Is An Ileostomy Takedown
Reconnect intestine: This generally refers to the removal of an ileostomy (loop of intestine attached to the skin so stool can drain into a bag on the abdomen) and reconnection of the ileum to the colon or intestine( or in some cases creating an ileal pouch). It really depends on the exact circumstance of the ileostomy and what else was done. ...Read moreSee 1 more doctor answer
Controllable: An ileostomy is placement of the end of the small intestine out of an opening made in the abdominal wall. Most of these will drain or empty spontaneously, without any control. A valve can be constructed at the opening of the intestine (stoma) which will allow no drainage unless a catheter is passed into the opening--we call this a "continent" ileostomy. ...Read moreSee 1 more doctor answer
Please explain in laments terms what exactly the difference is between an Ileostomy and an Ileoproctostomy. What determines having 1 over the other?
Simple term explains: ' Ileostomy ' means end of ileum ( small bowel ) was brought our side , bowel contents leaks out into a bag Most likely the entire colon including rectum was removed due to disease or some times temporary staged procedure . In ' ileo-proctostmy ' ileum was connected to rectum no bag needed , go to bath room normal way. ...Read more
How many bowel movements can you have per day after the takedown surgery of a colostomy and ileostomy?
Varies: It depends on what the prior surgery was. If there was a significant amount of the colon removed or much of the right colon removed, then there could be several bowel movements per day after takedown of a stoma. Drink more liquids and first try added fiber such as metamucil if alright with your surgeon. Would not recommend over the counter immodium unless fully cleared as alright with your surgeon. ...Read more
Not really: A loop ileostomy is an ostomy where both upstream and downstream ends of the bowel come through the same opening in the abdominal wall. It can be different in terms of what segment of bowel is used. It usually allows for a simpler closure of the ileostomy and a shorter recovery time following pouch surgery. ...Read moreSee 1 more doctor answer
Depends: If you are having a full abdominal surgery with intestinal removal, then a few days in the hospital and 6 week recovery with gradual increasing activities would be common. If it is only an operation for repairing or revising an ileostomy, then it would be a shorter surgery and return to home the same day with quicker return to normal. If the surgery is laparoscopic, then recovery would be faster. ...Read moreSee 1 more doctor answer
In regards to tests performed for possible ileostomy reversal, what does this mean: scan to check that timing for reversal is correct?
Anastomosis intact: Purpose of an ileostomy is to allow function of small bowel when there is a colonic problem. If total colectomy, then an end ileostomy is performed If ileostomy is used to protect a distal colon resection where continuity is provided by a an anastomosis that may have compromised circulation the ileostomy protects the anastomosis. until healing demonstrated by x-ray studies. ...Read moreSee 1 more doctor answer
Laparoscopic: Surgery is minimally invasive surgery through 3-4 small incisions using special lighting, camera & small instruments to perform an abdominal surgery. In this case to remove a person's ileostomy and bag and repair or reconnect the small intestines internally. Would be done under full general anesthesia. ...Read more
Koch + J S W pouch: This is a complex subject and i understand your confusion. The conventional continent ileostomy is called a koch pouch and its opening is located on the abdomen. Other surgeons have described a variety of other procedures where the end is attached to the rectum using an lido-anal pull through technique with a pouch formed using a variety of configurations known the j, s, or w pouch modifications. ...Read moreSee 1 more doctor answer
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