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Doctor insights on: What Exactly Is An Ileostomy Takedown

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Dr. Wayne Myles
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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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What exactly is an ileostomy reversal?

What exactly is an ileostomy reversal?

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 more

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What exactly is a continent ileostomy?

What exactly is a continent ileostomy?

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 more

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What exactly is an indiana pouch?

What exactly is an indiana pouch?

Urinary diversion: A pouch is created using ascending colon and a portion of the ileum from which the ureters are diverted to. This reservoir will connect to the skin via a ostomy from which the pouch can be drained. ...Read more

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What exactly is an esophagogastroscopy?

What exactly is an esophagogastroscopy?

Stomach inspection: Esophagogastroduodenoscopy (egd) is a test to examine the lining of the esophagus (the tube that connects your throat to your stomach), stomach, and first part of the small intestine. It is done with a small camera (flexible endoscope) that is inserted down the throat under sedation. It is the gold standard for evaluation and treatment of disorders of the upper gut. ...Read more

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What is an esophageal fistula exactly?

What is an esophageal fistula exactly?

See below: Fistula is a naturally occurring, abnormal communication between two structures as a tracheo-esophageal fistula, which can cause frequent episodes of food aspiration into the lungs. ...Read more

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What is a reversal colostomy?

What is a reversal colostomy?

Reconnection: The reversal procedure is to re-establish colonic continuity so the patient can again eliminate via anus. Keep in mind that not all ostomies can or should be reversed. ...Read more

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What exactly is a kock pouch?

What exactly is a kock pouch?

Waste Reservoir: A kock pouch is a continent ileostomy formed through surgery after a colectomy. Basically, it's an pouch inside the abdomen (created from the intestines) that allows stool to accumulate inside the body and be emptied through a catheter in the abdomen at will. This procedure is used to avoid tradition colostomy bags and improve a patient's quality of life. ...Read more

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What exactly is an angioplasty?

What exactly is an angioplasty?

Hydraulic Expansion: Angio=blood (blood vessel in this case); plasty=physical change /remolding of tissue. In angioplasty, a flexible guidewire, typically 0.014" diameter, is threaded through an area to be expanded. Over this guidewire, a balloon catheter (engineered plastic tube device) +/-stent is slid into the area & expanded using pressures 60-250 times usual blood pressure, deflated & then balloon & wire removed. ...Read more

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What exactly is a fistula?

What exactly is a fistula?

Abnormal Connection: An abnormal connection between to organs or vessels. Example: entero-cutaneous fistula- an connection between the bowel and the skin. These are typically caused by diseases of the bowel. Example: arterio-venous fistula- a connection between an artery and a vein. These are created surgically to provide dialysis. ...Read more

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What is exactly is an anal abscess/fistula?

What is exactly is an anal abscess/fistula?

An infection: In the perianal region, usually derived from the anal glands inside the rectum. A fistula is an abnormal communication between two organs, in this case the rectum and the skin outside the anus. Both require evaluation and often surgery to permanently resolve and prevent recurrences or complications. ...Read more

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What is Intestinal Postoperation Non-absorption? How would it relate to an Ileostomy Reversal surgery?

What is Intestinal Postoperation Non-absorption? How would it relate to an Ileostomy Reversal surgery?

Yes it might: Removing part of the intestines, specially the ileum can cause mal-absorption of nutrients and vitamins. Reversal of the ileostomy is just putting the intestines back to normal, which may improve the mal-absorption of nutrients and vitamins and water. ...Read more

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What exactly is a laparoscopy?

What exactly is a laparoscopy?

Surgery: Surgical procedure that uses small incisions to insert a lighted camera and small surgical instruments to perform surgical procedures in the abdominal or pelvic region. ...Read more

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What exactly is a laparotomy?

What exactly is a laparotomy?

Open surgery: Laparotomy is surgery that involves opening the abdominal cavity. ...Read more

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What is a laparoscopic ileostomy take down?

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

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What is an ileoanal reservoir?

What is an ileoanal reservoir?

J-pouch: It is a way of removing the entire colon without the need for a permanent colostomy. The end of the small intestine (ileum) is sewn in such a way to make a j-shape which allows for more reserve for stool to allow for fecal continence. ...Read more

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What is a transverse colostomy?

What is a transverse colostomy?

ABDOMINAL OPENING: The second part of the colon, which runs from the right upper quadrant to the left upper quadrant is appropriately named the transverse colon. If this part of the colon is brought up to the surface of the abdominal wall, as a stoma, it is a transverse colostomy. I hope this helps. Good luck. ...Read more

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What is RENAL AUTOTRANSPLANT and how does it relate to an Ileostomy Reversal?

Here are some ...: Organ auto-transplant is to move a locally damaged organ - intentionally or unintentionally - to a new site so such organ will / may continue to survive & function. For kidneys, such need usually takes place for insufficient ureter or artery. How is that related with ileostomy reversal? It would be most likely to make the shortened ureter to function. For individual situation, ask Doc. ...Read more

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What is an antrotomy?

What is an antrotomy?

Defined: An antrotomy is an incision or opening into the lower third of the stomach (antrum.) Could be done to gain access to the lower stomach to remove a benign growth, or to drain a pancreatic cyst into the stomach. If the lower third of the stomach is removed, it's an antrectomy. I hope this helps. Good luck. ...Read more

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What is removed during an illiostomy?

What is removed during an illiostomy?

Possibly nothing: Ileostomy is a surgical procedure where the ileum of the small intestine is attached to a hole made in the abdominal wall. Things removed depends on the need for surgery. It can be done with a colectomy, where colon is removed as in treating ulcerative colitis. After a time the ileum may be reconnected to rectum in a procedure called a takedown or reanastamosis. ...Read more

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