Doctor insights on:
What Is An Ileoanal Reservoir
An ileoanal reservoir is surgically created pouch to hold stool in a person who has had his colon (large intestine) removed, but still has a healthy anus. The surgeon creates the pouch from the last several inches of the ileum (small intestine). Stool collects in the ileoanal reservoir and then is pooped out through the anus ...Read more
J pouch: Ileoanal reservoir surgery is something used if a person needs their entire colon removed due to disease such as ulcerative colitis. It is an internal reservoir made from the small bowel at surgery to help control your bowel function after colon removal surgery. J pouch is one form, and there have been some other pouches made. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
Hepaticojejunostomy: Hepaticojejunostomy is a procedure to drain bile from the liver into the intestines when the normal drainage (common bile duct) has to be removed or is blocked. The "roux-en-y loop" is the segment of bowel that is actually surgically connected to the bile duct. Prognosis depends on the disease process requiring the procedure. ...Read more
Is there a difference between an Ileostomy Reversal surgery and an Ileoproctostomy surgery? If so, what's the difference?
Colorectal Surgeon: The two surgeries you describe are very different. I am first going to presume you have an existing ileostomy. An "ileostomy reversal surgery" does exactly what the name suggests. Your diverted segment of small bowel will be reconnected to the prior site. A "ileoproctostomy" would instead take the small bowel and connect it directly to your rectum. ...Read more
Anatomy: An ileoproctostomy is a connection (anastomosis) between the ileum (distal small bowel) and the rectum. It is done after removing the entire colon. An ileostomy is a creation of an opening on the abdominal wall, then bringing the ileum to it and opening it so that the bowel contents empty into a bag. An ileostomy can be done without removing the entire colon and can be reversed when indicated. ...Read more
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 moreSee 2 more doctor answers
Created bladder: Bladder that is created by a urology surgeon. It is typically created from the patient's own intestine. There is hope that neo bladders can be created from engineered bio-material. There are risks for the use intestine, but the benefit to the storage of urine outweighs the risk for some patients requiring neo bladders. Indication for neo bladder is absence of a working bladder. ...Read moreSee 1 more doctor answer
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
What causes an anastomotic leak? Is an Exploratory Laparotomy the procedure needed to correct? What are Exploratory Laparotomy usually needed for?
Variety of causes: Anastomotic leak is a term used to describe the breakdown between two surgically connected sites and is often used to describe GI anatomy. This may be where two pieces of bowel are brought together, or the outflow of an organ such as the liver or kidney is connected. When organs leak, infection in the abdomen can ensue. An exploratory laparotomy is the right choice to find and fix the leak. ...Read more