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Colitis (Expert Forum)
J Pouch Surgery
Answered by
Ratnakar Kini, MD - Gastroenterology, Pediatrics, acid reflux, gerd, colitis
Gastroenterologist & Hepatologist
India
This forum is for questions and support regarding Colitis issues such as: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC Medications, Fever, Living with Colitis, Loss of Appetite, Preventing Flare-ups, Research, Symptoms, Support, Surgery, Tests, Treatments, Types of Colitis
J Pouch Surgery
by UCWife, Jan 14, 2008 11:29AM
Hi,
My husband has severe ulcerative colitis and is planning on the Ileo-anal anastomosis surgery. I am a realist and am wondering about a few things:
1. How long is the recovery? He is a teacher and it is hard to just leave work and not plan for the leave.
2. Is it most often successful? His small intestine and illieum are not affected.
3. He also has primary sclerosing colangitis, does this affect the surgery?
His family also has a history of gall bladder problems, is there any connection to colitis? Has anyone that has had colitis had gall bladder problems?
My husband has severe ulcerative colitis and is planning on the Ileo-anal anastomosis surgery. I am a realist and am wondering about a few things:
1. How long is the recovery? He is a teacher and it is hard to just leave work and not plan for the leave.
2. Is it most often successful? His small intestine and illieum are not affected.
3. He also has primary sclerosing colangitis, does this affect the surgery?
His family also has a history of gall bladder problems, is there any connection to colitis? Has anyone that has had colitis had gall bladder problems?
Doctor's Answer
by Ratnakar Kini, MD, Jan 17, 2008 09:03AM
, Jan 17, 2008 09:03AM
Hi UCWife,
1. It usually takes about 2 weeks for recovery if it is done as a single stage procedure. If it is done in two stages, it takes 2 weeks after each stages for recovery ( totally 4 weeks - this is an approximate value)
2. Many people who undergo this surgery are able to have normal bowel movements and it is "somewhat" successful and satisfying.
3. Many case reports have shown that performing ileo-anal anastomosis is safe in UC patients with PSC.
Ulcerative colitis is not usually associated with any increased risk of gall bladder problems.
==================================================
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
1. It usually takes about 2 weeks for recovery if it is done as a single stage procedure. If it is done in two stages, it takes 2 weeks after each stages for recovery ( totally 4 weeks - this is an approximate value)
2. Many people who undergo this surgery are able to have normal bowel movements and it is "somewhat" successful and satisfying.
3. Many case reports have shown that performing ileo-anal anastomosis is safe in UC patients with PSC.
Ulcerative colitis is not usually associated with any increased risk of gall bladder problems.
==================================================
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
any information on the above would be really helpful
Thanks
***@****
It is a very serious surgery--full reconstruction and the 2 week recovery mentioned, no offense doctor, is a minimum, and that is if everything goes perfect and he is healthy going into the surgery. I was sick and underweight when I had mine--not the opportune time to have this surgery, but the doctors had no choice. Since I was sick, I can't say for sure, but I would plan on a month of rcovery. Is it possible that he could do it in the summer? Then he would have plenty of time for re-cup.
I had my surgery at the Cleveland Clinic and it was a 2 part surgery. I was too sick to do them at the same time, and this was basic procedure then anyway. The 2nd surgery is really a breeze after the first one. The first one is the reconstruction, the second one is just freeing the bowel from your side and removing the ileostomy.
Let me know if you have any more questions and what you decide to do. Best regards.