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Colitis (Expert Forum)
Post rgery Problems
Answered by
Ratnakar Kini, MD - Gastroenterology, Pediatrics, acid reflux, gerd, colitis
Institute of Child Health & Hospital for Children
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
Post rgery Problems
by rhinomike, Apr 29, 2008 10:23PM
My brother in law jsut had Colon Surgery to remove a portion of his colon. He is only 22 years old and he had diverticulosis. After a few days he had pain and started vomiting. His surgeon tells us that his intestine has healed to the Colon.... he has been in the hospital for 3 day. They drained his stomach and the surgeon thinks it will detach on its own. It has formed a partial blockage of the colon. Does this sound right? Will it heal itself? Should I get a 2nd opinion? Thank you for the help.
Doctor's Answer
by Ratnakar Kini, MD, Apr 30, 2008 01:01AM
, Apr 30, 2008 01:01AM
Hi rhinomike,
If the surgeon meant, there are adhesions formed, then it has to be corrected surgically.
Though spontaneous improvement is possible, surgery has to be done to release the adhesions if symptoms persists or if it is severe.
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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.
If the surgeon meant, there are adhesions formed, then it has to be corrected surgically.
Though spontaneous improvement is possible, surgery has to be done to release the adhesions if symptoms persists or if it is severe.
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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.
As of the moment he has passed gas and the suregeon tells us this is a good sign.
They have a tube in his nose to constantly drain his stomach. The suregeon tells us this will lighten the pressure on the adhesion and hopefully "pop it loose". They are going to do a X Ray today and the surgeon said there is a small chance the liquid that he drinks may help it pop loose. He tells us that he wants to avoid going back in for suregery unless it is 100% necesary.
We are a little unsure about this doctor. Does all of this sound correct? Is it a normal side affect or could something have been done to prevent it? Is it rude to ask for a second opinion or is it unnecessary at this time?
We want to avoid a 2nd suregery unless it is 100% necessary.
Thank you so much for your help. It is greatly apreciated.
God Bless
Mike F.
http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/25863.html
This is one of the websites I found. If you look at the Treatment paragraph it says that if you have a small obstruction in the small intestine... it can clear on its own using an NG tube (which he has)...
Every website I found laid out exactly what this doctor has done. From the NG tube to the CT Scans... the doctor is still saying as of this morning that he does not believe surgery is necessary. Also, in the case that surgery is needed, the surgery is performed in the small intestine which is not where the previous surgery was done. When surgery is performed, a small piece of the bowel may have to be removed where the blockage was due to lack of blood flow to that spot. The dr said that 60% of his patients are able to get the surgery laproscopic. But, he still says that surgery is not in his head now. He is getting a GI scan today which should tell more... also, 40-50% of the patients will actually get unblocked from the liquid he has to drink... so there is hope...
Another woman here was admitted for the same problem on Sunday, her blockage cleared on its own and she is leaving today...
I asked the Dr if he feels Anthony's age is working against him because he healed better than the older patients... the Dr said that it does not matter how well it is healed and that as long as it is a partial obstruction, there is always a chance for it to correct itself safely.
If surgery is performed, Anthony will have to be here 5-12 days after the surgery takes place.
I would suggest you to follow the Surgeon's advice.
Adhesion formation is very common after surgeries. Adhesiolysis is the surgery done for it. But this surgery can also result in formation of adhesions.
Only the doctor who is examining the patient can decide on further management.
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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.