How much is scar tissue...surgery it is?

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Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 2/1/2009 8:56 PM (GMT -7)   
I have read people asking how you know if a stricture is scar tissue or inflammation. For me it was an endorectal ultrasound that was the deciding factor in opting for surgery.
I have a stricture in sigmoid colon and the ultrasound showed thickening throughout all the layers at the site. Plus there was some mild asymmetry to the degree of thickening. Apparently this is abnormal. Quoting from the operative report "Given the difficulty advancing the radial scope to the stricture, we did not attempt to use the linear scope (which is required for FNA). The linear scope is larger diameter, stiffer and the relatively sharp end would increase the risk of perforating significantly."
In other words they could not do further needle biopsies into the stricture and even if they could they cannot rule out cancer 100%. They would rather be safe than sorry later.
I also had a colonoscopy in January and the stricture site is the only sign of active Crohn's.
Remember I am the lady with no symptoms. I have had numerous scopes and have had 6 GI's and now four surgeons consult with me over the last 18 months. This decision did not come easily but am comfortable with the decision. I know there are others who would probably live with it for some time.
Now waiting to hear when surgery will be scheduled.
55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
 Started weekly methotrexate injections 09/22/08.


Irishmom4
Regular Member


Date Joined Sep 2008
Total Posts : 457
   Posted 2/2/2009 12:38 PM (GMT -7)   
Hope they can do a lapro and not a huge incision. I had a bowel resection and it is no fun.Good LUck!
Elizabeth
dx'd with Crohns 1984, I was in remission for 12 years
Bowel Resection surgery 2006, Now weaning off  Predisone after another flare. Started taking my Asacol again.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 2/2/2009 5:43 PM (GMT -7)   
Thanks. They will definitely try to do laparoscopic surgery and have read that where my stricture is situated it should be ideal place for lapro. I'm sure I'll have more questions regarding the surgery.
55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
 Started weekly methotrexate injections 09/22/08.


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 2/2/2009 5:48 PM (GMT -7)   
Irishmom 4. If you read this again I would be interested in knowing what part of your bowel did you have resected? Lapro? Were you off meds for awhile. I am hoping that maybe I can just take something like Asacol eventually if even that.

55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
 Started weekly methotrexate injections 09/22/08.


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 2/2/2009 6:46 PM (GMT -7)   
Hi Bammer wishing you good luck with your surgery. Let us know how things are going ,hope it helps you and did they say what's up that you have no symptoms? lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,hemmies,and still alive.lol gail


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 2/2/2009 8:44 PM (GMT -7)   
No, they are all surprised to see what's inside my colon when they do the scopes compared to how I feel. There has been active Crohn's at the stricture site since it was found. I think that is why so many docs have reviewed my case. At first I don't think they beleive that I have no symptoms but one reason I like my present GI. They initially think surgery but my GI has explored other options and requested further tests before we came to this decision.
I will add that as soon as I was diagnosed I took some foods out of my diet, like raw veggies, some fruits, lettuce and corn and have been on low fibre diet. I gave up on popcorn long before I knew I had a stricture or Crohn's. I did have my first alcoholic drink yesterday since starting Metho and stomach not quite right today. Still no diarrhea and only a moment of queeziness.
55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
 Started weekly methotrexate injections 09/22/08.

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