Steroids prior to surgery?

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lamb61
Veteran Member


Date Joined Jan 2005
Total Posts : 1718
   Posted 12/8/2009 7:53 AM (GMT -7)   
Who has used steriods prior to surgery?  I'm scheduled for surgery 1/15 and my GI is putting me on 30 mg of pred starting today.  We're doing a quick taper, but I'm still concerned about complications. 
 
Just what I need --- pred and the holiday?!  This should be interesting.....
 
 
Thanks,
Lorraine
 


aronk
Regular Member


Date Joined Jun 2006
Total Posts : 229
   Posted 12/8/2009 7:55 AM (GMT -7)   
I was on 40 mg of prednisone when I had my resection on June 18 of this year. I have had nothing but trouble with infection, fistula's etc... I'm sure other people have had better outcomes. I don't know if mine was because of the pred or not. Good Luck to you!!

Angela

Escalador
Regular Member


Date Joined Jul 2009
Total Posts : 103
   Posted 12/8/2009 10:07 AM (GMT -7)   
usually not a good idea ... thats what my surgeon (he's also my godfather :D ) told me :)

Cleo
Veteran Member


Date Joined Apr 2004
Total Posts : 992
   Posted 12/8/2009 2:11 PM (GMT -7)   
I am facing this prob right now. I just got out of hospital, need surgery, they didn't want to do it yet cause of being on steroids. The first time I had surgery I was on pred and had no probs.
Cindy 
 
Life isn't like a bowl of cherries, it's more like a jar of Jalapenos... What you do today, might burn your "butt" tomorrrow!


MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 12/8/2009 4:13 PM (GMT -7)   
I was on 100mg of prednisone for a YEAR prior to my surgery and only was able to taper down to 60mg before my surgery with Watson.  I had horrible complications (abscesses,fistula ect ect), and I'm still on steriods today (5mg, almost done!!).  He will def take that into consideration, you might be left with an open wound instead of closing it and having a good chance of infection. Honestly though you are only going to be on them for a lil over a month, and its not a HUGE dose. 
Dianogsed with Crohns: At 16 years old. 22 years old now.
Surgeries:2 Bowel Resections, Gallbladder Removed, 3 Abscess Cleanings
Current Meds: Cimzia, Methorexate, Vitamin B12 (injections), Nexium.
Next Surgery: Nov. 20th to Take Down Abdominal Fistula!!!
 

Carnival Huckster
Regular Member


Date Joined Oct 2009
Total Posts : 159
   Posted 12/8/2009 5:22 PM (GMT -7)   
I am in a similar situation (having surgery in January) and the docs were going to have me on 40mg / day of prednisone with taper right before the surgery. Instead they elected for me to use Entocort (9mg / day) instead of the prednisone. Your docs approach sounds like it makes sense -- From what I understand, if you go into, say, a resection with a lot of inflammation the chances of a successful outcome may be decreased.

+ 34 year old male
+ Crohn's Disease DX in 1997, doc said it was "moderate to severe"
+ Recently hospitalized because of ruptured small bowel; docs got it under control but have scheduled resection surgery for January 2010.
+ Taking Cipro, Flagyl, and Entocort until surgery
+ SCD for past 10 years
+ Not surgeries so far (but that is changing in January)


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 12/8/2009 5:30 PM (GMT -7)   
I was on steroids prior to surgery, but my surgeon wanted me off of them. I tapered off about 2 weeks prior to my surgery and I did not have any complications. While in the hospital for sugery they put me back on them again, this time 100mg.
Is it good or bad, I can't answer that.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Precription Folic Acid, Multivitamin, 1000mg Calcium, Vitamin D, Probiotics, Pepcid Complete, Questran,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


SydneyJo
Veteran Member


Date Joined Mar 2006
Total Posts : 1354
   Posted 12/9/2009 3:37 AM (GMT -7)   
I could only taper down to 15mg of pred when I had my resection and I had been on pred for 4 years straight prior to that. I had no surgical complications and healed in a good amount of time - but the CD grew back after less than a year right beside the surgical site. I was'nt even able to get off the pred and am now hoping the Humira will help with that.
Good luck.
Jo
Crohn's Disease, Ankylosing Spondylitis
Current meds: Methotrexate, Prednisone, Humira
Bowel Resection Sept. 07
 
Forum Moderator - Rheumatoid Arthritis


lamb61
Veteran Member


Date Joined Jan 2005
Total Posts : 1718
   Posted 12/9/2009 4:25 AM (GMT -7)   
Thanks for all your replies. By the time my surgery rolls around I'll only be on 5 mg so that makes me feel better. And since it's supposed to be laproscopic I'm hoping I won't end up with an open wound. But we'll see.

Thanks!
 


njmom
Veteran Member


Date Joined Apr 2006
Total Posts : 1884
   Posted 12/9/2009 8:56 AM (GMT -7)   
The 5 mg might be just right.
 
It is my understanding that if you have been on steroids just before surgery - and in some cases, within six months or a year of being on steroids, then it might be necessary to be on steroids during the surgery.
 
Why? Because the body's ability to deal with physical stress can be compromised even after a brief round of steroids, and surgery is certainly physically stressful.
 
The following link leads to more info about prednisone, including the impact of surgery: 
 
http://74.125.47.132/search?q=cache:5s5EQK-2hUAJ:www.gihealth.com/html/education/drugs/prednisone.html+prednisone+surgery&cd=1&hl=en&ct=clnk&gl=us
Daughter (22) Dx'd Crohn's 3/06. Misdiagnosed for two years, including by top pediatric Crohn's specialist as stress. No symptoms for the past two years. Recent colonoscopy shows stricture gone but still two spots of inflammation in TI. Used LDN to taper off Entocort. Was on Entocort since April 06. Never had D. 4.5 mg LDN, SCD multivit, homemade yogurt, 5000IU vit D3, 500 mg calcium, 27 mg iron, monthly B12 shots, daily oral B12 1000. SCD diet modified to include potatoes and rice. 

Post Edited (njmom) : 12/9/2009 8:59:08 AM (GMT-7)

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