for those who have had a resection

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Regular Member

Date Joined Feb 2009
Total Posts : 50
   Posted 3/16/2010 9:02 PM (GMT -6)   
Hello all,
I'm having my second bowel resection next week, I've had an abdominal fistula since my last one in October of 2008 and it's time to try and fix it! I've pretty much been told that this was a complication or side-effect FROM the surgery (I only had an abscess before), so are there any tips to avoid this happening again? or any general recommendation on what to do/what NOT to do before and soon after?

-23 y/o alaskan
-resection oct '08
-cd diagnosed nov '08
-vitamin b12 shot monthly
-started remicade sept. '09

Aimee =)
Veteran Member

Date Joined Jun 2004
Total Posts : 1020
   Posted 3/16/2010 9:24 PM (GMT -6)   
A fistula is a side effect from surgery? I've never heard that.

My GI just plans for me to start a maintenance medication soon (my resection - er double resection - was about 5 weeks ago and he wanted to give my body time to heal before starting it) and do another scope in 4-6 months to ensure my disease isn't active.

Veteran Member

Date Joined Jan 2003
Total Posts : 6044
   Posted 3/16/2010 9:54 PM (GMT -6)   
its a side effect if the surgeon didnt do something right! like left a small pinhole when they sew up the anastamosis, then as it leaked it formed a tunnel which went to your skin through the easy route of the cut muscles and inner layers of the mesentary etc.. but mostly due to the inflamation of the crohns ....;0)

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 3/17/2010 8:30 AM (GMT -6)   
Just wanted to wish you good luck with your surgery! Be sure to take your maintainence meds afterwards so you don't have a repeat. Hugs!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Regular Member

Date Joined Jun 2006
Total Posts : 229
   Posted 3/17/2010 8:33 AM (GMT -6)   
Hi there,  I have exactly what you have--an abdominal fistula do to an anastomotic leak from my first resection surgery.  I've been dealing with mine since June 09 and will be having surgery again on April 6 to fix the problem.  My new surgeon will take down the original anastomosis by re-resecting the area and making a new anastomosis.  Unfortunately, she will be doing an "open" surgery this time to make sure everything is looking really good before she closes.  She also said they can wrap the anastomois with extra fatty tissue to ensure I don't "leak" again.  This surgeon told me that the main reasons you can leak are:  poor surgeon technique, Inflammatory bowel disease, pre-operative steroid use, cancer, or a foreign body.  I was on 60 mg of prednisone with my first surgery and almost completely obstructed.  I'm hoping and praying for a good result this time.  The last year has been hellish for me. 
Good luck!  If you have any questions, please feel free to seek me out!
Crohn's Disease for 18 years.. 1st Resection June 2009 still having trouble-anastomostic leak and now fistula.  Currently on Flagyl, Entocort, and Imuran trying to get the drainage to stop. 

Veteran Member

Date Joined Dec 2008
Total Posts : 947
   Posted 3/17/2010 7:36 PM (GMT -6)   
Good luck! Ihope all goes well and you have a speedy recovery.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications:Humira,  Asacol, FolicAcid,  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.

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