Resection with strictures?

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Spanky1
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/21/2010 12:49 PM (GMT -7)   
I have an endostomy and had a barium enema today that showed that there was some narrowing of the colon.  The doctor thinks that I am a borderline case for resection, but that at my age (30) it was worth the chance.  Has anyone been in a similar situation?  What is it like with the narrowing?
 
Thanks in advance.

Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 4/21/2010 1:07 PM (GMT -7)   
I think a resection is worth the chance, even at 30, I was 36 when I had my first one and it did help for a while,its only recently I have started to battle again with flares.
Michelle 40 years old
Diagnosed with CD 2004 (undiagnosed correctly +- 3 years, wrongly diagnosed with IBS)
Bowel resection 2005
medication: pentasa 500mg , Co-codomol 500mg/32mg codeine
loperamide 2mg (prn - take as many as 10-20 a day)
calcium tablets, multivitamin tablets, Omega 3
Ferrous sulphate(anaemia)
levothyroxine (thyroid)
questran light (3 sachets/day), 3 monthly B12 Injections


Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 4/21/2010 3:38 PM (GMT -7)   
I have been told different things with loperamides, my GP said she didnt like being taking that many, that I should stick to the 8 a day but one of my GI's told me the limit for someone with crohns can be up to 32 a day. Depending on the day I'm having would depend on how many I take,sometimes 20 isn't enough,but I also take questran now as well which does help a little on really bad days,plus I do take the 8 cocodomols (32mg codeine and 500mg paracetomol), as the codeine is supposed to make you constipated,but it doesnt with me. Even when I do take the bigger doses of loperamide, it might stop me 'running' to the toilet but it doesn't give me formed BM,it just drops the amount of times I have to go to the bathroom.
Michelle 40 years old
Diagnosed with CD 2004 (undiagnosed correctly +- 3 years, wrongly diagnosed with IBS)
Bowel resection 2005
medication: pentasa 500mg , Co-codomol 500mg/32mg codeine
loperamide 2mg (prn - take as many as 10-20 a day)
calcium tablets, multivitamin tablets, Omega 3
Ferrous sulphate(anaemia)
levothyroxine (thyroid)
questran light (3 sachets/day), 3 monthly B12 Injections


Ashworthml
Regular Member


Date Joined Jan 2010
Total Posts : 222
   Posted 4/21/2010 3:39 PM (GMT -7)   
sorry to cut in on your question spanky, i suppose it should of been a new post really!
Michelle 40 years old
Diagnosed with CD 2004 (undiagnosed correctly +- 3 years, wrongly diagnosed with IBS)
Bowel resection 2005
medication: pentasa 500mg , Co-codomol 500mg/32mg codeine
loperamide 2mg (prn - take as many as 10-20 a day)
calcium tablets, multivitamin tablets, Omega 3
Ferrous sulphate(anaemia)
levothyroxine (thyroid)
questran light (3 sachets/day), 3 monthly B12 Injections


Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 4/21/2010 3:40 PM (GMT -7)   

Don't understand what he means by borderline case for resection and what age has to do with anything? I had a resection one year ago at the age of 57.

Just had an ultrasound yesterday which showed things as being normal. Feeling very good as far as the Crohn's goes.


58 yr. old F dx. CD 07/07
Started weekly methotrexate injections 09/22/08.
Lap assisted sigmoidoscopy done May 11/2009


Spanky1
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/21/2010 4:07 PM (GMT -7)   
The doctor said I was borderline because of the scar tissue build up.  The colon may stretch after resection but it is not certain and there is the possibility that after resection there could be issues with how loose the stool will be .  Age was brought up because of the risk/reward factor of going ahead with the procedure.  It would seem worth the risk to have the next 50-60 years of my life somewhat more "normal". 

Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 4/21/2010 7:46 PM (GMT -7)   

If you have a stricture which is scar tissue, no meds will take that away and I would think surgery would be inevitable sometime in the future. As far as how loose the stool is, how is it now? I thought surgery especially if just in the colon could help with that if they remove the active disease. But remember there are no guarantees with surgery either. Some people have a long remission while in others it comes back fairly quickly.

Good luck.


58 yr. old F dx. CD 07/07
Started weekly methotrexate injections 09/22/08.
Lap assisted sigmoidoscopy done May 11/2009


Spanky1
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/22/2010 9:46 AM (GMT -7)   
Prior to my colostomy in December '09, my stool would usually be loose but I managed by planning what I ate and what I was doing. Since the surgery (which was to take care of a fistula), my stool has been solid however it is not going thru the diseased part of my colon.  The barium enema showed that my colon is somewhat distensible, but not nearly enough for the doctor to say that there probably wouldn't be complications with stool movement subsequent to the resection.  Would the stool issues be similar to what I experienced before? Is strictureplasty an option to help with the distensibility, or are there limitations to where this is performed in the colon?  (I know I should ask my doctor, but when I first heard the results of the barium enema, I was in shock as I expected going in that I would be able to have the resection)
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