dilatation of stricture vs. resection--please help.

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Linn
Regular Member


Date Joined Jul 2008
Total Posts : 118
   Posted 8/20/2010 5:59 AM (GMT -7)   
Hey all--

I haven't been on this board in a while because, admittedly, I've been feeling great.

A few weeks, my last colonoscopy reveals that my stricture, whom i've been co-existing with just fine, is too small to even let a pediatric colonoscope pass through. They had to use the peds endoscope. My doctor thinks I can ride it out, for a while, but here's the thing: I'm in medical school. The first week in March, I'm going to take an exam (the USMLE) that is basically going to decide the rest of my life. I have a vacation in December, but I'm supposed to start studying the first week of January.

Now I ask: any experiences with dilatation via colonoscopy? My doc says he may be able to use a balloon to make the stricture wider--temporarily. it'll still need to be cut out. but if anyone has ever had this done, could you comment on it?

and: for all you bowel resection folks: laproscopic or not? did you have the strictureplasty or just a straight resection? RECOVERY TIME? i need info in terms of, how many days post-op did you feel like you could use your brain again/get off the opiods? i don't need to run a marathon but i do need my head to be clear.
26-year old crohn-y

Currently take:
Tysabri
Cipro 500 mg bid
Flagyl 500 mg bid

andorable
Veteran Member


Date Joined Jun 2005
Total Posts : 981
   Posted 8/20/2010 6:22 AM (GMT -7)   
Hi there,
I can't comment on the dilatation process as I never experienced that. But I can comment on the bowel resection as I had a right hemicolectomy I think it was about 5 years ago now, Im losing track of dates since I have had so many surgeries for this wonderful disease. Anyway my right hemicolectomy was done laproscopic I had about 4 tiny lapro cuts and one on my right side around about 3 inches long. That was the biggest scar for that surgery. Unfortunately for me I was unable to bounce back after that surgery since I still had a lot of active disease and eventually resulted in a permanent ileostomy and proctocolectomy which has been a blessing. But because thats how I felt doesn't mean you will be the same. A resection might be the answer for you, the healing process for me after that surgery was pretty good as I recall it was only about 4 weeks. Hope it goes well for you and sorry Im not really a great help
Doreen

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 8/20/2010 7:50 AM (GMT -7)   
If you have not had any previous surgeries, I think a lap would be possible for you. But you should know that sometimes when they get in there, they find a bigger mess than expected and have to convert to open, they happened to me. I have never had a dialation, but heard they usually last about 6 mos or so. I think if you are able, if you could go with a stricturplasty that would be the best way to go as it saves bowel, while opening up the stricture. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease 
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"*

Linn
Regular Member


Date Joined Jul 2008
Total Posts : 118
   Posted 8/20/2010 7:58 AM (GMT -7)   
I'm not sure if this is helpful, but the stricture is in my sigmoid colon. And its pretty small, at least in terms of its length within the bowel. And the rest of my bowel is PRISTINE, the tysabri really is amazing. nanners, how long was your recovery?
26-year old crohn-y

Currently take:
Tysabri
Cipro 500 mg bid
Flagyl 500 mg bid

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 8/20/2010 8:03 AM (GMT -7)   
My recoveries both times were about 8 weeks, but remember I had open resections and also had infections in my incisions both times. Not fun!

Lap is usually about 4-6 weeks.
Gail*Nanners* Co-Moderator for Crohns Disease 
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"*

kazbern
Veteran Member


Date Joined May 2010
Total Posts : 8375
   Posted 8/20/2010 10:15 AM (GMT -7)   
This may be completely unhelpful, but I had an esophageal stricture dilated by balloon about 3 years ago and I think I'm still fine. I do feel some resistance to swallowing larger bites, but nothing like the discomfort I had before the procedure. If you can't manage the potential down time right now, why not go for the dilation and schedule a surgery for next summer?
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