Fistulagram today

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dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 12/12/2007 2:48 PM (GMT -7)   
Hi all,
 
I had the fistulagram done this morning.  It was an easy prep...lol there was no prep, nice considering I have my colonoscopy next week.  The proceedure was pretty fast too.  The radiologist asked if the aarea was sensitive but I am use to cleaning it with a qtip and having my surgeon placing a qtip in it to determine how deep he can get it into the fistula.  I figure If I can handle the qtip and after seeing the Christmas tree tip as they call it I figured that would be less painful than needles with lidocane going into it.
 
For those who may have to have a fistulagram it was pretty simple.  As I said they use a Christmas tree tip and place that on a syringe.  The fluid that they inject is the dye they use for CT scans...the dye they use in the IV part of a CT.  I was afraid that the dye would sting like it does when it goes into the vein but it didnt, after a little while it did sting a bit but the fistula will bleed at times too and maybe it is that blood connection with the dye that makes it burn. 
 
There is no needle and they just place the tip of the Christmas Tree tip into the fistula.  They placed a lead marker on my skin adjacent to the opening of the fistula so that it could be seen on the rads.  the radiologist had me lay on my side while injecting then he took a few xrays then had my lay on my back and he took more xrays.  My fistula is right under my belly button so I was able to see the whole thing.  The machine they use for the rads is the same one that they use for the SBFT.
 
My husband and I are wondering how qualified these docs are altely.  I asked the radiologist what intestine it was that the fistula was connected too.  He said small, then I said hmmm my surgeon thought it was large since the feces coming out is viscous and when I was on pentasa the beads were also coming out of the fistula.  The radiologist then injected more dye into the fistula then said oh yeah it does look like large bowel.  Looks like it is the transverse bowel.....Like shoot had I not brought that up and when my scope will show exact point where the CD is active when those results come in after next week, and the radiologist would say small and the scope may not get into the small can you imagine when I get opened for surgery.
 
So really is it my large or is it my small intestine it is coming from?  The pic is magnified so you cannot really tell by size of the intestine as far as circumfrence...just gets me frustrated, my husband too.  He estimates that the fistula is approx 10cm from my stomach to intestine but again the pic is magnified and it is just an estimate.  The line itself was very thin no wonder when the thick stool comes out it hurts like crazy.  It appeared like maybe the width of a pin head and I am unsure of the amount of magnification used.  This thing will not heal though you think with the width of the fistula this thing would be closed by now.  It has been flowing since September and I was even on TPN trying to get it to heal up with no luck.
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 


danbaek
Regular Member


Date Joined Sep 2006
Total Posts : 21
   Posted 12/12/2007 3:30 PM (GMT -7)   
I just took my board exam to become Radiology Tech. I saw a lot of procedures while I was interning and sometimes diagnosing can be very vague and difficult. I just watch Radiologist do it but from what I can see, it takes a lot experience. It does help when the patient explains what's going on with their body. Good luck with your colonoscopy dragonfly.

broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 12/12/2007 7:30 PM (GMT -7)   
Thanks for sharing. I've haven't had one yet and hope I never do. Hopefully yours will heal soon. At least now, if I do have one I'll know more about what to expect.
Dx'd Jan'06, 1st Resection 7/06, Predinsone, Humira, Imuran, B12 injections, Nexium. Secondary conditions: Psorasis, Acne, Fatigue, Joint Pain, Lactose Intolerant, gallstones, fibroid cysts, peri-menopausal.


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 12/12/2007 7:45 PM (GMT -7)   
Hi glad it wasn't a too bad thing for you to go threw sometimes a person gets nervous of things they haven't done before I know I used to and still do with something new. I was wondering what they did for those fistulagrams so having more knowledge is helpful. Hope your getting some deserved rest now . How are you doing this week with eating and how are you feeling? At least you will rest easier knowing you got that done. Keep in touch .lol gail

randynoguts
Veteran Member


Date Joined Jan 2003
Total Posts : 6050
   Posted 12/12/2007 10:45 PM (GMT -7)   
hey Dfly, been there done that, one of the easier tests we have! and interesting .
randynoguts 



     http://www.geocities.com/randynogutsweb/


dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 12/14/2007 9:16 AM (GMT -7)   
Yea now I get to get lots of water and apple juice at the market this weekend...My osmoprep begins Wednesday this week. My colonoscopy is going to be done with general anesthesia on Thursday at 9:30 am. This is to determine how much of the bowel surrounding the fistula is diseased so my colorectal surgeon can know ahead of time how much will need to be taken out.

The way my surgeon made it sound for the fistulagram was a scope with a cam going into the hole that made me nervous but was pleased that they were not doing that the doc did say a scope with a cam....weird.

Yes one of the easiest tests ever...the adapter they put on the syringe was approx 1.5 inches long and only maybe 1/4 of an inch went into the fistula but it was nice to offer lidocaine to numb the area first I fugured a needle there would be more painful tho since I was use to my doc putting qtips in it and myself doing it to remove blood clots etc.
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 

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