exploratory laporoscopy

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Canyonbabe711
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   Posted 1/4/2008 9:11 PM (GMT -7)   
My friend that has been having low intestinal problems has been scheduled for an exploratory laporoscopy. Other than this bad pain in the pelvic area she has no other symptoms that leads them to believe it is IBS. CT scan was negative for anything, colonscopy was negative. Just wondering how common this is.

Sarita
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Date Joined Mar 2005
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   Posted 1/4/2008 10:45 PM (GMT -7)   
If the pain is really bothering the person and is interfering with daily activities and no other studies have shown any abnormalities, these kinds of surgeries may be performed...but I question the efficacy of them sometimes. Just because the actual surgery itself can lead to further problems and I would never have a patient undergo surgery, with general anesthesia and its associated risks, without a great reason. Sometimes the benefits outweigh the risks, however. My own GI actually mentioned it as a possibility and I said no sir. It's up to the patient and their history and the physicians. But not unheard of, for sure.
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Canyonbabe711
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   Posted 1/5/2008 4:12 PM (GMT -7)   
It appears to be bothering her bad enough that she wants it done. I am concerned that it will lead to further problems. Her CT scan showed nothing but they said something could have been missed. She is not the kind to baby herself as she does housework for a living and is really always full of energy, however she has a history of back problems including some back proceedures and I still think it is coming from her back. Her main Doctor doesn't thinks so but 2 others do. Like you say it is up to her. She sees the surgeon Monday so will know more.

yogaprof
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Date Joined Apr 2006
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   Posted 1/6/2008 11:29 AM (GMT -7)   
what would they look for? it can't really show how organs are functioning, I don't think. it could show adhesions, but it can also cause adhesions.
48 y/o woman.  Diagnosed 4/06 after colonscopy, SBFT, CT-scan all showed crohns. 3 months later, after pred and remicade, all tests showed no crohns. In December had adhesions cut through a laparoscopy. Now just taking Glycolax, Ultra Fiber Plus and vicodin as needed.


Canyonbabe711
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Date Joined Mar 2006
Total Posts : 1451
   Posted 1/6/2008 4:23 PM (GMT -7)   
I don't know. The whole thing has me baffled. She is going to surgeon tomorrow and discuss it. Another friend and I have encouraged her to get an MRI of her back before she does it and totally rule out a back problem. Years ago I had exploratory surgery for much the same thing. This was before the CT scans were even invented(I am old, LOL) and they found that my appendix was elongated and wrapped around the ureter and also the intestine. I had been sick for a couple years but only about 6 months of really sick. Finally, exploratory surgery was the only thing they could do and it saved my life but this sort of thing would show up in CT scan with contrast. I am just afraid it is going to make everything worse and she is really stretched emotionally as far as she can go now. I am pretty sure it is not IBS so shouldn't be on this forum but thought maybe someone with IBS had had this. She has had no abdominal surgery or injury but has had back proceedure called an X-stop.

Canyonbabe711
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Date Joined Mar 2006
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   Posted 1/7/2008 3:16 PM (GMT -7)   
The surgeon said today he doubted that he would find anything and advised against it. Exploring other areas like previous bladder problems now.

Keriamon
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Date Joined Jun 2005
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   Posted 1/7/2008 4:06 PM (GMT -7)   
If someone's had surgery before, it could find scar tissue that's strangling or misshaping the intestines. Or someone might have a kink in their intestines. They may find a woman has ovarian cysts or something wrong with her uterus. When you think about how much intestines we have and how jumbled up they are, (and how they hide other organs) then I wouldn't find it surprising for a scan to miss something that you can clearly see on a scope. And sometimes those appendixes can be tricky and hide the fact that they are bad.

Back when my gall bladder was bad, I'd have done anything to get it out, even without a test proving that's what it was. Just the possibility that it might take away my pain was good enough for me; I certainly understand where your friend is coming from. Depending on the circumstances, I'd probably be willing to do it too. I'd consider a lot of options.

Canyonbabe711
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Date Joined Mar 2006
Total Posts : 1451
   Posted 1/7/2008 6:35 PM (GMT -7)   
Well, it is always an option. He said he would do it if she wanted but he really felt their were other things that should be ruled out first. It is not constant pain. I am surprised someone has not tried an antispasmodic. I know for a fact that spasms are not always what people think they are. They are not always of the grabbing nature like people expect. I sure know all about the appendix thing.

Sarita
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Date Joined Mar 2005
Total Posts : 2486
   Posted 1/8/2008 1:00 AM (GMT -7)   
It's definitely a fact that things can come up in surgery that won't come up in any sort of scan. That being said, the reverse is also true - sometimes they can't see in surgery what they might see on a CT.

It's a good sign that the surgeon was hesitant about operating. My advice - hold off as long as possible on any elective surgery. It's just so risky.
Co-moderator - IBS Forum

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