surgery question - where do they put the bag?

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Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2148
   Posted 1/15/2008 2:21 PM (GMT -7)   
my mom has an ostomy and I am pretty sure that is much different from the jpouch.  Also, can they resection my colon?  I believe I have proctitis it is the lower 30cm that is affected. 
 
Now that the Doc brought it up that it may be a future possibility, I have all these questions.
 
TIA!
Beth
Beth, 32
Major Flare Sept/Oct 07 ~ working on remission almost there
UC Diagnosed March 2000 (30 cenitmeters)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) Diagnosed Sept 2007
Prednisone 60/40mg alt days 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Potassium 600mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


UCinNC
Veteran Member


Date Joined May 2007
Total Posts : 528
   Posted 1/15/2008 3:42 PM (GMT -7)   
hey again. no, usually don't do resections for UC since likely the UC will return.
if you have a bag, it is usually low on the right side, I think, but I think many people now have j=pouches, in which case you don't have a bag.
29/Female/NC
Pancolitis dx 3/07
12 Asacol/day
150mg Imuran/day (steroid dependent, reached this dose 9/07)
Various vitamins, a probiotic.


Red_34
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Date Joined Apr 2004
Total Posts : 23549
   Posted 1/15/2008 3:44 PM (GMT -7)   
The problem with a resection is that whatever colon is left, the disease can attack that as well. No part of the colon is safe from Uc and that is why normally they remove the entire thing. An ostomy pouch is on the outside, sort of low on the left or right (???) side. It has an opening that is called the stoma which empties the waste contents into the bag. A Jpouch is a pouch made out of your small intestine and reattached to your rectum. They basically make a new colon out of a small portion of your small intestine. Usually with a Jpouch, they do it in steps so many have to wear the bag until the new internal pouch heals. But sometimes some people can have it done all at once.

www.jpouch.org has some great info about it if you care to go there.


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suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 1/15/2008 7:14 PM (GMT -7)   

Surgery for UC involves removing the entire colon and rectum.  The reason for this is that the illness affects both organs.  Resections should never be considered.  about 1-2cm of the rectal cuff is left for continence and about 9-12 inches of the small intestine are pulled down and turned into the j-pouch.  The new j-pouch is attached to the rectal cuff and replaces the rectum, not the colon but after about 10 years with a j-pouch the cells of the pouch resemble the cells of a colon.  This is probably a bit more information then you wanted but I found it fascinating.  If a temporary ileostomy is needed it goes on the right side and an ET nurse determines the location prior to surgery. 

Sue


dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free
 

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