Ileorectal anastomosis?

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Delarge
Regular Member


Date Joined Mar 2007
Total Posts : 157
   Posted 5/28/2009 5:49 PM (GMT -6)   
Is anyone here familiar with this procedure, or aware of someone who has had it performed? I'm currently exploring this surgical option as opposed to an ileoanal anastomosis. Apparently it allows for a higher degree of control, decreased frequency, and carries virtually no risk of sexual dysfunction. Unfortunately, disease activity would likely persist within the rectum, although I doubt it would be difficult to manage.

quincy
Elite Member


Date Joined May 2003
Total Posts : 30585
   Posted 5/28/2009 5:51 PM (GMT -6)   
Is this with colon removal? I haven't checked it out via internet yet...just asking for more info.

q
*Heather* Status: mild flare enemas tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance 
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


Delarge
Regular Member


Date Joined Mar 2007
Total Posts : 157
   Posted 5/28/2009 5:59 PM (GMT -6)   
quincy said...
Is this with colon removal? I haven't checked it out via internet yet...just asking for more info.

q


Yep, only the rectum is preserved for the purpose of attaching it directly to the ileum.

Delarge
Regular Member


Date Joined Mar 2007
Total Posts : 157
   Posted 5/28/2009 6:14 PM (GMT -6)   
The procedure can be performed in two-stages if necessary, which would allow one time to cleanse, disinfect, and stabilize the condition of their rectum. Also of interest, I've encountered a few reports which document a complete disappearance of rectal-symptoms proceeding a sub-total colectomy.

Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5181
   Posted 5/28/2009 8:05 PM (GMT -6)   
I think UC Rick had that type of surgery nearly 2 yrs ago. Try looking up his posts as he hasn't written for a while, but was doing well the last time we heard from him. He was taking Pentasa to prevent UC activity in the remaining part of rectum. / Old Hat (30 yrs with left-sided UC ... [etc.])

fmnstrm
New Member


Date Joined May 2009
Total Posts : 4
   Posted 5/29/2009 2:54 AM (GMT -6)   
Take a look at a new device that may improve colorectal anastomosis results at www.nitisurgical.com.
 

suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 5/29/2009 7:33 AM (GMT -6)   
If you are having an IRA for UC you ulitmately have to have additional surgery to remove the rectum. I haven't met anyone who has successfully kept an IRA long term for UC as the disease remains in the rectum and can be especially virulent. My UC was limited to my rectum and was severe enough to force me to have the IAA (jpouch). Again if your sugery is for UC, hard to tell by your post, I would question any CR surgeon that would be willing to do an IRA. You can meet some failed IRAs at www. j-pouch.org and get their stories.

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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