> from the first surgery to take down is 3 surgeries, over how much time?
1.) It varies based on patient health and body weight. If you are currently on prednisone, biologics, or thiopurines then the healing is slowed down and it takes a lot longer, and less time if you are not on them. I'd say 6-8 months is about
average to have all surgery steps done, but it is a good discussion to have with a colorectal surgeon at a no-obligation surgery consult where they can dial it in based on your exact health and case history.
Some have had the 1st surgery and do not desire to continue onward for any additional surgeries. Why? Perfectly happy with their end-ileo and appliance, and not worried about
a permanent appliance.
> what is the belly scar like from all the surgeries?
2.) Generally, you are talking multiple inch or less scars on your lower abdomen that fade over time. You can wear a skimpy swim suit, and be intimate with others and they'd be non-the-wiser that you ever had a colorectal surgery.
Go to the URL below, and scroll down to the "healing scars" section, Ronni has photos of how it looks 6-months after the surgeries. https://ronnilee-fightingforit.blogspot.com/2013/04/the-adaptation-period.html
> how soon after the first surgery will I start feeling better?
3.) You'll feel better as soon as you wake up from the 1st surgery. As your diseased colon is gone, along with the side effects that means. There will be some surgery pains, as you come down on the anti-pain meds, but you must muscle that brief period.
>what is the rate of complications? what is the rate of pouchitis?
4.) First source of some odds for you.
Cuff abscess 11.6%, J-pouch leak 2.3%, intra-abdominal abscess 1.1%, stricture 4.8%, fistula 1.6%, small bowel obstruction 5.5%, pouchitis 25.0%, eventual diagnosis of Crohns' disease 0.7%, redo IPAA 0.9%, and eventual pouch loss 1.2%.
Source: https://jamanetwork.com/journals/jamasurgery/fullarticle/212599A second source of odds on pouchitis
. The most common inflammatory complication after IPAA is pouchitis, which will have occurred at least once in up to 70% of patients within 20 years of surgery. In our practice, pouchitis rates are 9.5% at 1 year, 23% at 3 years, 32% at 5 years, and 44% at 10 years. The majority of these patients can be managed medically with antibiotics and have a relatively benign course. A small percentage of patients with severe, recurrent pouchitis will require long-term therapy and ultimately may come to pouch excision.
CD of the pouch will occur in up to 3% of patients initially thought to have UC and is universally associated with worse outcomes when compared to UC patients.https://academic.oup.com/ibdjournal/article/17/7/1610/4633598
Moderator Ulcerative Colitis
John, UC Proctosigmoiditis in Remission
Rx: Remicade @5mgs/kg/6wks; 50mgs 6MP; nightly RowasaYou cannot spell sUCks without UC.
Post Edited (iPoop) : 9/23/2019 8:00:07 AM (GMT-6)