Many readers are interested in an appropriate subject: ulcerative colitis surgery. We are happy to report that the manufacturer has already done research on current studies on your fascinating subject. We will give you a wide range of answers based on information from the latest medical reports, advanced research papers, and sample surveys. Keep repeating to find out more.
Ulcerative colitis This is a long-term acquired inflammatory disease affecting the mucosa of the colon. It is characterized by the presence of fairly small ulcers and abscesses in the mucosa of the rectum and colon. They have every opportunity to rupture from time to time, which leads to diarrhea and bloody stools. Abdominal pain and anemia are still present. The disease is essentially recurrent and remission may last for months to months. Treatment is usually the preferred treatment for this disease. and ulcerative colitis surgery It is usually reserved for fairly serious cases and is done as a last resort.
When is surgery important for ulcerative colitis?
Not all people suffering from this disease require urgent surgical treatment. 23-45% of patients require urgent surgical removal of the colon. Surgery is recommended based on the correct criteria.
- When treatment is insufficient to keep symptoms under control
- Severe recurrence that does not respond to treatment
- Excessive bleeding or broken colon
- Risk of cancer
- Serious side effects of medical drugs, making it impossible to continue this
- Toxic colon. In this condition, the colon enlarges and there is an exaggerated risk of perforation.
Types of Surgery for Gastric Ulcer
Four types of surgery are used to treat the condition ulcerative colitis :
1. anastomosis of the iliac crest (IPAA).
This is the most performed surgery for ulcerative colitis This procedure is preferred by almost all patients because a twilight arm is formed during this procedure and the twisted arm is connected to the anus, allowing the patient to spontaneously empty the intestinal tract.
The procedure consists of two steps. In the first phase, the huge intestine is removed while the anus and anal sphincter are preserved. The bag is viewed by inserting a piece of small intestine (ileum) which is attached to the anus. A short-term ileostomy is formed to remove waste material while the bag is healing. The temporary ileocele is closed after 10 to 12 months.
2 Total colostomy with ileal shipbuilding
During this procedure, the entire colon is removed, covering the colon, rectum, and anus. A hole is formed in the abdominal cavity and the interior ornamentation of the small intestine is brought together. A bag or waste bag is attached to this opening. The bag can be removed and replaced as needed and is odorless.
Note: This surgery This yields good results in patients who are older and no longer able to obtain long-term anesthesia.
3. colon resection
In this procedure, the diseased portion of the colon is removed. surgery The healthy lobe is left intact. Depending on the condition of the remaining colon, the healthy lobe is either connected to restore bowel continuity or placed in the abdominal cavity with the help of a colostomy. Thanks to progressive technology, it is usually possible to reattach the remaining colon.
4. continence ileostomy
This function is not often performed for ulcerative colitis . It is technically difficult. surgery It is reserved for those who do not have IPAA or wish to complete the introduction of an external pouch. During this procedure, the colon is removed and a small intestinal pouch is formed to store the waste. This reservoir is drained through the abdominal wall via a valve.
It is not a perfect option because the results are not entirely reliable and further surgery may be required. It is specialized for patients for whom there is little or no chance of having other options. surgery like IPAA.
Potential for surgical aggravation
There are many possible complications of ulcerative colitis surgery , some of them are:
- Formation of a stricture (usually a posterior channel narrowing)
- Pelvic infection and/or centesimal chemosis
- Fecal incontinence
- Pocket error
- Sexual dysfunction
- Dysplasia/cancer in the pouch
What are the possible benefits of surgery for ulcerative colitis?
Ulcerative colitis It is a colon or colon disease; once the colon is sent, the disease is cured. Ulcerative colitis colitis It is accompanied by almost all symptoms such as abdominal pain, diarrhea, and anemia. This disappears once the colon is removed.
Another important benefit the surgery is the development of cancer. People with ulcerative colitis have an increased chance of developing colon cancer. The risk is higher for those with disease affecting the entire colon than for those with disease affecting only the lower part of the colon.
Effects of surgery on daily life
1. diet
After the surgery They need a balanced and nutritious diet. You also need to get more water and salt to support the stoma and lose more. Initially, you may need a diet with little or no residual substances, your nutritionist can address you. In particular, there are no special products that must be ignored.
2. sex and pregnancy
Sexual function is usually normal again after full treatment, but men sometimes suffer from impotence. These operations still have the opportunity to affect fertility. Always discuss these difficulties with your consultant before considering taking your baby. Women ulcerative colitis surgery should be advised to undergo a cesarean section during pregnancy.
3. sensory reactions
Everyone reacts differently to function. Some are angry, some are sad or anxious, most feel more than others after the position the surgery Depression is common in stoma patients and requires special attention and help. There are many support groups available to help patients overcome this. Your doctor and stoma nurse can also guide you.
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