Posted 11/4/2010 12:09 AM (GMT 0)
Surgery is booked for 830am Friday! He's going to TRY to do laparascopic surgery, but I've had 2 bowel resections and have a lot of scar tissue, so he might need to open me up. There's basically 3 things that could happen: 1-laparascopic gallbladder removal, 2-horizontal incision to remove gallbladder, or 3-go in vertically (where I already have a scar) He can't say for sure until he looks around with the scope how he'll proceed. If he sees bowel that looks like it's kinked or getting squished and causing the partial obstructions, he'll just open me and try to fix everything instead of waiting for another obstruction and doing a resection.
I'm prepared for the worst though. Since I've already done it, I know what to expect. Best case, I'm home Saturday morning, worst case, I stay for 5 or so days.
Things are also complicated by 2 other factors: 1-I have had pulmonary emboli, and they have to make sure I move as soon as I can so I don't get clots, and 2-I'm allergic to IV dye. Usually during surgery they inject dye into your bile ducts to see if there are stones, and to make sure they cut where they need to. He wants to do this, but I have to be premedicated with benadryl and steroids usually when given dye. I'll discuss this in pre-op tomorrow with the anesthesiologist and ask if they can have benadryl in the room just in case. The dye won't be going into my veins, but I'm still worried that it being in my body at all will be an issue.
As for the Humira...I had my last dose last Friday, and once I get home I'll talk to my GI and see what she wants me to do. My crohn's isn't active (at the moment) so missing a dose wouldn't be much of an issue to me. She'll probably leave it up to me, and I'll skip just 1 dose then go back to it (unless he does do a bowel resection, then I will HAVE to skip doses)
Oh, and he did explain why people have D after gallbladder surgery. Normally when you eat your stomach tells your GB to excrete bile to break down fats, then it mixes in with the food, and when it gets to your ileum, your body absorbs some of the bile, and it recirculates back into the GB. The food makes it's way on and exits normally. With CD usually your ileum is affected so you don't absorb the bile, and it going through your colon causes D. After surgery usually your body adjusts, but with CD in the ileum, your body can't "fix" the D. In my head, it makes sense, but it may not make complete sense being typed out. (it helped that he drew it on the back of my chart and explained it)
I completely understand where you're at. For so long, I kept asking, "can't you just take it out and see if I feel better?" It's frustrating....to say the least. Hopefully your GB symptoms don't get worse, and you can just get it out when your CD is under control.