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Ileorectal anastomosis?

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Ulcerative Colitis
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Posted 5/28/2009 11:49 PM (GMT 0)
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.
Posted 5/28/2009 11:51 PM (GMT 0)
Is this with colon removal? I haven't checked it out via internet yet...just asking for more info.

q
Posted 5/28/2009 11:59 PM (GMT 0)

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.
Posted 5/29/2009 12:14 AM (GMT 0)
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.
Posted 5/29/2009 2:05 AM (GMT 0)
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.])
Posted 5/29/2009 8:54 AM (GMT 0)
Take a look at a new device that may improve colorectal anastomosis results at www.nitisurgical.com.

 

Posted 5/29/2009 1:33 PM (GMT 0)
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
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