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What is colectomy?

Modified on Thu, Mar 16, 2023 at 11:25 AM

A colectomy is a surgical procedure where the entire or part of the colon (large intestine) is removed. Diverticulitis, colon cancer, inflammatory bowel disease, and other conditions that cause blockages or bleeding in the colon are just a few of the reasons for which it might be done. 

The patient is given general anesthesia during the procedure, and the surgeon makes an incision in the abdomen. The remainder of the colon is then reconnected after the affected section has been removed. The surgeon might make a stoma on the abdominal wall if the entire colon is removed. To collect waste from the body, a colostomy bag is next fastened to the stoma. 

A colostomy and an ileostomy are the two ostomies that can be created during a colectomy procedure. The location of the stoma and the kind of waste that is collected are the main distinctions between the two. When a section of the colon is removed and the remaining portion is brought to the surface of the abdomen, a colostomy is formed. The remaining portion is then used to make the stoma, and a colostomy bag is attached to collect solid waste. Typically, colostomies are made in the ascending, transverse, or descending colon. 

On the other hand, an ileostomy is made when the small intestine is brought to the surface of the abdomen after the entire colon has been removed. Wastes collected in an ileostomy are typically liquid or semi-solid because the small intestine is in charge of absorbing nutrients and liquids from food. To manage this kind of waste, an ostomy bag of a particular kind may be necessary. 

Patients may experience some pain, discomfort, or bloating following surgery. Antibiotics and painkillers may be recommended to treat these symptoms. In order to speed up their recovery, they might also be told to follow a particular diet or take certain medications. 

Patients must also follow up with their doctor on a regular basis to monitor their progress and make sure that any complications are handled right away. This might entail keeping an eye out for symptoms of bleeding, infection, or other problems. Colectomy, in general, can be a life-saving procedure for people with specific colon conditions. Whether they have an ileostomy or colostomy, patients can achieve successful outcomes and improved quality of life with the right management and follow-up care.


References

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