[SpAsMaN*]

I migth be interest to get it out in the future so i better know who does it.It must help C.

 

[21731]

SpAsMaN - You need to find a Colorectal Specialist/Surgeon in you area. I had my entire colon removed 11-09-06 due to a condition called Colonic Inertia (basically a paralyzed colon). The procedure is called a Total Abdominal Colectomy.The web has a lot of sites with this information, so many, I really can't just refer you to one.The procedure consists of removing either a portion or entire colon THEN reconnecting the small intestine directly to the rectum (avoiding a colostomy).Once you get in to see a Colorectal Specialist/Surgeion, they will advise you of the tests needed to be a candidate for the procedure.Hope this helps.

 

[Kathleen M.]

I think they either do all or none.For colonic inertia removing a couple of feet is not going to make any difference. I think I saw a study that said removing less than all really didn't make much difference.It will not do ANYTHING AT ALL for the pelvic floor problems you have been diagnosed with.They would only remove a small section if there was something they could find wrong in that specific section, but they could tell the rest of the colon was OK.Like some with severe diverticular problems only have a short section effected, or in colon cancer.

 

[21731]

Hi Kathleen, I don't want to overstep your word, however, they do BOTH "partial" AND "total" colectomies.For colonic inertia patients - most have their ENTIRE colon removed - only a few have a couple of feet removed, however, they later end up having to have the rest of the colon removed (within a year or two).Also, each surgeon has his/her own preference of performing the TOTAL COLECTOMY "open" or "laparoscopic" - surgeons who do "laparoscopic" MUST undergo a certain amount of hours of study and assistance in the actual procedure before they're board certified to practice "laparoscopic"You are correct in saying this type of surgery does nothing for pelvic floor problems - that's a totally different issue.Also, the "partial" colectomy is more for people that have severe diverticular problems and the "total" colectomy is more for Colonic Inertia.

 

[SpAsMaN*]

IT'S NOT HAS BEEN EVEN PROVEN THAT PELVIC FLOOR DYSFUNCTION IS NOT A FEATURE OF GENERALIZED COLONIC CONSTIPATION.Think about that,what is the pourcentage of the constipated who have difficult evacuation?Perhaps 75%?

 

[Kathleen M.]

Difficult evacuation DOES NOT MEAN that you can't relax the sphincter.Stool can be hard, dry and hard to pass even IF the sphincter opens.Removing the colon or a few feet of it won't do anything about a sphincter that won't open.Yep, when there is a diseased portion of the colon they will remove just the diseased part (like in IBD's, diverticular disease, colon cancer).What I read of colonic inertia you really have to remove the whole thing to get significant benefit.Spas, since you have normal transit time they aren't likely to chop out a few feet of colon.K.

 

[SpAsMaN*]

Sitz markers aren't THAT reliable for extrem gas production.Gas taking all the bowel volume.

 

[Kathleen M.]

Sitz markers cannot possibly in any way tell you a single blessed thing about gas volume. They aren't "unreliable" they are the WRONG TEST ENTIRELY!!Now the X-ray at the time may say something about gas volume in the colon at the time of the X-ray but that is completely different from what the sitz markers are measuring.They just tell you how fast the solids they are stuck in move through the colon.If you poop them all out in the usual amount of time you have NORMAL transit of stool through the system.If you want to be tested for abnormal amounts of gas production sitz markers are NOT the test you want.*sigh*What on earth makes you think losing a foot or two of your colon is going to change how much air you swallow or how much gas the bacteria in your colon produce.

It seems sometimes that you just won't be happy until you find someone who will slice you open. I really don't think the scar tissue from un-needed surgery will do you any good.K.

 

[21731]

SPASMAN - I'm not sure what answers you're looking for here. As I stated before the "partial" colectomy is more for people that have SEVERE diverticular problems and the "total" colectomy is more for Colonic Inertia. This surgery wouldn't be an avenue to seek if you're looking for answers for pelvic floor dysfunction.As far as the sitz marker transit test, GAS has nothing to do with the test at all. Its sole purpose is to see how slow/fast things move thru the colon. I certainly had problems with difficult evacuation, so I can relate to that issue. My defagram revealed a 3/4mm rectocele. However, it has NOTHING to do with colonic inertia. I consulted my surgeon with the question of "fixing" the rectocele when he removed the colon only for him to say that once the colon is removed, the rectocele would take care of itself and would NOT need fixed and that held to be the truth.One of the tests they perform prior to considering one for a colectomy is an anal manomatry test - which tests the nerves and muscles of the rectum. I believe this determines if one is a candidate for a colectomy. What good would it be to remove the colon and attach the small intestine to the rectum that has nerve and muscle problems/damage. There would be NO purpose.

 

[SpAsMaN*]

Remember that fixing the original problrm which is constipation resolve your anal problems.Something to think about.

 

[21731]

No - fixing the original problem was fixing a paralyzed and dead colon - the anal (rectocele) was the least of my problem!!!

 

[SpAsMaN*]

No.I said that colectomy in your case solve the anal problem.I reiterate that fixing constipation is the way to go in order to stabilize defecation.

 

[Kathleen M.]

Rectocele IS NOT THE SAME AS pelvic floor dysfunction.

 

[SpAsMaN*]

Of course but it share some similar symptoms.The thing who is really deceiving is that many research claim Bioffeedback as a cure for pelvic floor dysfunction but here no one seems to be cure by this.

 

[flux]

quote:The thing who is really deceiving is that many research claim Bioffeedback as a cure for pelvic floor dysfunction but here no one seems to be cure by this.

You have it backward. Researchers don't make claims; they do studies and present evidence. Here people can only make claims and that's only if they want to. Between the two, the evidence counts, the claims don't. (In adults, biofeedback does work: http://www.ncbi.nlm.nih.gov/entrez/query.f...=pubmed_docsum)

 

[SpAsMaN*]

Regarding my case,the lack of motility is from the cecum to the anus.Not just difficult emptying.Even Eric think i may not have anismus coz i rarely feel stool stuck in my rectum but in my sigmoid or recto-sigmoid.I think i have a tigth anus tho.Is it THAT significatif to cause such devastating symptoms?I find it hard to beleive.Moreover,when i squat i usually evacuate better.The problem is the stool are small(being glue higher up somewhere) and i have to go 2-4 time a day.I live exacerbate by trapped gas.

 

[Kathleen M.]

Yes, not being able to open the anus can cause big constipation problems.Squating will help you open the anus better. It won't change what is going on in your sigmoid colon.K.

 

[13863]

Those darn sitz markers. I don't know how I passed that test but kinda wish I hadn't. They said they came out in the right amount of time.They told me to take more fiber, ugh.I had some test called a defagram or similar, almost like a barium enema but they take X-rays and pictures, yikes, it was awful plus the Cleveland Clinic did it which is a teaching school so they had 5 people watching me on video & in person.And they wondered why I couldn't go, hmmm.The only results I got from the Dr's assistant were that my colon is really long.Tiffany

 

[SpAsMaN*]

I look in Pubmed and there is no mention of sigmoid removal for IBS.Where are the research that say it dosen't works or that it works?I'm still contemplating the idea of removing.

 

[Kathleen M.]

http://www.ncbi.nlm.nih.gov/entrez/query.f...l=pubmed_docsumIs one thing.But it is used only in people who have a demonstrated anatomical problem with the sigmoid.Not because a patient thinks that part of the colon is the problem. They don't like removing parts just to see if helps because you can't put them back in.Something like 10% of people who get the whole thing out are still constipated and in pain and some people get IBS problems from abdominal surgery so this is not nearly as risk free as you seem to want to think it is.K.