Temp Ileosotmy bag

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C2WAVE2
Posts: 6
Joined: Sun Apr 23, 2017 3:22 pm

Temp Ileosotmy bag

Postby C2WAVE2 » Wed May 17, 2017 5:43 am

What determines whether a temp Ileosotmy bag is needed? Is it location where tumor
Is removed? Thanks Chuck
55 YR Male
4/24/17. Dx colon/ retctum, near junction, 5cm
O4/28/17 Ct
O5/04/17 MRI
Prelim. T1 N0 M 0 CEA 3.2
O5/23/17 scheduled surgery, resection with temp bag

texazgal
Posts: 136
Joined: Fri Sep 28, 2007 4:40 pm
Location: central Texas

Re: Temp Ileosotmy bag

Postby texazgal » Wed May 17, 2017 12:31 pm

I think it is a lot dependent on location. In my case, tumor was very close to anal opening, so mine is permanent. Further up, there is enough colon to reconnect after some time.
DX rectal cancer Aug 04
Surgery Sept 04, perm ostomy, "BarbieButt" Sept 23, 04.
Dad passed '93 CC
Gdad cc '68, uncle cc '69 too much CC in fam
DD 42 yo/w/2 polyps removed

mpbser
Posts: 80
Joined: Wed Apr 19, 2017 11:52 am

Re: Temp Ileosotmy bag

Postby mpbser » Wed May 17, 2017 3:17 pm

From what I understand, it is needed if a perfect seal when connecting the colon sections is not attained. The surgeon pumps air or water (I forget exactly what gets pumped) in to test the seal. If bubbles are emitted, then the seal isn't perfect and the surgeon has the opportunity to try again. The maximum times he or she can do this is twice, so if the seal isn't perfectly tight the second time, a temporary ileostomy bag is needed until nature takes its course and the tissue heals up and seals. That's my basic understanding.

P.S. I have expressed extremely strong wishes not to have an ileostomy bag. Therefore, my surgeon is using staples instead of sutures because staples provide for a better seal.
4/12/17 - Dx CC, age 45
5/19/17 - Laparoscopic left hemi
Tumor type: Adenocarcinoma
Tumor size: 4 cm x ? x ? cm
Tumor grade: ? (surgical) ? (biopsy from colonoscopy)
TNM: T?N?M?
Stage: Stage ?
Positive lymph nodes: 9 out of 54
Preoperative CEA: 1.4 Pre-op(8weeks from surgery); 2.1 2 days Post-op
Lymphovascular invasion ?
Surgical margins: TBD
MSI - MSS/MSI-L
Lynch - unlikely
Immunohistochemsistry: Normal expression of MLH1, MSH2, MSH6, and PMS2


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