Temp Ileosotmy bag

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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
4/24/17. 55yr Male, Dx RC near Retcum/Sigmoid junction
O4/28/17 Ct
O5/04/17 MRI
Prelim. T1 N0 M 0 CEA 3.2
O5/23/17 Surgery, LAR 4.5" incision to remove tumor Temp Ileostomy
6/1/17 Pathology report 6.5 x 4.3 x 1.7 cm tumor, Adenocarcinoma,
Moderately to Poorly Differentiated , 0/27 Lymph, T2N0M0
08/02/17 Ileostomy Reversal

Posts: 139
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

Posts: 392
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.
Wife 4/17 Dx age 45
5/17 - Lap left hemi
5 x 4 x 1 cm
low grade
T3 N2b M1a
Stage IV A
lymph nodes: 9 of 54
8/17 Sub-total colectomy
2nd tumor 5.5 cm T1 N0
CEA: 1.4, 2.1, 1.5, 1.9, 1.9, 2.1, 2.1, 2.4, 1.7, 2.0
Lynch no; KRAS wild
Immunohistochemsistry: Normal MLH1, MSH2, MSH6, and PMS2
Tumor DNA variants: MTOR, APC, TP53
Liver left hepatectomy seg 4 1/31/18

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