Anastomosis Breakdown?

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scohow66
Posts: 33
Joined: Fri Apr 07, 2017 9:54 am

Anastomosis Breakdown?

Postby scohow66 » Sat Dec 29, 2018 12:35 pm

Hi all - past few scans post LAR and Ileo reversal shows some gas/fluid collecting around the area of the connection (fistula?). Scans show that its getting bigger, but have no symptoms and dr. said to just monitor. If infection we will treat with antibiotics as first step. Its not clear if there is a leak or not but they are inferring it from what they can see via scans. Wondering if anyone has had this issue...keep thinking its a bit of a time bomb waiting to cause problems, but so far so good. Also, doing daily enemas to keep LARS at bay with good results overall.

Any perspective/input would be appreciated!

Tx
52 Year old male
Dx with RC 10/2016 (T2N0M0)
Port implanted 11/2016
Rad with 5FU December 2016-January 2016
LAR robotic with temp loop ileo 4/2016
ypT0N0M0 - cPR to chemo/rad
Ileostomy reversal 10/2017
LARS

User avatar
susie0915
Posts: 945
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: Anastomosis Breakdown?

Postby susie0915 » Sat Dec 29, 2018 1:10 pm

Does the doctor think the enemas could be causing the issue? Also, can they see anything via exam or scope in the office? I know my surgeon does an endoscope every visit to be sure everything looks good. I also do daily enemas. My anastomosis is prob 2-3 cm from the anal verge, that is why I ask if he can see anything during your followup visits depending where your anastomosis is. I would think you would have symptoms if you were leaking.
58 yrs old Dx @ 55
5/15 DX T3N0MO
6/15 5 wks chemo/rad
7/15 sigmoidoscopy/only scar tissue left
8/15 PET scan NED
9/15 LAR
0/24 nodes
10/15 blockage. surgery,early ileo rev, c-diff inf :(
12/15 6 rds of xelox
5/16 CT lung scarring/inflammation
9/16 clear colonoscopy
4/17 C 4mm lung nod
10/17 pel/abd CT NED
11/17 CEA<.5
1/18 CT/Lung no change in 4mm nodule
5/18 CEA<.5, CT pel/abd/lung NED
11/18 CEA .6
5/19 CT NED, CEA <.5
10/19 Clear colonscopy
11/19 CEA <.5


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