Temp Ileosotmy bag

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C2WAVE2
Posts: 25
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

texazgal
Posts: 161
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.
June 2019 stage 3 esophageal cancer
Aug. 2019 28 radiations, 5 chemo
Nov. PET shows original tumor and mets resolved, 2 new mets in liver and bone.
May 2020 port installed, started Folfox hope to do 12 rounds, cure not expected
Keytruda April 2021 8 rounds
scan showed small growth in tumors
Paclitaxol started summer 2021.
Scan July 30, 2021 showed small decrease in size of tumors in liver and bone

mpbser
Posts: 953
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 LAR
Adenocarcinoma
low grade
1st primary T3 N2b M1a
Stage IVA
8/17 Sub-total colectomy
2nd primary 5.5 cm T1 N0
9 of 96 nodes
CEA: < 2.9
MSS
Lynch no; KRAS wild
Immunohistochemsistry Normal
Fall 2017 FOLFOX shrank the 1 met in liver
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI 1 liver met
3/7/19 Resection & HAI
4/1/19 Folfiri & FUDR
5/13/19 HAI pump catheter dislodge, nearly bled to death
6-7 '19 5FU 4 cycles
NED


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