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i had total coloctomy had colostomy then had jpoch surg ended upngetting a s pouch small intestine would not stretch enough had that done in 11/13 with loop ileo waiting for pouch to heal before takedown but have had this sinus tract in pouch basically a contained leak today i had surg to fix it said it all went well and will have takedown in 3-4 weeks 

U
Originally Posted by UjohnjC:

had anastomotic leak surgery today GI said it went well said we can do takedown in 3-4 weeks been waiting 2 years to hear this news still rocky road ahead but moving now 

It will be 3 yrs in Aug since my J pouch surgery, I too am waiting for the takedown. I have had a slight leak they have been trying to fix. I go this week for another enema to check it out. What did the Surgeon finally do to fix your leak?

M
Originally Posted by UjohnjC:
Msb they basically went in like they do scope and what I had was a sinus tract in pouch witch my understanding is a contained leak and opened up sinus tract not sure if dr lasser it  or cut it but he opened it up similar to what dr Shen from cc calls knee sle knife

UjohnjC thanks for getting back to me. That is what I have it is a sinus tract. I went yesterday for a check up and there is still a leak. I am thinking about going to CC and see what they can do. I have heard of a sclerosing technique that is used also. I will do some research on the procedure you had done. So they pretty much opened yours and then did something to seal it back

M

After a sinus has been in place long enough, it is lined with epithelial tissue similar to the inside of your pouch. After it has been determined it will not heal closed, they open the sinus along the entire tract, making it part of your pouch. This eliminates the problem of stool getting trapped in the sinus and causing infection. 

 

If they can accomplish it via endoscopy, it is much simpler, and an easy recovery. An open procedure or one requiring dilation of the sphincters has much more risk of complications.

 

Jan

Jan Dollar
Originally Posted by Jan Dollar:

After a sinus has been in place long enough, it is lined with epithelial tissue similar to the inside of your pouch. After it has been determined it will not heal closed, they open the sinus along the entire tract, making it part of your pouch. This eliminates the problem of stool getting trapped in the sinus and causing infection. 

 

If they can accomplish it via endoscopy, it is much simpler, and an easy recovery. An open procedure or one requiring dilation of the sphincters has much more risk of complications.

 

Jan

Thanks Jan,

   so they may be able to do this via endo and be an outpatient procedure? Is it something like they will just open it and then sew it back together?  Wonder why my surgeon hasn't thought about this, or is this done by certain specialists. I don't want to have to redo my pouch, I am hoping for something a little more simple. Thanks for the replies. I do have an appt to Cleveland Clinic in July

M

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