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Hello all!  I hope I'm doing this right.  I haven't posted anything in a long time.  I've had my j-pouch for nearly 10 years, so I thought I was familiar with what goes on when it comes to the colon, or lack there of.  Recently, my mother-in-law has had problems going to the bathroom.  Nearly a month would go by before she had a bowel movement (yea, I know, crazy right).  She went to the doctor and after tests and many meds (I know we can all relate), he said she has a redundant colan.  So in a month she will have a subtotal colectomy.  She said he's removing the entire colon.  So I guess my question (or questions), is what is the difference between total and subtotal colectomy?  If the entire colon is removed, why no ileostomy bag and no j-pouch?  Why did I get a j-pouch (not that I'm complaining)?  I'm just worried about her having this surgery.  No one else is worried.  It just sounds like the same thing I had done (total colectomy), except he's just connecting the small intestine to the rectum.  I'd really appreciate any help with these questions because this is so scary to me. 

Thanks,

 

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If she is having a subtotal colectomy, some of the colon will be left behind. So, there must be a miscommunication somewhere along the way.

total colectomy= entire colon removed

subtotal colectomy= most or part of the colon is resected

total proctocolectomy= entire colon and rectum removed

If the rectum is left in place, no j-pouch is needed because the purpose of the j-pouch is to replace the rectum. A redundant colon is where the colon is longer than usual, and can cause excess loops and twisting obstructions. Surgery is only necessary in extreme conditions and they only remove what is necessary. I would suspect that the surgeon said he would remove the entire redundant colon, but did not mean the normal part.

Jan

Jan Dollar
Last edited by Jan Dollar

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