J-Pouch surgery?

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Bucks

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Jun 23, 2004
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Just wondering if anyone on here has gone through this.

My backstory:

Was diagnosed with severe Ulcerative Colitis in the summer of 2006. Over the next 2 years I was in-and-out of the hospital on 4 separate occasions, each lasting 5+ days. If you are unfamiliar with UC, it is an inflammatory bowel disease that basically affects my large intestine down (sister disease to maybe a more familiar Crohns disease). These hospital stays were the result of uncontrollable inflammation and ulceration of my lower bowls causing me to pass any food I ate or blood ALOT (~40x a day). I would lose weight so fast, maybe 30 pounds in less than a week, that I would have to be in the hospital for blood transfusions and liquids.

I was on Predinsone, which helped for about a year, but then had dismal effect. The constant ulceration-healing in my colon was causing my colon to wear somewhat thin, so I was on Remicade, which is administered via IV about every 6 weeks (session would be about an hour). I was on this for about 8 months, seeing no major improvement, so this coupled with the cost (with incredible insurance, it still was costing us about $800 a session).

As a last resort, I was put under the knife (3 surgeries) for whats called a J-Pouch surgery. They basically reconstruct your lower bowl with the small intestine after the removal of the large intestine/colon. I have just completed my last surgery and am happy to get rid of the Ostomy that is required for the first two surgeries for healing purposes. I am returning to a normal diet and such, but still have a massive hole in my abdomen where my stoma (part of the small intestine stuck out for the ileostomy. If someone would see it they would either think it was fucking gross (it really is the sickest thing I have had to deal with and I have had my small intestine sticking out of my stomach...so that is saying something) or be amazed that that big of an open hole can be allowed to be remained uncovered. It is as if someone took a drill the width of a half dollar coin and went right into your stomach side into the lower body cavity.

I am just curious if anyone else on here has gone through this experience. I am realizing through this, Colitis is more common that you really hear about. I'm too lazy to reread what I wrote to fix any grammar mistakes or rambling ^_^
 

KingGheedora

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Jun 24, 2006
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If you search on my threads you can see my experience with the disease. Basically I had one episode of it Jan 2008, that lasted about 6-7 months and was relatively mild (mild compared to what I later experienced, and what it sounds like you experienced, but still hell compared to healthy individual). It went away on it's own.

Then in March 2009 it came back and got to be really bad. I never counted but i was easily going to the bathroom 20+ times a day and was probably a couple days away from dying due to retarded health care establishment that I initially went to. I went on Prednisone for a few weeks and then off it. So far have been symptom free, but I have residual health effects from either the severe malnutrition i went through for 4 months, or from the Prednisone.

Did you ever try to get off the Prednisone, or were you pretty much set to stay on it indefinitely once you got on it? Though it did clear up the symptoms I was having the medication was horrible to me, not sure what your experience with it was.

About the hole, is it ever going to heal? Will they try to stitch it closed at some point? What do you see when you look inside? Can you just see your organs, but all your organs are intact and don't have any holes in them right?
 

Bucks

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Jun 23, 2004
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@KingGheedora:

I had about 5 severe bouts before I had the surgery. For the first bout, I didn't know any better so I was being hospitalized and treated by my local hospital. If I can recommend anything, it would be to find a large hospital organization and get treated/looked after by them (like Mayo Clinc, Cleveland Clinc, etc). I right outside of Pittsburgh, so I switched to the University of Pittsburgh Medical Center. Every doctor in Digestive Disorder center is top notch at dealing with UC. Some even have the disease themselves. Over the first bout, Iother organs started to get inflammed as well. I had pancreitis, etc...so if I waited any longer, they would have started to shut down.

The surgeon I had was on the team of 4 surgeons gastrointestinal team. They are recognized worldwide at what they do and develop new methods and techniques to enhance the surgery. The part about the hole I was talking about is when after they put the stoma back inside (to finish the process and get me passing bowels again) the section is very hard to completely sterilize during surgery. So about 50% of patients have an infection at the site. Basically the staples come undone and cause the hole (about the size of a golf ball) to open up and drain puss...pretty unsightly but common. So yes the hole will heal up, it is just going to take a little longer because I have to pack goz in it to help drain everything. I think it will be pretty well sealed in about 4 weeks.

As for the Prednisone, it really does work in most of the cases. But as you mentioned, there are a ridiculous amount of side effects and I would NEVER EVER go on it again. I of course had a monster appetite, my face swelled due to water retention, and I was DEEPLY depressed. I was on it for four separate tapers from 60mg for a week then a 5mg step down, etc. until I was off. I was also on drugs like Colazal and Imuran, but those are like eating M&Ms...they do nothing for severe colitis.

Hmm...I can't remember what else I wanted to say...it's pretty late. I hope this makes some sense though I probably rambled. PM me with any questions, etc. if you want to talk.

@MrMatt:
Yup, that is the first stage of the Jpouch surgery. They take out the large intestine/colon and reroute your small intestine out of your abdomen. You may think it looks pretty disgusting, but you get over that after a few days. it's pretty amazing what things they can do now-a-days. During the time you have the stoma/bag it is pretty crazy to think...you never have the urge to have to shit. Maybe once every few days I would have to sit down to use the bathroom (the body still produces mucus it wants to get rid of *back there) but other than that, I never had to take the time to shit or even sit down to go to the bathroom (though I should of....read the news paper and relax hehe)
 
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