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hy do certain diseases require colon resection, leading to an ostomy
Colectomy, or surgery to remove the large intestine, is often necessary for a variety of reasons. These reasons include the presence of tumors, chronic bowel disease, or other potentially life-threatening health conditions. Once the colon has been removed, an ostomy, such as an ileostomy, may be needed to direct intestinal waste to another part of the body. Although such surgery can improve patients' quality of life, it will also bring them many challenges and difficulties in adaptation.
Necessity of ostomy
The need for an ostomy often arises from several medical conditions that significantly affect the normal functioning of the colon:
These include Crohn's disease, ulcerative colitis, familial adenomatous polyposis, and pancolonic Hill's disease. These disorders may lead to partial or complete removal of the colon and rectum.
Cancer is also a common reason for colectomy, particularly colorectal and ovarian cancer. In some cases where a tumor is causing a blockage, a temporary ostomy may have to be created after resection surgery to provide time for recovery from future surgery.
Temporary vs. Permanent Ostomy
Depending on the condition, an ostomy can be temporary or permanent. During a temporary ostomy, doctors leave a section of the intestine (ileum) exposed to the outside of the body to collect intestinal waste and give the intestine time to heal. This type of surgery usually requires a wait of 8 to 10 weeks for the intestine to heal before subsequent surgery. In contrast, a permanent ostomy does not require subsequent intestinal reconnection surgery, and the opening will become a long-term bowel movement path.
Life Adjustments
For people with an ostomy, it is important to learn how to manage and care for the stoma. This involves using a specialized defecation bag to collect intestinal waste, which usually needs to be emptied several times a day. Additionally, certain high-fiber or hard-to-digest foods should be consumed with caution, as these may cause blockage or discomfort.
A nurse or medical professional will usually provide instructions on how to properly use a poop bag and make dietary changes to ensure that the person understands the precautions.
Other Treatment Options
While an ostomy is necessary for some patients, there are other options for others. For example, for a person with Crohn's disease, a doctor may recommend an ileoanal anastomosis, a procedure that essentially removes the colon and rectum but leaves the anus intact so stool can pass through it. This type of surgery requires a temporary ileostomy after surgery to support the recovery process.
ConclusionWhile colectomy and subsequent ostomy may be necessitated by health conditions, they also offer patients the opportunity to improve their quality of life. However, adapting to this new lifestyle does present significant challenges. In the face of these changes, can we find a balance and redefine the meaning of happiness and health?
