- Joined
- Sep 19, 2010
- Messages
- 4,379
Thinking of you and hoping all is going well.
I know he kept us longer with both hospital admissions than was probably necessary because deep down I think he just hated the thought of what Matt was going through
Dusty. xxxxxxxx
Well I never! As if I would do such things! :tongue:No!!! He was afraid you'd emasculate him in his sleep!
She tends to like the safety of the hospital for a bit
Speaking of "open" ... Does any one want to see what it looks like when an ileostomy is reversed through the stoma itself and NO other incisions?
(yes ... We're happy about less scars! Lol)
I'm asking first because of the weak stomachs for this kind of
Thing out there... Even tho it's really not so bad ... Just a hole
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Patients with limited ileocolic resections (frequently Crohn's patients) don't have severe problems. Diarrhea in a patient with a preserved ileal length of >100cm is usually due to bile salt induced colonic secretion. Such patients benefit from treatment with a bile-acid binding resin such as cholestyramine. Diarrhea in patients with <100cm of ileum remaining may have steatorrhea secondary to a reduced bile acid pool. Hepatic synthesis of bile acids cannot keep up with intestinal loses. Diarrhea is due to the malabsorbed fatty acids which stimulate colonic secretion. These patients benefit from a low fat diet with supplements of medium chain triglycerides which do not require bile salts for absorption. Ox bile supplements have also been tried. The use of quantitative fecal fat collections are crucial to accurately assess the mechanism for the diarrhea. If the diarrhea is secretory (no osmotic gap and no steatorrhea) then cholestyramine is used. If the diarrhea is osmotic (osmotic gap and steatorrhea present) then low fat diet is warranted.