Post operative tests & treatment questions/advice ...thanks :)

[YJ120]

Hi All,

So I've had my follow up appt with my Surgeon today, 2 months after my ileo-caecal resection and I was thinking he'd check me over and refer me back to my Consultant and go from there, but he hasn't. He has said he wants to do a colonoscopy in 3-4 weeks to take more biopsies and check for inflammation. I mentioned that I know from previous tests/scans as well as having crohns in my terminal ileum (8 inches of that has now been removed), they showed I had it dotted around my large bowel. He said they need to check that and then need to decide if I need treatment and what type. A few questions if anyone can help....

1) Is it normal to have a colonsoscopy 3 months after resection?

2) Has anyone else been in same position? Who has crohns in both small & large bowel?

3) After a resection what meds were you put on? Or were you left without medication?

4) He mentioned that in a small group of patients Pentasa helps after resection if there was inflammation. I had been on 2g of Pentasa twice a day for 3 years from diagnosis to surgery. Has this worked for anyone else?

Thanks very much in advance for any help,

Yvette.

 

[pink&green]

Hello Yvette, sorry to hear you having a hard time sending :ghug: after hubby resection in 06 (was hospitalized 11 days) his CRS said he did not need a colonoscopy. His GI put him on prednisone & flagyl while he was still in the hospital.

 

[highlandsrock]

Hi Yvette

My case is a little different from yours in that I ended up with a stoma for 6 months after my resection but the following is from my surgeon's follow-up letter after the reversal operation in June 2011 and may answer some of your queries:

"I reviewed this man who is now three months on from the reversal of his ileostomy. He had ileocaecal excision for a locally strictured perforated terminal ileal and ileocaecal Crohn's disease in October. He is on no Crohn's medication at present. He has finished a three month post operative course of Metronidazole and is generally well having put on weight. He has had one or two episodes of abdominal pain which have been shortlived and some bloating but no nausea or vomiting and I suspect these may be early adhesive symptoms rather than anything obstructive as such. I have advised him regarding diet and fluid intake when these symptoms occur and he is due a colonoscopy investigation of his ileocolic anastomosis in due course in December 2011. From my point of view I have discharged him from the Colorectal Clinic back to Gastroenterology"

 

[YJ120]

Thank you both very much for your comments, they are much appreciated. I suppose it's good they're checking things and there must be a reason to do so, it's just the stress of yet more tests and procedures! But if there is inflammation suppose it's better to get it sooner than later thanks again, Yvette.

 

[pink&green]

Yvette, keep us posted on your Dr. visit.

 

[YJ120]

I will do thanks.