Right colectomy vs ileum resection

[lblair]

What is the differnce between the two? My GI was sure they were going to do the resection and the surgeon decided to do the right colectomy???? I will be having it done 3/25/14 not soon enough!! Was so sick today once again had to call into work!!!!!!!!!!!!!

 

[DustyKat]

If it is a right hemicolectomy then it is the same surgery as a ileocecectomy.

The name hemicolectomy is a little deceptive as it implies that half your colon is being removed but this is not the case.

What is removed is the diseased part of your ileum. Then your ileocaecal valve, caecum and few centimetres of your large bowel. The reason these other structures are removed is due to the differing size between the small and large bowel and the fact that ileal disease is normally located in the terminal ileum which is where the valve joins the small bowel to the large. Without removing the valve and caecum they can’t successfully anastomose (join) the bowel together.

Dusty. xxx

 

[lblair]

Thanks it's not a hemi I belive that she is taking the value because she says that you don't really need it!!!! It's just a right colectomy.

But they way y explained it is just the was she did I should have taken someone to the spot to much to take it!!!!
Thanks again!!!

 

[mrjohns2]

You don't need the ICV, but depending on the person, it helps. Removing the valve, for some, causes chronic d. For some of us, that is our normal and thus no change. I read a study of non-Crohn's patients who had the ICV removed and 25% ended up with chronic d. Need is a relative term. But then again, for parts to join up at the end of the surgery, it may need to go.

Thanks it's not a hemi I belive that she is taking the value because she says that you don't really need it!!!! It's just a right colectomy.

But they way y explained it is just the was she did I should have taken someone to the spot to much to take it!!!!
Thanks again!!!