Surgery Next Week

Crohn's Disease Forum

Help Support Crohn's Disease Forum:

Joined
May 21, 2012
Messages
4
Hello All,

I am new to the forum. I was diagnosed w/ Crohn's 7 years ago, but I've probably had Crohn's for at least 16 years. I am about to have my first surgery next week. I have tons to do at home and at work to prepare, but I am so distracted thinking about what's ahead next week.

This will be my first surgery, but I have some rather complicated things going on. I have two main obstruction sites, one in my duodenum and one in my ileum. I have two surgeons that are going to operate together. A stomach surgeon is doing a gastrojejunostomy. Has anyone had this done? I haven't found much information on it in the forum. Basically, he'll create bypass of my duodenum and connect my jejunum to my stomach to bypass the obstruction. The obstruction has caused me to get a hernia and he's hoping that the bypass will help the hernia resolve on its own, so there are no plans to operate on the hernia unless it's way bigger than expected.

Secondly, like most people with Crohn's, I have severe stricturing in my ileum and the inflammation has spread into the first part of my colon. The colorectal surgeon is going to remove part of my terminal ileum, the valve, and the first part of my colon. I also have have Crohn's in my sigmoid colon--this is new. They are going to leave that alone unless, what they have seen in my scans turns out to be a fistula when they open me up. So there's a possibility that I'll have a temporary bag to give my bowels a break--especially since I have Crohn's in areas that they are not planning to operate on. We'll see. I have my pre-op appointment on Thursday. I won't really know anything for sure about a bag until I wake up.

So, one of my surgeons told me that I'll have a catheter. If you had one during your surgery, was it placed before or after you were given anesthesia? Has anyone had both of these surgeries, ileocolectomy and gastrojejunostomy done at once? I am beginning to get a little nervous about it all, but I know that it's for the best. I've been dealing with this for a long time and it's only gotten worse. I need relief. I'm also on Remicade and will need to stay on it after surgery--there's no guarantee that I'll go into remission immediately and there are areas with inflammation that are not being operated on. How soon after surgery did any of you resume Remicade? What should I expect immediately after the surgery? I know these are all questions that I can ask the surgeons on Thursday, but I'm anxious to find out now. Plus, I would rather hear from real people who've experienced this.

Any info or advice that you can provide is greatly appreciated. Thanks so much!
 
Hi,

Im new to the forum as well, but have found lots of useful information here.

I had surgery to remove my terminal ileum, apendix, and part of my colon about 7 years ago.

I wont lie and say it was a breeze cos it wasnt, but the benefits i gained from the surgery were worth it. I woke with a catheter in place.

I tried to get as fit as i could before surgery, to prepare my body. Each day initially after surgery was hard, but please stay positive, because improvement is around the corner.
I have only had to take Questran to bind bile salts since surgery, which i think is pretty good.
I think i have started a Crohns flare at the moment, and am waiting for a MR scan.
As scary as surgery is i would definitely see it as a positive step in your journey to recovery.
Good luck and best wishes to you.
 
Hello Urban
Welcome to the forum.
You certainly have a lot to contend with but I am sure you will cope.
I have not had any crohn's surgeries and hopefully will be able to steer clear of them, so I am not a lot of use to you.
There will be others on the forum who I am sure will be along to advise you of their experiences.
There is also information in the surgery section of the forum that you might like to take a look at.
All the best next week ,will be thinking of you and hope all goes really well for you.
Please let us know how you get on.
Feel better soon
Hugs and best wishes
Trysha
 
Hi Urban. I am also new on here but wish I had known about it years ago. So helpful and reassuring to know your not alone.
I had surgery 2 weeks ago, they took 20cm of small intestine a 5cm of large, one of my strictures were too close to the valve.
I woke up with a catheter which was the least of my worries at the time. During my time in recovery (3 hours) I was in alot of pain, a whole 12 hours later they set up a morphine pump which I could press every 3 minutes if I wanted. If you get this option I would snap it up!!
I can see light at the end of the tunnel as I am eating loads of healthy stuff now and feel more awake although it does feel like you take 2 steps forward and 1 back most days.

Good luck with it all. x
 
Thanks for all of the responses. I am going to try to take things one day at a time and remember that once all of the healing is complete I'll be better than before. Re: the catheter, I don't know made me think about it. I had one with each of my c-sections, but I remembered having a spinal/epidural first. I'd much rather have it placed after I'm under. I will definitely keep you all posted. And thanks so much for the encouragement!
 
Catheter goes in after you are knocked out and if it's still there when you wake up, they remove it after a day or two while you are awake. They deflate the little balloon that holds it in place first, so it doesn't hurt coming out unless you accidently pull it out while still inflated.
 
Urbanesquire,
I assume that you, like me, are an attorney. I had a right hemicolectomy on April 4 at the Mayo clinic in Jacksonville, FL. About six weeks after (May 10), I resumed my Remicade infusions. Remicade suppresses your immune system, so the doctors don't want you to go back on it immediately after surgery. In fact, I had to be off of it for eight weeks before the surgery for the same reason. As for the catheter, I loved it. I was disappointed when they removed it becuase I then had to get out of bed to go to the bathroom. As with 2thfairy, they didn't catheterize me until I was knocked out. You'll do well. There is no need to worry about the catheter and your GI and surgeon will tell you when it's time to resume Remicade :)
 
My surgeon didn't make me wait beforehand on surgery with the Remicade. I was surprised. He said it didn't matter how close before surgery. I think I had surgery 2 weeks after my last infusion.
 
Thanks! Yes, I am an attorney, too! Surgery went well. It was Tuesday and I went home on Saturday. I had a little more surgery than expected. I had the ileocolectomy w/ no bag. What looked like Crohn's in my sigmoid colon, turned out to be a fistula. They repaired that. While it meant more surgery, the good news is that my sigmoid colon is healthy now that the fistula has been taken care of. The stomach surgeon did the jejunostomy. It also went well. My hernia was bigger than expected, so guess what? They had to do more surgery to repair the hernia. I was very sore the second day, but am improving day by day. Because of the surgeries in my upper digestive tract, I'm on a liquid diet for the next two weeks. I can't wait to eat! I am so happy to have this behind me and I am pleased w/ the outcome thus far. I can't believe I lived like that for so long. Looking forward to a fresh start. Thanks for the well wishes!
 
Last edited:
Oh, the catheter was placed after I was put to sleep. I kept it for about 48 hours. I asked to get it removed, so that I could walk around and get out of bed more freely. I certainly needed the catheter intially though. Also, my GI doctor just called to schedule a 4 week follow-up and she won't put in the order for Remicade until after that. My guess is that I won't resume Remicade until at least 6 weeks after surgery. Did I mention earlier that I can't wait to eat??:)
 
Hi Urban,

Really good news that you've had your surgery and are on the mend. You must be going great guns having surgery and getting home so quickly. Having an appetite is also a really positive thing. Just go easy with what you eat when you are able to!!

All the best wishes to you,

Deb.
 
Urbanesquire,
You're going to like the low residue diet - no, really you are. For me , it was the best thing while my intestines healed from the surgery. I'm glad all went well for you:)
 
Urban, I know this is late and you are a few months post surgery, but I had a gastrojejunostomy in March 2011. I have a duodenal stricture and lived on Ensure for a couple months. The gastrojejunostomy was my only hope of eating again. I read your post surgery comments and glad you are doing well. It took me a while to recover and I lost a lot of weight, but I'm doing well now and on Remicade. I never want to go through the pain of being cut open again. Blessings to you.
 
So can I take it that the doctor recommending Remicade to commence the day after draining a fistule of puss would be a bad idea? Because this doctor is dead set on doing it tomorrow.
 
Not necessarily a bad idea... Are you asking about Remicade being a bad idea or the draining being a bad idea? The timing of when to start Remicade is different from one doctor to the next. Some do it right away and others prefer to wait.
 
Remicade a bad idea given it lowers your immune system and having infected areas. Also, a kid just entered the ward with hooping cough today.
 

Latest posts

Back
Top