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Crohn’s Disease & Surgery


Lumen as it’s called will become smaller
and you can’t really get much through that which is Hello guys welcome back to
another video thank you so much for tuning in and this one has been actually
requested by some of you over on my Instagram and that is what types of
surgeries or procedures you can have if you have Crohn’s Disease. Now as you know I have Crohn’s disease but to try and give an overall picture of what
surgeries that can be done I’ll also talk about those available for our
Ulcerative Colitis which just happens to be more or less exactly the same for
Crohn’s Disease. So as usual make sure you hit that subscribe button give this
video a like or thumbs up and feel free to leave a comment of what other videos
you like to see or the topics you’d like me to cover you can also check out
my social media pages you can find the links in the description box below and
also you can sign up to my newsletter where I send out exclusive content such
as tips and tricks on living with Crohn’s Disease which I just send out to
my subscribers only so if you don’t want to miss out on any of that you can
find the link in the description box below to my website where you can sign
up to the newsletter. Right so modern medicine is amazing and there has been
so much development not only for the drugs that are used to treat IBD but for
the medical practices or techniques used in surgery to manage not just Crohn’s
Disease but all other diseases as well. So the way which this advancement has
helped with IBD is that the types of surgeries where they removed
large sections of the bowel are becoming less common but surgery does
remain an important part or an important treatment option in combination with the
medication you take. So the use of surgery to treat IBD it has come a long
way as I said because of the advancements of modern medicine and for
the large majority of people who do have IBD would need an operation so everything that I am going to talk about it’s just going to be a brief description of what these procedures involve so if you do
have any questions or concerns about if you might need one of these or if you’re
going to have one of these operations soon it’s best to talk to your IBD team who will be best placed to advise you as every case is different. So I’ll start
with what’s known as a strictureplasty because I have actually had three of
those I’ve had two strictures during the first few years of my diagnosis and I
have just recently had another stricture dilated. So if the structure is quite short and accessible by colonoscopy it is possible
to have something called an endoscopic balloon dilation this is just a fancy
way for describing the use of the tube that’s placed up your bottom to go to
the area of the stricture and using a balloon to just inflate it so it can
increase the opening of the stricture. Other times you may need an operation as the problem with strictures is that they can cause blockages and in some cases
the surgeon would have to open up the narrow section of the intestine and
strictures could be a reason as to why you feel abdominal pain as food can’t
pass through the narrowing so this type of operation just helps widen the narrowing so if you think about your intestines being like that big for
example a stricture is a narrowing so the lumen as it’s called will become
smaller and you can’t really get much through that which why when food tries to go through that it can be quite painful especially if
there’s a backup of food. Now the trouble with strictures is that they can be any
length and can occur anywhere so you could have strictures in different
places some of them quite close together or others in different areas of your
intestines if some of the strictures are very long or if there are many quite close together you may have a procedure called a resection where they
just cut out that length of bowel and attach the two healthy bowels together
and that joint is called an anastomosis. Next on the list is a procedure known
as a limited right hemicolectomy there’s some big words here so bear with me what
you need to know about this is that the large intestine is split into sections
so you have your ascending part your transverse part your descending part and
the rectum okay so the right-hand part of your large intestine which is located
here is known as your ascending colon and if your IBD affects this part
of the colon this is the part that will be removed now depending on which part
is affected with IBD will depend on how much is taken out. Some cases you may
have an operation called a colectomy which involves removing a large portion
if not all of the large intestine and so usually leads to you acquiring something
called a stoma if you do end up having the majority of your large intestine
removed what will happen is that the surgeon will take the end of your small
intestine and pass it through an opening in your abdominal wall creating what’s
called an ileostomy which is where they will put a stoma bag to collect any
waste that comes out of your small bowel and in some cases your rectum or the
last part of your intestine can be disease-free so in these cases what
happens is the diseased portions will be removed and the small intestine will be
joined with whatever’s left of your large intestine this is known as a
colectomy with ileo rectal anastomosis. Now if the last portion of your large
intestine so the rectum if that is diseased then what will happen is that
it will be it will be removed as as so would your anal canal and then an
ileostomy will be created which is known as a proctocolectomy and this can’t be
reversed so if you have this done you will have this for life. Lastly and it’s
worth to mention as many people do suffer with abscesses and fistulas but you can also have operations done on them as well for
those of you that don’t know what an abscess is it’s basically a collection of pus
and it can look like a boil and if they’re bad enough you may need them
lanced which is just a fancy way of saying you’ll have them cut cut open and then
you allow the contents to be drained out. A fistula is an abnormal connection
between two hollow structures and they are usually dealt with by being drained
and so this can be done with using a specialised thread called a seton which
is just helps the fluid within the fistula to be drained and that’s pretty
much it for the possible operations you could have for IBD I think I’ve covered
it all off the top of my head but if there’s something I’ve missed then let
me know in the comment section below or if you’ve had any of these operations
then I’d love to hear your experiences so feel free to leave a comment in the
comment sections below if you haven’t already subscribe to my channel I have
more videos like this and if you want more information on Crohn’s or Colitis
or if you’re just interested in following my journey with Crohn’s
Disease then you can follow me on my social media pages and the links to all
those are in the description box below and that’s it for today and hopefully I
will see you next week with another video.

One thought on “Crohn’s Disease & Surgery

  1. My big operations were a small bowel volvulus so I had a resections amatotis(spelt wrong lol) and I had a right helectomy , ascending side of my colon ,lost a lot of blood was very sick etc , a good topic to bring up which I had and surgeon said it happens is “feacal vomiting” due to the blockages I had , I have BAM too which was secondary to the crohns and arthritis which is getting much worse and other health problems

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