Common Surgical Procedures in the Digestive System

The digestive system is a complex system responsible for the digestion and absorption of food. When health problems arise in this area, often, surgical procedures are necessary to effectively treat the conditions.

In this article, we will explore the main surgeries performed in this area and provide essential information.

Bariatric surgery: an option to treat obesity

Bariatric surgery is an effective medical intervention for patients with morbid obesity who are unable to achieve satisfactory results with conventional weight loss methods.

There are different types of bariatric procedures, with the main ones today being gastric bypass and sleeve gastrectomy, each with its own mechanisms to promote significant weight loss and improve associated health conditions, such as type 2 diabetes and hypertension.

Types of bariatric surgery

Gastric bypass: Reduces the size of the stomach and bypasses part of the small intestine, limiting food intake and calorie absorption.

Sleeve gastrectomy: Removes a large portion of the stomach, reducing its capacity and altering the hormones that control hunger.

Many patients experience improvements in conditions such as sleep apnea, non-alcoholic fatty liver disease, and joint problems.

To learn more about who can benefit from bariatric surgery, the steps involved in the pre-operative process, and the essential post-operative care, explore our blog with articles on bariatric surgery and other digestive system surgeries that we will cover here.

Hernia surgery: correction of a bulge in the abdomen

Hernia surgery is a procedure performed to correct the protrusion of organs or tissues through an opening in the abdominal wall.

Hernias can occur in various parts of the body, with the most common being in the inguinal (groin), umbilical (around the navel), and incisional (post-surgical) regions.

Hernia repair methods

Open surgery: This traditional method involves making a direct incision over the hernia area to reposition the organs and close the opening in the abdominal wall with sutures or a synthetic mesh for reinforcement.

Laparoscopy: Also known as minimally invasive surgery, laparoscopy uses small incisions through which a laparoscope (a small camera) and surgical instruments are inserted.

This technique allows the surgeon to perform the hernia repair with less trauma to the surrounding tissues, which generally results in a quicker recovery and less post-operative pain.

Colectomy: surgical removal of the colon

Another digestive system surgery that deserves attention is colectomy. A surgical procedure performed to remove all or part of the colon, also known as the large intestine.

This intervention is necessary to treat a variety of conditions, including colon cancer, Crohn’s disease, ulcerative colitis, and other inflammatory bowel diseases that do not respond to conventional medical treatment.

Segmental colectomy involves the removal of a specific part of the colon affected by the medical condition, preserving the rest of the organ. This procedure is often performed when colon cancer is localized in a specific area or when the inflammatory disease is restricted to a part of the colon.

On the other hand, total colectomy involves the complete removal of the colon and sometimes also the rectum. This may be necessary in advanced cases of colon cancer or in ulcerative colitis.

Traditionally, colectomy was performed through a larger abdominal incision. This allows the surgeon a clear and direct view of the colon and surrounding structures.

Another approach is laparoscopic surgery, which is less invasive and uses small incisions in the abdominal wall through which a laparoscope and surgical instruments are inserted.

Gastrectomy: surgical treatment of stomach cancer

Gastrectomy involves the partial or total removal of the stomach, depending on the location and stage of the diagnosed cancer.

When the tumor is located in a specific part of the stomach, surgeons opt for partial gastrectomy to remove only the affected area, preserving as much of the stomach function as possible.

On the other hand, in more advanced cases or when cancer is spread throughout the organ, total gastrectomy may be necessary to ensure the complete elimination of cancer and prevent its spread to other organs.

Pancreatectomy: surgery to treat diseases of the pancreas

This intervention involves the partial or total removal of the pancreas, depending on the nature and extent of the diagnosed condition.

When cancer is localized in a specific part of the pancreas or when there is a benign tumor that cannot be treated otherwise, surgeons opt for partial pancreatectomy.

In this case, only the affected part of the pancreas is removed, allowing for the preservation of part of the organ and, ideally, pancreatic function.

In more severe situations, such as advanced cancer that has spread throughout the pancreas, or in cases of chronic pancreatitis that compromise the entire organ, total pancreatectomy may be necessary.

In this procedure, the entire pancreas is removed, significantly impacting the production of digestive enzymes and the regulation of blood sugar levels.

Pancreatectomy is a highly complex surgery due to the pancreas’s location in the abdomen and its intimate connections with other organs, such as the duodenum, stomach, and gallbladder.

Hepatic resection: surgical removal of part of the liver

Hepatic resection is a fundamental surgical procedure used to remove part of the liver, often indicated in the treatment of primary liver cancer or hepatic metastases originating from other organs.

The liver is a remarkable organ for its unique ability to regenerate, which means that even after part of it is removed, the remaining liver can expand and recover its functionality over time.

The decision to perform a hepatic resection depends on several factors, including the size and location of the tumor, as well as the overall condition of the patient.

In many cases, especially when cancer is localized in a specific part of the liver and has not spread to other areas of the body, partial hepatic resection can be a curative option.

The procedure can be performed via open or laparoscopic approach, depending on the complexity of the case and the surgeon’s preferences.

Open hepatic resection involves a larger incision in the abdominal region to allow direct access to the liver, while the laparoscopic approach uses small incisions through which a laparoscope and surgical instruments are inserted.

Conclusion: post-surgical care and guidance for a good outcome

After any surgical procedure on the digestive system, it is essential to follow medical guidelines to ensure proper recovery.

Collaboration with a specialized medical team and regular follow-up are fundamental to achieving a good post-surgical outcome and improving the patient’s quality of life. Understand and ask your questions about these and other digestive system surgeries by accessing the Gastroblog.

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Sigmoidoscopy: Understand Everything About This Exam and Know When to Do It

Specific tests have become an important part of people’s daily lives, especially after the new coronavirus that made us pay more attention to health in general.

The flexible sigmoidoscopy, for example, an essential examination for the evaluation and care of the lower part of the intestine, often required in check-up evaluations, is still unknown to many.

And if you’ve heard about flexible sigmoidoscopy but aren’t sure what it is? Don’t worry, this article will provide you with everything you need to know about this exam and when is the right time to perform it.

Let’s go?

What is flexible sigmoidoscopy?

First of all, flexible sigmoidoscopy is nothing more than an examination used to specifically analyze the colon, the lower part of the large intestine, but significant and essential for its functioning.

In this type of examination, a flexible tube or sigmoidoscope containing a camera at its end is inserted through the rectum. This device helps the endoscopist or proctologist to clearly see the inside of the rectum and a good part of the sigmoid colon which corresponds to the lower part of the large intestine.

The examination allows for the removal of tissue samples that are used for biopsies, polypectomies, or other procedures, if necessary. However, in addition to this examination, a colonoscopy may be requested by the evaluating physician for a more precise and complete diagnosis.

How does flexible sigmoidoscopy work?

Currently, like other procedures, the examination can be performed both in clinics and hospitals. It is a bit like an ultrasound, where the images captured by the internal tube are transmitted to the monitor.

The examination can be done with the patient sedated or not, however, the most important thing is that the patient has strictly followed the doctor’s instructions regarding the preparations that precede the examination, such as:

  • Intestinal cleansing through the use of laxatives;
  • Preferably liquid diet;
  • Rest from physical activities.

The examination lasts approximately 30 minutes, but may extend a little longer if more serious irregularities are visualized, as well as depending on the observation time requested by the professional after the examination, which can be up to two hours.

Preparation for flexible sigmoidoscopy

The examination is a bit like a colonoscopy, not only in its execution but also in the essential preparations for the procedure. The difference is that in flexible sigmoidoscopy, the focus is on detailed evaluation of the sigmoid colon and the internal structure of the rectum.

Check out the main care before the exam:

  • Liquid diet only two days before the exam, except for red or purple juices;
  • Avoid consumption of alcoholic beverages before and after the exam;
  • Use laxatives for cleaning the large intestine, strictly following the prescriptions of the doctor responsible for the exam;
  • Maintain a routine of rest before and after the exam;
  • Stop eating at least eight hours before the procedure.

A very important tip is to bring a companion, since the examination may require the patient to be sedated, preventing them from returning to their residence even after resting.

Indications for performing flexible sigmoidoscopy

This type of procedure is part of the routine of many people, especially those who have had some gastrointestinal problem throughout their lives. For this reason, the examination has become an increasingly present requirement for the diagnosis of other diseases related or not to the large intestine, such as:

  • Analyzing the state of the colon;
  • Appearance of blood in the stool;
  • Diagnosing causes of chronic diarrhea;
  • Diagnosing cause of unexpected weight loss;
  • Due to sudden rectal bleeding;
  • Intestinal inflammations such as Crohn’s disease and Ulcerative Colitis;
  • Checking alteration in routine exams;
  • Checking cause of iron deficiency anemia.

Another very recurrent reason for requesting the examination is to analyze more precisely the possible diagnosis of colorectal cancer that are observed with the appearance of tumors that can appear in the colon and rectum or polyps.

Benefits of flexible sigmoidoscopy

The benefits of this procedure are very valid and assist the requesting physician in the best decision-making, regardless of the situation.

The main benefits are:

  • Detailed analysis of irregularities;
  • Early diagnosis of diseases.

In addition, a detailed examination like this contributes significantly to the prevention of potential irregularities.

Care and risks of flexible sigmoidoscopy

Problems can occur in any type of examination, from the simplest to the most complex. But, in this case, the possibility of something happening, such as perforations that cause bleeding, is remote.

The most common risk is swelling and the appearance of cramps due to the movements of the tube during the procedure. As a consequence, the patient may evacuate a few times.

Small drops of blood in the stool may also appear if the doctor has collected material for biopsy.

Differences between flexible sigmoidoscopy and colonoscopy

As they are exams that have similar objectives, even so, flexible sigmoidoscopy and colonoscopy have some differences.

Colonoscopy aims to evaluate the entire large intestine and the end of the small intestine, while flexible sigmoidoscopy is used to analyze the lower portion of the large intestine and rectum.

The intestinal preparations required in both exams are also different, being simpler and faster in flexible sigmoidoscopy.

What diseases can be detected by flexible sigmoidoscopy?

Exams always detect something, even if inadvertently. However, some diseases are verified more effectively with the examination.

Among them…

  • Causes of anemia
  • Colorectal cancer;
  • Causes of chronic diarrhea
  • Crohn’s disease and Ulcerative Colitis
  • Rectal bleeding.

Regardless of the objective, it is very important to have regular exams.

Where to perform the flexible sigmoidoscopy exam?

Looking for a specialized and reference clinic in the care of the digestive system is super important, not only when we talk about flexible sigmoidoscopy, but also for other diseases related to the intestine.

Another interesting tip for those who have had intestinal problems or for those who are always looking to be up to date with updated information about the health of the gastric system are valuable contents.

And when it comes to good content, Gastroblog is the right place.

It is a site that always launches content directed at patients, with information about the most current and practical treatments. It also has the support of the best professionals and references in the treatment of the digestive system.

Access it now and take the opportunity to get in tune with the best content.

It will be incredible.

Best regards.

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Colonoscopy: Everything You Need to Know About This Crucial Procedure for Your Health

In the quest for health preservation, certain medical procedures play a fundamental role, and colonoscopy is among them. Therefore, it is important to unveil all aspects related to the topic.

In this article, we will explore all the details about the exam, from what the procedure is, to how to prepare for it, and what to expect during and after the exam.

What is a colonoscopy?

This exam is much more than a simple medical test; it is a vital tool in the early detection and prevention of a range of intestinal conditions, including colorectal cancer, which is one of the most common types of cancer worldwide.

This meticulous procedure allows doctors to examine the inside of the large intestine and rectum in detail, identifying any abnormalities that may be present.

The technique is performed using a highly specialized instrument known as a colonoscope.

This flexible device, equipped with a small camera at the end, is gently inserted through the patient’s anus and carefully navigated along the colon to the terminal ileum (the final part of the small intestine that joins the large intestine).

The colonoscope transmits real-time images to a monitor, allowing the doctor to have a clear and comprehensive view of the intestinal lining.

During the exam, the doctor can identify a variety of issues, from small lesions such as polyps (benign growths) to areas of inflammation or even early signs of cancer.

This ability to directly visualize the inside of the large intestine is crucial for early diagnosis and timely intervention, which can have a significant impact on the effectiveness of treatment and the patient’s prognosis.

Therefore, it is not just a diagnostic procedure; it is a necessary instrument in maintaining intestinal health and preventing serious diseases.

By allowing a detailed view of the colon, this exam plays a crucial role in promoting health and overall well-being of patients, standing out as one of the pillars of modern preventive medicine.

Why is colonoscopy important for your health?

The importance of this exam for health is undeniable, as this procedure not only detects but also prevents a number of intestinal conditions, among which colorectal cancer stands out.

Considered one of the most common types of cancer in the world, colorectal cancer is highly treatable when detected in early stages, and that’s where this procedure becomes prominent.

By allowing doctors to examine the inside of the terminal ileum, large intestine, and rectum in precise detail, the exam enables the early identification of abnormalities, such as polyps, inflammation, and even incipient malignant tumors.

This early detection is crucial, as it offers the opportunity for medical intervention before the condition progresses to more advanced stages, where treatment may be more challenging and outcomes less promising.

Moreover, colonoscopy is not limited to diagnosis; it plays an active role in the prevention of intestinal problems.

During the procedure, doctors can remove benign polyps, which have the potential to become cancerous over time.

This preventive approach reduces the future risk of developing colorectal cancer and other conditions, offering patients a valuable opportunity to protect their long-term health.

Who should have a colonoscopy?

Determining who should undergo this exam involves a careful evaluation of individual risk factors and medical guidelines.

While it is true that, in general, the standard recommendation is for individuals to start undergoing the exam from the age of 50 (some studies already indicate from 45!), as part of colorectal cancer screening, there are some important nuances to consider.

One of the main factors that can influence the recommendation to perform the exam at a younger age is a family history of colorectal cancer or intestinal conditions.

If a first-degree relative, such as a parent or sibling, had colorectal cancer or intestinal polyps, this can significantly increase the risk of developing the disease. In these cases, doctors may recommend starting screening at an earlier age, usually 10 years before the age at which the relative was diagnosed.

There are certain medical conditions and lifestyle factors that can increase the risk of developing colorectal cancer and other intestinal diseases.

These include conditions such as inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis), hereditary genetic syndromes, obesity, smoking, and excessive alcohol consumption.

Therefore, the decision to undergo the procedure should be individualized and based on a comprehensive assessment of each person’s medical history and risk factors.

Preparation for colonoscopy

The preparation stage for this exam plays a critical role in the success of the procedure, ensuring that the colon is completely clean and that the doctor can perform an accurate assessment.

This process usually involves a combination of a special diet and the intake of intestinal cleansing solutions.

The special diet prescribed a few days before the exam is designed to minimize the amount of waste in the colon, thus facilitating visualization during the colonoscopy. This typically includes the exclusion of certain foods, such as high-fiber foods, whole grains, raw vegetables, and seeds.

It is common for doctors to prescribe an intestinal cleansing solution, which can be taken in the form of liquid or pills.

This solution is intended to completely empty the colon, eliminating any remaining residue and providing a clear view during the procedure.

Strictly following the preparation instructions provided by the doctor ensures the success of the procedure. Not following the instructions can result in residue in the colon, which can compromise the quality of the exam and require its repetition at a later date.

Post-care and recovery from a colonoscopy

After the exam, it is normal to feel drowsy due to the sedation used during the procedure. Additionally, some people may experience gas, mild abdominal cramps, or transient discomfort.

These symptoms usually disappear quickly and can be relieved with rest and adequate hydration.

It is important to follow the guidelines provided by the doctor, for example, about when to resume a normal diet and routine activities.

In some cases, the doctor may recommend avoiding intense physical activities for a short period of time to allow for complete recovery.

If there are any unusual or persistent symptoms after the procedure, it is essential to contact the doctor immediately. Although complications are rare, it is important to be aware of any warning signs and seek medical assistance if necessary.

In summary, taking care of oneself after a colonoscopy involves resting properly, following medical guidelines, and being attentive to any unusual symptoms.

With the appropriate care, most people recover quickly and can resume their daily activities normally.

Colonoscopy is a fundamental procedure for maintaining intestinal health and the early detection of serious conditions, such as colorectal cancer. Although it may seem intimidating, the benefits of undergoing the exam outweigh the possible temporary discomforts.

If you are in the recommended age group or have risk factors, do not hesitate to talk to your doctor about the need for this exam. Your health is worth the preventive care!

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Anorectal Manometry: Understanding the Procedure and What to Expect

At the slightest and simplest sign of change in our body, we become completely worried, not to say absolutely desperate, especially after going through a global pandemic, as in the case of the Covid 19 pandemic.

When we stop for a moment to think about the most common symptoms of our body, we quickly remember the well-known digestive changes, such as constipation or fecal incontinence.

By the way, did you know that anorectal manometry is a procedure used precisely to evaluate patients with cases of constipation and incontinence?

If you are not familiar with this subject, we are here to help you with that.

From now on, we will present to you, in a current and detailed manner, very relevant information about this type of procedure so important for the care of the digestive system.

Shall we?

What is anorectal manometry?

Anorectal manometry is basically a test used to analyze patients of any age with conditions mainly of constipation or fecal incontinence.

It is a more in-depth study of the motility of the anus and the evacuation process.

It consists of meticulously evaluating and quantifying the pressure of the anal sphincter, which is the muscle responsible for the evacuation process, local sensitivity, the evacuation reflex, and the movements of evacuation.

The examination is performed without the administration of anesthesia or sedation. This is because it is important that the patient is fully conscious, since the objective of the examination is to measure the pressures of the sphincter muscles and the neural reflexes, responsible for the essential and normal movements of the intestine.

See now how anorectal manometry is done.

How is anorectal manometry performed?

As with some digestive system examinations, initially, the patient is advised to lie on the left side of the body for the correct performance of the examination.

After lying down, a lubricant is applied to the area and a small flexible probe the size of a thermometer, with a small balloon at its end, is then inserted into the rectum.

This probe is directly connected to a device responsible for obtaining precise and real measurements of internal pressures, and the small balloon at the end is inflated inside the rectum, precisely to assess the normality or not of the sphincter reflexes.

The examination lasts approximately 10 to 20 minutes and it may be that the person responsible for the examination asks the patient for some specific movements for a more accurate evaluation, such as the natural movements of evacuating, holding back, and even relaxing the sphincter.

A very positive point about the examination is that it is not a painful procedure, and, even though it is an examination in a more sensitive area and with more details, it is not considered dangerous.

It is important not to give up on the examination, as this will ensure the collection of more solid data for a better diagnosis.

When is anorectal manometry necessary?

Examinations are an important part not only in the search for answers to various health situations but also for some medium and long-term treatments.

In this aspect, we know that there are examinations that are performed periodically, however, and most of the time, the examination may be required by symptoms linked to significant changes in the gastrointestinal system.

Because it is an extremely sensitive area, the anorectal manometry examination is only requested in more peculiar situations, such as those we highlight below.

Check it out…

  • Muscle abnormality at the end of the intestine;
  • Difficulties in evacuation;
  • Pain during evacuation;
  • Fecal incontinence or involuntary loss of stool.

The examination will directly contribute to a more accurate diagnosis, allowing the patient to immediately start the correct treatment.

Preparations and care before and after the examination

The most essential care before the examination, besides being important for a good and accurate diagnosis, can directly interfere with the results and consequently for the assertive treatment.

Check out some valuable tips for ideal preparation on the day of the examination:

  • Do not fast unless requested by the specialist;
  • Opt for light and easily digestible foods;
  • Try to evacuate spontaneously before the examination;
  • Do not use any laxative medication.

For the post-examination period, the old prescription prescribed by most professionals and regardless of the area is usually followed.

Take a look…

  • Rest after the examination for at least 24 hours;
  • Drink plenty of fluids for effective hydration;
  • Maintain a light diet;
  • Avoid physical exertion and lifting heavy weights as much as possible.

These are measures that are quite well-known and even very common to other types of examinations and procedures of the gastrointestinal system or not, however, if followed as directed, they are very beneficial.

Considering the guidelines prescribed by the specialist who accompanies you is always the best way to keep your health up to date.

Where to do anorectal manometry?

Looking for specialized clinics with qualified professionals and good references among the population is one of the first steps before undergoing any type of examination.

In the case of anorectal manometry, since it is a procedure related to the digestive system, it is always wise to look for clinics that have as their main activity the care of the organs of the digestive system, such as the gastroenterologist and coloproctologist.

This is because clinics specialized in care, conducting targeted examinations, and developing treatments for diseases of this organ are clinics designed exactly to provide complete support.

So, if you need to perform this or another type of examination related to the digestive system, opt for renowned clinics and professionals with significant references.

Knowing a little more about anorectal manometry and its importance for the accurate diagnosis of the causes of constipation and fecal incontinence, we see that access to useful information is essential.

This brings to light the need to have the correct guidance in hand for better decision-making.

And the right place to find this and other information is the Gastroblog.

Its goal is to provide content directed with a technical/scientific standard in an uncomplicated way to patients and update them on diseases, symptoms, and treatments in a light and practical way.

Do not hesitate to access and learn about other content that is just as interesting and instructive.

It will be a pleasure to help you with that.

Best regards.

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Surgery for Reflux: When Is It Necessary and How Does It Work?

Gastrointestinal health issues have been gaining a lot of space on the world stage, and gastroesophageal reflux, one of the most well-known diseases of the digestive system, is by far one of the most discussed today.

Even being one of the most common diseases, gastroesophageal reflux, like any other disease, even when treated correctly, can cause the patient to maintain symptoms, requiring surgical intervention, such as reflux surgery.

This is exactly what we are going to discuss from now on.

In this article, we will tell you everything about this type of surgery. How it is recommended to treat gastroesophageal reflux and how it acts in relieving the main symptoms of reflux.

Ready?

Understanding the causes of reflux

Just to be clear, acid reflux or gastroesophageal reflux is simply the return of stomach content or gastric juice to the esophagus, in a region located just below the throat.

Normally this is caused by the dysfunction of the valve (sphincter) located between the esophagus and the stomach. Popularly speaking, when a person has reflux, they feel that unpleasant sensation of heartburn or burning in this region, caused by the return of gastric juice.

This all happens due to an anatomical alteration of the person or the malfunctioning of the sphincter, which is a ring of muscles located between the esophagus and the stomach, whose function is to release food into the stomach and prevent the return of gastric juice.

However, reflux can be related to other factors, such as:

  • Excessive alcohol consumption;
  • Caffeinated beverages;
  • Carbonated drinks;
  • Consumption of high-fat foods;
  • Constant use of medications;
  • Smoking.
  • Obesity

Another very important detail is that in addition to these causes, reflux can occur due to other digestive system diseases such as hiatal hernia, for example.

When is reflux surgery necessary?

As in most cases of disease that require surgical intervention, reflux surgery is requested when the control and repair treatment with the use of medications does not show significant improvements.

The initial and standard clinical treatment is the use of medications for the control of reflux symptoms, however, when the reduction of symptoms or control does not occur, or the patient presents complications (below) it is ideal to discuss the need for surgical treatment.

This is because reflux can trigger other more serious diseases, for example:

  • Changes in the mucosa;
  • Stenosis;
  • Intestinal metaplasia (Barrett’s Esophagus)
  • Bleeding;
  • Ulcers;
  • Cancer.

For this reason, at the slightest sign of persistence of symptoms, the patient should be reevaluated, their treatment optimized, and still, if the alterations persist, consider surgical intervention.

Types of surgical procedures for reflux

There are three types of surgical procedures that can be used to correct reflux, such as:

  • Conventional surgery;
  • Videolaparoscopy;
  • Robotic surgery.

Conventional surgery

This is a surgery with a cutting technique in the upper part of the abdomen, however, a technique that is rarely used today due to the advantages that other methods provide.

Videolaparoscopy

In this procedure, the surgeon makes small incisions in the upper region of the abdomen, through which forceps, scissors, and a small camera will be inserted.

The camera is precisely for detailed visualization of the location, allowing precision in the stages of the surgery.

A positive point of this procedure is that it inhibits uncontrolled bleeding and complications, as well as significantly minimizing the patient’s hospitalization and recovery time, enabling a quicker return to their daily activities.

Robotic surgery

This is the most modern technique for performing gastroesophageal reflux surgery.

It is also performed with incisions in the upper region of the abdomen, however, it has the support of a robot guided by the surgeon to perform precise movements, providing more safety to the patient.

Despite this, the most used procedure for correcting reflux, including being the least invasive than open surgeries and providing a faster recovery, is the fundoplication or Nissen surgery, performed with the videolaparoscopy technique.

This type of surgery technique is so simple that, generally, the patient is discharged from the hospital one day after the procedure.

Incredible, isn’t it?

How does reflux surgery work?

Whatever the technique used in reflux surgery, its operation follows the same standard.

Check out the steps with me…

  • It is performed in a hospital environment properly prepared;
  • The patient always receives general anesthesia;
  • Small cuts or incisions are made in the upper part of the abdomen for the passage of surgical instruments.
  • With the camera, the entire altered structure is checked.
  • The patient’s stomach is released from its adhesions, and sutured around the esophagus, as if it were a tie (Nissen Technique).
  • This tie is loose around the esophagus but allows anatomically reinforcing the entrance of the stomach, preventing acid return to the esophagus.

This surgery is considered safe and quick, with an estimated duration of 1 to 1.5 hours.

Recovery and potential risks of reflux surgery

The initial guidance for any surgery is complete rest in the first few days after the procedure, keep the incision site always clean and dry, and rigorously administer the prescribed painkillers for the postoperative period.

However, in this case, it is recommended to perform small walks to restore strength in the incision region and also to avoid sitting or lying down for too long.

The most common risks are bleeding at the procedure site, the appearance of edema, and finally infections, which are an eventual risk for most surgical procedures.

Conclusion

It’s interesting how for every type of disease there is always a specific treatment and even a surgical procedure, like the reflux surgery we talked about earlier.

And as care for the digestive system is in vogue, seeking reliable information can make a big difference.

If you are looking for solid, reliable information in an uncomplicated and practical way, Gastroblog is what you need.

Gastroblog is a perfect site for people who want to be in the know about all matters of the digestive system, as its goal is to provide access to true information, granted by specialists in the digestive system.

Don’t stay curious, come and learn much more with us.

We await you.

A hug.

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Preparing for an upper gastrointestinal endoscopy: what you need to know

Find out everything you need to know about preparing for a digestive endoscopy in this informative guide. This valuable procedure provides an internal view to diagnose various gastrointestinal conditions.

Discover the essential steps that precede endoscopy, ensuring accurate results and a smooth experience.

What is a high digestive endoscopy?

A high digestive endoscopy is a non-invasive and highly effective medical procedure that allows for direct evaluation of the gastrointestinal tract. 

This procedure is performed through a flexible endoscope – a thin, flexible tube equipped with a camera at the tip – which is inserted through the patient’s mouth and gently navigated through the esophagus, stomach, and duodenum, allowing the doctor to view real-time images of the interior of these organs.

This technique is crucial for diagnosing a variety of gastrointestinal conditions, including ulcers, inflammations, polyps, tumors, and lesions.

In addition, it allows for the collection of tissue samples through biopsies, aiding in determining the nature of the observed changes. 

The accuracy of the procedure minimizes the need for more invasive ones, reducing risks and discomfort for patients.

Thanks to technological advances, digestive endoscopy can also be used to perform therapeutic procedures, such as the removal of polyps, hemostasis to control bleeding, and the dilation of narrowings of the digestive tract. 

With this direct and detailed approach, it provides doctors with essential information for an objective diagnosis and the development of personalized treatment plans, contributing to gastrointestinal health and the overall well-being of patients.

Why is preparation important?

Preparation is a fundamental component in performing this examination, playing a crucial role in the success and effectiveness of the procedure.

The preparation stage aims to provide an ideal environment for the doctor to obtain clear and accurate images of the gastrointestinal tract, ensuring a thorough and reliable evaluation.

During preparation, patients are instructed to follow a series of specific guidelines, which may include fasting for a certain time before the procedure. 

This is important to ensure that the stomach and intestines are empty, allowing an unobstructed view of the internal structures, in addition, they prevent stomach residues from refluxing into the airways, harming the patient.

Besides, preparation often involves cleaning the gastrointestinal tract, in order to remove any food residue or feces that may interfere with the quality of the images captured.

Rigorous adherence to preparation instructions is crucial to avoid inaccurate results due to obstructions or interferences. 

When patients follow fasting and cleaning guidelines, the doctor can explore the gastrointestinal tract more easily and effectively, accurately identifying any abnormalities, which can result in more accurate diagnoses and targeted therapeutic interventions, if necessary.

Therefore, preparation before a digestive endoscopy is a vital step that maximizes the quality of the information obtained during the procedure. 

By strictly following preparation instructions, patients contribute to obtaining reliable results and to the overall safety and effectiveness of the procedure.

What are the steps in preparing for a high digestive endoscopy?

Preparation for this procedure is a series of strategic steps aimed at ensuring a successful evaluation and reliable information about gastrointestinal health. Collaboration between patients and the medical team plays a significant role in achieving positive results and providing a safe and effective experience.

The first step in preparation usually involves detailed information provided to patients by the doctor or medical team. 

Generally, patients are advised not to eat or drink anything for a specific period of time before endoscopy. This is done to ensure that the stomach and intestines are empty, allowing a clear view of the internal structures.

The medical team will provide detailed instructions on how to perform this cleaning effectively. Patients are also advised to inform the medical team about any medications they are taking, especially anticoagulants or others that may affect the procedure or sedation during the examination.

What are the dietary restrictions before the procedure?

Before undergoing a digestive endoscopy, it is essential to follow specific dietary restrictions to ensure that the procedure is successfully performed and that the images obtained are safe. 

Dietary restrictions are designed to prepare the gastrointestinal tract, allowing an accurate assessment of the digestive system.

During the preparation period, patients are instructed to strictly adhere to the prescribed fasting, which generally means not consuming any solid or liquid food for a certain period before endoscopy. 

Fasting is crucial to empty the stomach and intestines, avoiding obstructions that may impair the visibility of internal structures. There are also restrictions related to the intake of medications and colored liquids before the procedure. 

This is to avoid any interference with the images captured by the endoscope. Patients may be instructed to avoid colored liquids or foods that may stain the gastrointestinal tract.

Remembering also that fasting also aims at the patient’s safety during the examination, preventing the contents of the stomach from refluxing into the airways, harming their breathing.

What are the post-procedure care?

After the completion of a digestive endoscopy, it is important to follow post-procedure care to ensure a smooth recovery. All these care aim to promote patient comfort and minimize any discomfort resulting from the procedure.

In the moments immediately after endoscopy, it is normal for patients to feel a slight discomfort in the throat or abdomen, due to the procedure performed. The symptoms decrease rapidly and are temporary. They may also still feel drowsy and confused, normal due to the sedation performed during the examination.

Avoiding the intake of solid foods or very hot liquids immediately after the procedure can help alleviate the feeling of discomfort in the throat. Patients may receive specific instructions on when to resume normal eating, depending on the nature of the procedure and medical guidelines. 

Adequate hydration is crucial for a healthy recovery, so drinking clear and light liquids, such as water, tea, or broth, is recommended. Besides, it is advisable to avoid strenuous physical activities on the day of the procedure, allowing the body to rest and recover. 

If any discomfort persists or if there are worrying symptoms, such as excessive bleeding or intense pain, it is important to contact the medical team immediately.

Post-procedure care may also require compliance with medical instructions regarding the use of prescribed medications and necessary follow-up. 

In case of biopsies or other therapeutic procedures, doctors will provide information on how to proceed with the results and next steps.

It is essential that the patient is accompanied throughout the day after the examination, by a responsible adult, to ensure that if any complications occur, he is quickly assisted. It is also important to note that the patient should not work or perform activities that require attention after the examination, due to the sedation performed.

Therefore, following post-procedure care is essential to ensure a calm and uncomplicated recovery after a digestive endoscopy. Compliance with medical guidelines helps to maximize the benefits of the procedure and to ensure the patient’s ongoing health and well-being.

In summary, adequate preparation for digestive endoscopy is significant for accurate results. Compliance with medical guidelines for fasting, intestinal cleaning and suspension of medications is essential to ensure the effectiveness of the procedure.

Therefore, understanding the necessary steps and collaborating with health professionals ensures a smoother experience and reliable results in gastrointestinal evaluation.

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Appendectomy: everything you need to know about appendicitis surgery

Taking care of health has never been as important as it is today, especially when we talk about the digestive system, a system greatly affected by a lifestyle without moderation.

If you have already gone through, are about to go through this surgery or just want to acquire more knowledge to stay on top of the subject, rest assured because you are in the right place.

We have prepared a complete content for you to know everything you need to know and the most important information about appendix surgery.

Join us…

What is appendectomy and when is it necessary?

The appendectomy or appendix surgery is a surgical procedure that consists of the removal of the appendix which, most of the time, is caused by inflammation or infection.

First of all, it is necessary to know that the appendix is an organ similar to a small bag located on the right side of the lower part of the large intestine (cecum), not being essential for the organism.

However, even though it is not so necessary, its inflammation can cause serious health problems. That’s why in these cases of inflammation or infection, the appendectomy is necessary, which is the removal of the cecal or vermicular appendix.

Of course, the surgery can be done for other reasons also related to some intestinal problem. But the main factor is still inflammations or infections, usually caused by the accumulation of feces inside the organ.

Know some of the most common symptoms:

  • apathy;
  • abdominal pain (one of the first symptoms);
  • fever;
  • abdominal swelling;
  • nausea, followed by vomiting;
  • loss of appetite.

Now that you know a little more about appendix surgery, shall we take a new step in deepening?

So let’s go there that we have a lot of cool things to see…

How is appendix surgery performed?

Appendectomy is a surgical process that, to be performed, follows some steps, as in other types of surgery, but has some peculiarities.

Shall we see a brief summary of the process?

First step

As in other operations, everything starts with the application of anesthesia, which can be general or regional (spinal).

To leave no doubts, general anesthesia is the one that leaves the patient completely asleep and without any consciousness, usually used exactly in surgeries of the abdomen, brain and heart.

Regional or block anesthesia is simpler and is the one where anesthesia is applied only to the part of the body that will be operated on, with the patient being able to stay awake or not.

Second step

After the patient is anesthetized, the incision or cut is made exactly in the direction of the organ, in the region of the iliac fossa, that is, the lowest part of the abdomen on the right, this incision being approximately 12 mm, with opening of the skin and muscles of the place, accessing the abdominal cavity, location of the appendix and its apprehension, to then start its removal.

This moment is the preparation for the removal of the appendix, where the vessels are sectioned, and the appendix is then removed.

Third step

After the removal of the appendix, an instrument similar to a stapler is used to close the place of its removal in the intestine (cecum).

Finally, a cleaning of the appendix site is performed, to remove fluids and secretions, closure of the muscles and skin, ending the surgery.

Remember that this surgery can also be performed by laparoscopy (with cameras), with slight changes, but maintaining the same sequence described.

There are other actions that are done at this time, but we only tried to describe a basic summary of how the surgery is performed.

Don’t worry. This surgery is a simple, safe procedure with low rates of serious complications.

No stress, okay?

What are the risks and complications of appendectomy?

As in any other surgical procedure, in appendectomy some risks and some complications can happen shortly after its performance, the most common type being the opening of surgical points and skin infections.

However, other irregularities may appear, such as: abscesses, fistula, hemorrhage and peritonitis.

Learn a little more about them…

Abscesses

This is the appearance or a small accumulation of pus that, most of the time, is a natural result of bacterial infections. However, the appearance of pus can also represent another skin or skin disease.

Fistula

The fistula is an irregular communication between two parts of the body that, normally, do not communicate, for example between the intestine where the appendix was removed and the skin of the abdomen. It is basically an anomaly resulting from the surgery, and usually its correction also requires another surgery

Hemorrhage

Hemorrhage is a loss of blood caused by the place of the opening for the surgery, generally with little gravity and simpler resolution.

Peritonitis

Peritonitis is an inflammation of the residual tissue of the appendix, which spreads through the abdominal cavity, which can also be corrected with the appropriate medications.

What is the postoperative period of appendix surgery like?

In the postoperative period of appendix surgery, some pains and even bruises may appear at the site of the abdominal cut immediately or in the first days after the operation, which can be contained with the use of analgesics prescribed by the specialist doctor.

A good news is that the patient can be released to leave the hospital up to 24 hours after the operation, but even receiving the long-awaited hospital discharge, certain care must be taken.

And the main one is to obey the recovery period which, in these cases, can be a little longer, even more for more rigorous activities that require physical effort.

So, double attention at this time, ok?

What are the precautions and necessary care after appendectomy?

The care after any medical procedure, in most cases, are the same and concern the gradual return to daily life.

That’s right what you read.

Returning to normal life after this surgery will depend a lot on the conscious behavior of the patient, who must strictly follow some of the care listed below:

  • moderate rest in the first weeks;
  • treat the wound for quick healing;
  • drink plenty of water and light liquids like teas;
  • ahealthy and balanced diet;
  • avoid physical exercises, except by doctor’s indication;
  • be aware of signs of inflammation such as sudden fever.

Knowing this and following these guidelines, recovery will be quick and without major problems.

Conclusion

It’s amazing to learn more about our body and discover how such a small organ has such importance for our survival and sometimes even needs a surgery like appendectomy, isn’t it?

And good that you got here, because we always have news on our site. So, keep following our posts that we always have a surprise for you.

See you soon!




What is Endoscopic Retrograde Cholangiopancreatography (ERCP)?

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With the advances in medicine, it is possible to diagnose, prevent and treat various diseases that would not have been possible decades ago.

Stay with us in reading this article and learn about endoscopic retrograde cholangiopancreatography (ERCP) and how it is used to diagnose and treat diseases of the biliary and pancreatic system.

What is ERCP?

ERCP, an acronym that refers to endoscopic retrograde cholangiopancreatography, is a medical procedure done to diagnose and treat a series of diseases of the biliary tract, both inside (hepatic ducts) and outside the liver (common bile duct) and the pancreatic ducts (Wirsung and Santorini ducts).

Diseases that affect the pancreatic ducts and biliary tract present symptoms such as abdominal pain, pale skin, fever, yellowish eyes, and changes in pancreatic and hepatic enzymes.

These symptoms may appear due to biliary tumors, chronic pancreatitis, cysts and pancreatic tumors, inflammatory stenosis, complications of surgeries performed on biliary tracts, liver diseases and mainly due to the impaction of calculi (stones) that migrated from the gallbladder.

How is ERCP performed?

The ERCP exam is performed with venous anesthesia or sedation, under the supervision of a qualified professional, with the aim of relaxing and putting the patient to sleep.

A flexible device is introduced into the individual’s mouth, taken until it reaches the second duodenal portion of their body during the procedure.

The device has a side light and camera, allowing the duodenal papilla to be visualized, where the biliary and pancreatic ducts end together, releasing their secretions into the duodenum.

A special material is placed inside the duodenal papilla, which will perform the radiological evaluation of the anatomy of the Wirsung duct and the biliary tract.

This is possible thanks to an injection of radiopaque contrast along with serial radiographs taken over the abdomen.

The images obtained by ERCP are analyzed by the endoscopist doctor who will decide at the same time for the best treatment for the patient, which may include procedures such as papillotomy, drainage of inflammatory or tumoral stenoses, through an endoscopic prosthesis or by a probe, removal of stones that are obstructing the biliary tract and other necessary procedures.

Indications of ERCP

As already mentioned, ERCP is an endoscopic procedure indicated to evaluate and treat various conditions related to biliary and pancreatic pathology. Some of the situations in which ERCP may be recommended include:

  • biliary obstruction secondary to choledocholithiasis;
  • benign and malignant stenoses of the bile duct;
  • biliary fistulas;
  • dysfunction of the Oddi sphincter;
  • recurrent acute pancreatitis of unknown cause;
  • chronic pancreatitis with symptomatic stenoses;
  • symptomatic lithiasis of the pancreatic canal;
  • treatment of symptomatic pancreatic pseudocysts;
  • diagnosis of malignant neoplasms of the pancreas.

Risks and complications of ERCP

ERCP is an invasive procedure, so there is a small possibility of risks to the patient.

Some problems can occur during the procedure due to the individual’s reactions to sedation or anesthesia, or due to reactions related to therapeutic procedures and diagnostic exams.

The medications used for sedation can cause reactions in the individual, such as phlebitis at the site of venous puncture, and systemic, affecting the cardiorespiratory system, including reduction of blood oxygenation and heart rate, as well as changes in blood pressure.

During the exam, if there are side effects, they will be continuously monitored through the control of the patient’s heart rate and blood pressure and also, with the use of devices such as a blood oxygenation monitor.

The medical team is trained to immediately treat any of these complications.

Possible complications related to the ERCP exam include gastrointestinal bleeding, abdominal pain, pancreatitis, duodenal perforation, and abdominal distension.

The most common complication to occur is acute pancreatitis, which appears in 1% to 7% of cases. Perforation and bleeding are rarer events, with an occurrence of 0.3% to 0.6% and 0.8% to 2% of cases, respectively, mainly in patients undergoing papillotomy.

Biliary tract infection (cholangitis) can occur in approximately 1% of cases, especially in individuals who have benign or malignant stenoses.

These problems increase the patient’s hospital stay and may require care involving the use of antibiotics or even therapeutic surgery, however, as shown, they are of low incidence, and the doctor who performs the ERCP is also trained to identify and treat these complications.

Recovery after ERCP

After the ERCP is performed, the patient will have to rest completely for up to half an hour, so that the effects caused by the sedative medications disappear. It is possible that his throat will present irritations, accompanied by a slight discomfort in the stomach.

In certain situations, if the patient has received supplemental oxygen while performing the procedure, he may feel nasal congestion or have some sneezes.

If requested, he may receive analgesic medications.

After the procedure, it is recommended to fast for 8-12 hours. However, if no therapeutic procedure was performed, it is possible that a lighter diet or based on liquids may be released.

The day after performing the ERCP, or if there are no intercurrences, the doctor will grant hospital discharge.

At this time, the patient can return to eating normally and take his routine medications, unless he has received specific instructions from the doctor to the contrary.

The professional who requested the exam is the most suitable to provide guidance on what was visualized. Additional information about the diagnosed problem and treatment will be provided in a subsequent consultation.

If biopsies were taken during the procedure, the analysis will be performed by a specialized pathology laboratory of your choice, and the results will be delivered within the time established by the laboratory.

If you have undergone any medical therapy, the endoscopist professional will provide additional relevant information.

It is important to be accompanied by an adult who can provide assistance, as the medication used can momentarily alter your ability to reason and make decisions.

ERCP should be performed by a team of professionals trained to serve the patient with excellence, with the aim of avoiding possible complications and also to help the individual recover after the end of the procedure. Therefore, always seek a specialist.

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Colectomy: Discover what it is, when it is necessary and the care?

Colectomy is a crucial surgical procedure mainly to treat colon cancer. Find out when this intervention is recommended and how to prepare.

Before undergoing this surgical procedure, it is essential that the patient is well informed and understands all aspects of the procedure. Continue reading and see all the details on the subject.

What is colectomy and how is it performed?

This is a surgical procedure that involves the total or partial removal of the colon, also known as the large intestine.

This intervention is indicated in different medical conditions, such as colorectal cancer, inflammatory bowel disease, intestinal perforation, obstruction, severe diverticulitis, and large polyps.

There are different types of colectomy, depending on the portion of the colon to be removed.

Total colectomy involves the complete removal of the colon, while partial or segmental removes only a specific part of the colon.

In addition, an ileostomy or colostomy can be performed, which is the creation of an opening in the abdominal wall for the passage of feces, if it is necessary to temporarily divert the intestinal transit.

This procedure can be performed through open surgery or laparoscopic surgery.

In open surgery, an incision is made in the abdominal wall to access the colon.

In laparoscopic surgery, small incisions are made in the abdominal wall to insert a camera and special surgical instruments. Laparoscopy is less invasive and allows for a quicker recovery.

During the surgery, the surgeon removes the segment of the colon affected by the disease or medical condition.

Then, the healthy ends of the colon are joined again by sutures or surgical staples.

If a temporary ileostomy or colostomy is necessary, the surgeon creates an opening in the abdomen for the exit of feces, which will be collected in an external bag.

It is important to remember that this is a complex surgical procedure and that each case is unique.

Therefore, it is essential that the decision and performance of this procedure are discussed between the patient and the medical team, considering the risks, benefits, and specific conditions of each individual.

When is colectomy necessary to treat colon cancer?

The decision to perform a surgery like this in the treatment of colon cancer depends on several factors, including the stage of cancer, the location of the tumor, and the patient’s overall health.

Surgery is generally considered necessary when colon cancer is in more advanced stages, when the tumor has spread beyond the lining of the colon or to nearby lymph nodes.

In these mentioned situations, surgical removal of the affected colon may be the best option to stop the progression of cancer and prevent metastases to other parts of the body.

In addition, the procedure in question may be recommended in cases of large or multiple adenomatous polyps, which are pre-cancerous growths in the colon.

If the polyps are large or numerous, it may be necessary to remove the corresponding portion of the colon to reduce the risk of future development of cancer.

What are the risks and complications associated with colectomy?

Although it is a common procedure, there are risks and complications associated with this surgery, which can vary depending on the extent of the surgery and the patient’s overall health.

One of the main risks is the possibility of complications related to anesthesia, such as allergic reactions, respiratory or cardiovascular problems.

Besides that, as in any surgical procedure, there is the risk of infection at the incision site or more serious infections such as, for example, pneumonia.

Another common complication is bleeding during or after surgery. Although some bleeding is expected during the procedure, in some cases excessive bleeding may occur, requiring additional intervention, blood transfusions or, in severe cases, even the removal of the entire colon.

The formation of blood clots is another concern during and after the operation.

These clots can develop in the legs (deep vein thrombosis) and, if they migrate to the lungs (pulmonary embolism), can pose a risk to the patient’s life.

Intestinal complications can also occur after the procedure.

Adhesions, obstructions, leakage of intestinal fluid or fistulas are potential complications that may require additional surgery or medical intervention for correction.

And also, this surgery can lead to temporary or permanent changes in the pattern of bowel evacuation.

Some patients may experience frequent diarrhea or fecal incontinence, while others may face chronic constipation.

All these changes can have a significant impact on the patient’s quality of life.

It is worth mentioning that not all patients will face these complications and risks, and most cases of colectomy are successful, leading to the resolution of the underlying health problems.

However, it is essential to discuss all potential risks and complications with the surgeon and follow all pre and post-operative instructions to minimize these occurrences.

How to prepare for colectomy surgery?

This is a very important surgical procedure that requires adequate preparation to ensure the success of the intervention and a more peaceful recovery.

Here are some important steps to prepare for surgery:

1 – Medical consultation

The first step is to schedule a consultation with the responsible surgeon to discuss the need for surgery and answer all your questions.

The doctor will assess your health condition, request tests, and discuss the details of the operation.

2- Pre-operative exams

Usually, blood tests, x-rays, CT scans or MRIs will be requested to assess the state of the colon and ensure that there are no additional complications.

3- Medications

The doctor may advise you to stop certain medications before surgery, especially those that may increase the risk of bleeding or interfere with anesthesia.

Find out in advance which medications you should keep suspended and for how long.

4- Diet

In general, it is necessary to follow a special diet a few days before surgery.

This may include avoiding solid foods, but the doctor or nutritionist will provide specific guidelines for you.

5- Intestinal cleansing

Depending on the type of operation to be done, it may be necessary to perform a complete intestinal cleansing before surgery, involving the use of laxatives and special solutions to completely empty the colon.

6- Keep the doctor informed about your health

It is essential to inform the doctor about any pre-existing health conditions, allergies to medications, previous surgical history, and other relevant details.

With this action, you will help the medical team to plan the surgery properly and avoid complications.

What to expect during recovery after colectomy?

After colectomy, gradual recovery is expected.

Initial hospitalization occurs, followed by pain control with medications.

The diet is started with intravenous liquids and progressing to liquids, soft foods, and normal diet.

The incision points should be cared for and regular medical follow-up is very necessary at this time.

Possible complications can include infections, bleeding, leakage of anastomosis (local where the intestine was joined), formation of adhesions or anesthetic complications.

Therefore, it is essential to follow the specific recovery guidelines that the doctor will provide, based on the patient’s condition and the surgery performed.

Colectomy is a serious procedure that requires specialized care for effective recovery and a healthy return to quality of life.

Therefore, paying attention to medical instructions and adopting a healthy lifestyle are essential for a successful recovery in this surgery.

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Ileostomy: understand what it is and what care is necessary

Have you ever heard of ileostomy? 

It is a surgical procedure that may seem unknown to many, but it has a significant impact on the lives of various people. 

If you are looking to better understand what ileostomy is and what care is necessary, you are in the right place!

In this article, we will unravel the mysteries of this surgery and provide fundamental information for those who live or live with ileostomy. 

We will cover everything from the procedure itself to the essential care to ensure a healthy and comfortable life after surgery.

If you want to understand more about ileostomy, a surgical procedure that creates an opening in the abdomen for the elimination of feces, its benefits, and how to properly care for this condition, keep reading this article! 

If you have to do, or have already done this surgery, find out everything you need to know about ileostomy.

What is ileostomy?

Ileostomy is a surgical procedure that involves creating an artificial opening called a stoma in the abdomen, through which the small intestine is connected to the surface of the skin.

This opening allows the elimination of intestinal content directly outside the body, in a special collector device.

The need for an ileostomy may arise in situations where part of the large intestine of the rectum or small intestine needs to be removed due to diseases, such as colorectal cancer, Crohn’s disease, ulcerative colitis, or traumatic injuries. 

In these cases, ileostomy is performed to allow waste from the digestive system to be safely eliminated.

Although ileostomy may seem scary or uncomfortable, it can bring a significant improvement in the quality of life of patients facing severe intestinal conditions. 

With advances in medicine and medical devices, ileostomy bag collection systems have become safer, more discreet, and easier to manage, allowing patients to resume their daily activities with confidence.

How is ileostomy surgery performed?

The surgical procedure begins with the administration of general anesthesia, ensuring that the patient is comfortable and pain-free throughout the process. 

Next, the surgeon makes an incision in the abdomen. Evaluates the type of surgery necessary for the case (tumors, hernias, or other conditions) and then, deciding that ileostomy is necessary, accesses the small intestine and locates a part further to the end of this, called the ileum, responsible for the absorption of nutrients.

At this point, the ileum is opened and brought to the surface of the skin, creating the stoma.

The stoma is fixed to the skin and is covered by a collector bag, which is specially designed to fit comfortably and adhere to the skin around the stoma. 

After the completion of the ileostomy, the surgeon carefully checks the stoma and the collector bag to ensure that there are no leaks and that everything is working correctly. 

The patient is then taken to recovery, where the medical team will provide the necessary instructions to care for the stoma and the collector bag.

In most cases, ileostomy is temporary, and after the improvement of the condition that led to the need to perform it, it can be safely closed, leading the patient to his usual life.

Necessary care with ileostomy

To ensure the comfort and health of the patient, it is essential to adopt some specific care after performing ileostomy surgery.

Proper hygiene of the stoma and surrounding skin is fundamental. 

Use gentle and non-irritating products to clean the area, and be aware of any signs of changes, communicating to the doctor immediately.

The choice of the collector bag is also crucial for the patient’s well-being.

Check the correct fit of the bag, empty it regularly, and follow the medical instructions for proper replacement.

It is essential to maintain regular medical follow-up to monitor overall health and receive specific guidance on ileostomy. 

The doctor will be able to answer questions, provide updated information, and help deal with possible complications.

Remember that each patient is unique and needs may vary. 

Correctly following medical guidelines and being attentive to your own body are important measures for a normal and healthy life after ileostomy.

Proper nutrition for those who have undergone the procedure

Proper nutrition after the ileostomy procedure is essential to ensure the health and well-being of the patient.

With some simple habit changes, it is possible to follow a balanced and easy-to-maintain diet.

It is essential to consume easily digestible foods, such as cooked fruits, well-cooked vegetables, lean meats, fish, and eggs. 

Divide meals into smaller portions and chew food well. This will aid in digestion and nutrient absorption.

Drink plenty of fluid to avoid dehydration. Opt for water, natural juices, and teas, avoiding carbonated and alcoholic beverages.

Some people may need to avoid certain foods, such as spicy, spicy foods, and foods that produce gas, such as beans and cabbage.

It is necessary to follow proper nutritional guidance to obtain a personalized food plan that will meet your specific needs after ileostomy.

How to deal with changes in routine after surgery?

After surgery, it is natural to face changes in routine, requiring a period of adaptation to ensure successful recovery. 

The key to dealing with these changes lies in adopting a balanced approach, composed of physical and emotional care. 

Initially, it is essential to strictly follow medical guidelines, respecting rest times, prescribed medications, and physiotherapy sessions. 

In addition, it is essential to promote healthy eating, with adequate nutrients to accelerate healing and strengthen the immune system. 

At the same time, it is essential to take care of emotional well-being, seeking family and friends’ support, as well as exploring complementary therapies, such as meditation and relaxation, for example. 

It is important to be patient with yourself during this transition period, maintaining a positive attitude and seeking a gradual return to daily activities. 

This recovery journey will provide an opportunity for personal growth and a rebirth of healthy habits, leading to improved quality of life and a better relationship with yourself after surgery.

Conclusion

Ileostomy, a surgery that creates an opening in the abdomen for the elimination of feces, plays a vital role in the treatment of severe intestinal diseases, and most of the time is temporary.

However, caring for an ileostomy requires specific attention and knowledge. 

It is essential to adopt rigorous hygiene measures, such as regular cleaning of the collector bag, to avoid infections and unwanted leaks. 

In addition, a balanced diet and nutritional follow-up are fundamental to avoid complications and maintain an adequate general state of health.

Also, remember to seek emotional and educational support to face lifestyle changes and adapt to the new reality. 

With proper care, it is possible to live a full and healthy life after an ileostomy.

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