There are several surgical approaches to treat megacolon, such as a colectomy ( removal of the entire colon ) with ileorectal anastomosis ( ligation of the remaining ileum and rectum segments ), or a total proctocolectomy ( removal of colon, sigmoid and rectum ) followed by ileostomy or followed by ileoanal anastomosis.
42.
The temporary ileostomy can be reversed at this time so that the patient is internalized for bowel functions, or, in another step to the procedure, the pouch, and rectal stump anastamosis can be left inside the patient to heal for some time while the patient still uses the ileostomy for bowel function.
43.
The temporary ileostomy can be reversed at this time so that the patient is internalized for bowel functions, or, in another step to the procedure, the pouch, and rectal stump anastamosis can be left inside the patient to heal for some time while the patient still uses the ileostomy for bowel function.
44.
In a " temporary " or " loop ileostomy ", a loop of the ileum is surgically brought through the skin creating a stoma, but keeping the lower portion of the ileum for future reattachment in cases where the entire colon and rectum are not removed but need time to heal.
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A " man of big ideas and concepts ", Hughes founded the Ileostomy Association of Victoria in 1957, the first Australian association to cater for the needs of ostomates, and in 1977 he convened and chaired the inaugural meeting of the Australian Association of Stomal Therapists, now the Australian Association of Stomal Therapy Nurses.
46.
Candidates for BCIR include : people who are dissatisfied with the results of an alternate procedure ( whether a conventional Brooke ileostomy or another procedure ); patients with a malfunctioning / failed Kock pouch or internal / external anal sphincter control who either elect not to have the J-pouch ( IPAA ) or are not a good candidate for IPAA.
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