Patients with Crohn’s disease will have scarring in their
intestine eventually. If the medication/treatments don’t works for the patient,
in other words the intestine is damaged to the point where the segments of the
intestine become narrow, they would have a strictureplasty performed. A strictureplasty
surgery is where the surgeon cut opens those segments to enlarge the area for
passage of waste. When the Crohn’s disease have come to a point where there are
holes in the intestine, sections would have to be removed and reattached the
healthy ends. After this surgery, usually the patients would have to do another
one of these surgeries for damaged sections again. For patients who have the severe
outbreak of Crohn’s disease will need to have their whole colon removed and
rectum as well if infected. Their waste would be collected in a bag that
requires to be emptied several times a day. There are two types of surgery for this, one is call proctocolectomy, where the entire colon and lower part of the rectum along with the bowel movement muscles are removed. The other surgery is called ileostomy, where the small intestine opening is connected to a small opening in the lower right corner of the abdomen done by the surgeon with a anostomy bag placed over that opening for collecting waste.
After reading about the surgery portion for Crohn’s disease,
I feel like the ones who has to have their whole colon and rectum removed would
feel horrible having to empty their bags several times a day because of the Crohn’s
disease that requires them to remove their whole colon and rectum. What do you
think about having your whole colon and rectum removed and having to empty you
bag of waste several times a day?
Work Cited:
Simon M.D., H.. N.p.. Web. 17 Oct 2013. <http://health.nytimes.com/health/guides/disease/crohns-disease/surgery.html>.
I wonder if surgically removing the inflamed spots of the intestines actually helps calm the disease at all. Since CD sometimes only affects parts of the GI tract, would removing the 'infected' area bring the inflammation response down. Or... would the autoimmune disease just spread to other parts of the GI?
ReplyDeleteAccording to my findings it does not remove CD, since it a disease throughout the digestive tract. Once that section is removed for whatever the stage is in that affected area, CD would probably appear in other areas, this is why it will eventually lead to the whole removals.
ReplyDeleteI have a job in the health care field as a CNA and I know that having one of these bags is not the most pleasant thing for patients. If it calms the disease, then I think they would rather have that, but it doesn't change the fact that they have a bag of waste attached to them at all times. I know I would not enjoy that!
ReplyDelete