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Colostomy

Discussion in 'All Categories' started by Vivek sandyal - Jul 5th, 2022 11:31 am.
Vivek sandyal	Hello Dr. Second Opinion: reversal of Transverse loop colostomy (Transverse incision) reversal My mother, aged 74 yrs, has Transverse loop colostomy GE done on first week of April 2022 at Dr, Ranjedra hospital Tanda Kangra, Himachal by Dr, Vikrant Sharma and Dr Savya Sachi, Doctors at Dr RPGMC TANDA. Initially, it was suspected some hard food starch causing issues and enema helped for 6 plus months, however last time in Government hospital Transverse loop colostomy (Transverse incision given in a Right upper Abdomen) and TC identified brought out and loop colostomy is/was performed. Later colonoscopy tests were also done and PET, report copy attached. Finding from the colonoscopy, out of 3 samples, 1 sample suspected by the histopathological labs a moderately differentiated adenocarcinoma of the sigmoid colon and 6 total (21 weeks) , Plan of ongoing Chemotherapy started / ongoing, so far 3 chemotherapy sessions are done with necessary medicine. So far no complication and also slight improvement has been solely observed bit with stool passing normal. We would like to have a your kind opinion, when and how and where and if private, cost factors of colostomy takedown( reversal) of the colostomy so that colon could reattached by to the rectum , so that reestablishment of flow of waste through the gastrointestinal tract can be achieved, either after all 6 sessions (Chemotherapy) or on/before or after a full body PET or other test/ assessment? For information, rest of tests are normal with border line diabetics. Your earliest response via my email would be appreciated. - Date Of Appointment: 2022-08-1
re: Colostomy by Dr R K Mishra - Jul 7th, 2022 3:10 pm #1
Dr R K Mishra	We should not be in hurry of closing colostomy. Please be sure about complete remission of disease. You should get a PET scan done to evaluate the situation of metastasis if it is any. Followup is necessary. If you want please have a consultation with me.