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Complexities in Oesophagectomy Gastrectomy and Colectomies in Mukundapur

Complexities in Oesophagectomy Gastrectomy and Colectomies

Complexities in Oesophagectomy Gastrectomy and Colectomies in Mukundapur

Oesophagectomy (a surgical procedure in which the entire or a portion of the oesophagus (the tube that connects your mouth and stomach is removed), Gastrectomy (surgery to remove a part or complete stomach to treat conditions like stomach cancer), and Colectomy (a surgical procedure to remove all or part of your colon (part of the intestine) are surgeries that serve as a definitive treatment plan for digestive disorders. These surgical procedures are complex but are tolerable. In certain cases, they come along with associated risks and complications.

Atrial dysrhythmias, bile reflux, Dumping syndrome, and delayed gastric emptying occur as complications of Oesophagectomy. Certain possible complications associated with a Gastrectomy include diarrhoea, chest infections, bronchitis, pneumonia, internal bleeding, nausea, and vomiting. The majority of patients handle partial colon resections well, and other than a brief increase in the frequency of stools, there are very few mild physiologic side effects. When the entire colon is removed, a more substantial reaction starts. Early complications of Colectomy include anastomosis leaks and infections, while at a later stage, incontinence and a decrease in sexual function can also be noted.

FAQ's

Due to the complexity of the surgery, your doctor will advise on how to prepare for the procedure:

  • Patients are required to stay fit and healthy
  • Consume more fruits, vegetables, and lean proteins
  • Regularly exercise
  • If you smoke, you will be asked to stop two weeks before the procedure

An Oesophagectomy procedure can vary in duration based on the type of surgery performed and the underlying cause of the condition. Most surgeries last for three to six hours or even longer.

Immediately after surgery, you will not be able to eat or drink. During the surgery, a feeding tube will be placed to provide you with the necessary nutrition. Some patients will be able to take small sips of clear liquids five days after undergoing the procedure.

Oesophagectomy, being a major procedure, carries some risks. Some of the risks include:

  • Blood clots in the lungs or other body parts
  • Excessive bleeding
  • Infections
  • Reactions to anaesthesia
  • Pain following the operation
  • Pneumonia
  • Narrowing of the oesophagus where it connects to the stomach, causing swallowing difficulties
  • Slow emptying of the stomach

Some of these complications could be life-threatening; therefore, you must speak to your healthcare provider about potential surgery risks.

It is possible for difficulties to arise after any surgery. That being said, this is unusual. We go above and beyond before, during, and after your treatment as specialists in minimally invasive bariatric surgery to help you prevent problems. The following are potential Gastrectomy side effects:

  • Food moving too rapidly from your stomach into your small colon (dumping syndrome)
  • Acid reflux
  • Diarrhoea
  • Infections in the chest, such as pneumonia and bronchitis
  • Haemorrhage
  • Vomiting and nausea
  • Stomach acid seeps into your oesophagus, resulting in constriction and scarring
  • Vitamin deficiencies
  • Unintentional loss of weight

A group of symptoms known as "dumping syndrome" may develop in patients following a Gastrectomy. It occurs when food that is especially starchy or sweet enters your small intestine unexpectedly.

Before the Gastrectomy, your stomach breaks down the majority of the sugar and carbohydrates. However, after the procedure, your small intestine must absorb water from the rest of your body to facilitate digestion. Because so much water is extracted from the circulation, there may be an abrupt reduction in blood pressure.

The symptoms of dumping disease are:

  • Bloating
  • Palpitations
  • Rumbling noises
  • Faintness
  • Nausea
  • Sweating
  • Indigestion

Resting for 20 to 45 minutes after eating a meal may help if you suffer from dumping syndrome. To lessen dumping syndrome symptoms:

  • Eat mindfully and stay away from sugary meals like cakes, chocolate, and candies

  • Increase your intake of fibre gradually while avoiding soup and other watery meals

  • Consume more frequent, smaller meals

Several conditions can be treated with a Colectomy procedure, which include:

  • Colon cancer
  • Precancerous conditions like familial adenomatous polyposis or Lynch Syndrome
  • Large bowel obstructions
  • Management of inflammatory bowel disease, including ulcerative colitis and Crohn’s disease
  • Diverticulitis
  • Uncontrolled bleeding

Serious consequences are possible after a Colectomy. Your overall health, the kind of Colectomy you have, and the technique your surgeon uses to complete the procedure all affect your chances of problems. Colectomy side effects might include:

  • Bleeding
  • Blood clots in the legs (deep vein thrombosis) and lungs (pulmonary em
  • Infection
  • Damage to your small intestine and bladder, two organs that are near your colon 
  • Tears in the stitches that hold your remaining digestive system sections together

Incontinence and decreased fertility are among the long-term consequences of Colectomy. The effect is more pronounced after the Colectomy procedure in women with inflammatory bowel disease. Both people with ulcerative colitis and those with familial polyposis may also experience reduced fertility as a result of fallopian tube blockage from scar tissue. Undergoing Colectomy with end ileostomy has the least impact on fertility.

Even though Colectomy is a major procedure, it is quite safe and effective. Recent innovations in minimally invasive procedures may help you resume your usual routines faster than expected.

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