Colorectal Surgery - Duke University Medical Center

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This information is to help you understand: • The surgery that you are about to undergo • What you can expect during your hospital stay • What you can expect when you return home Please read over this information. Feel free to talk about these matters with the doctors, ostomy nurses or nurse practitioner. This booklet should give you a general idea of things to do to help you get well after your surgery. My Ostomy nurse is: and can be contacted at: I can contact Dr. at Monday-Friday 9:00 am – 5:00 pm After hours and weekends please call 919-684-8111 and ask for the surgical resident on call to be paged. IMPORTANT PLEASE READ 2
Information provided by this pamphlet is for educational purposes. It is not intended to replace the advice or instruction of a professional healthcare practitioner, or to substitute medical care. Contact a qualified healthcare practitioner if you have any questions concerning your care TABLE OF CONTENTS Digestive Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Hemicolectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Tansverse Colectomy and <strong>Colorectal</strong> anastamosis. . . . . . . . . . . . . . . . . . . . . . . 6 Abdominal perineal resection and Low anterior resection. . . . . . . . . . . . . . . . . 7 Low anterior resection and proctocolectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Ileocolic anastamosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 What is an ileostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 What is a colostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 What can I expect before my surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Bowel preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 What can I expect after my surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 What can I expect when I get home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 When should I call the doctor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Changes in bowel function after colorectal surgery . . . . . . . . . . . . . . . . . . . . . .20 How to adjust the dose of loperamide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Ostomy internet resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Learning to live with an ileal J-pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 3
Page 1: Colorectal Surgery: Instructions fo
Page 5 and 6: Your surgeon has told you that you
Page 7 and 8: Abdominal perineal resection (APR)
Page 9 and 10: Ileocolonic anastamosis Sometimes y
Page 11 and 12: What is a colostomy This is an open
Page 13 and 14: • You will be told what medicine,
Page 15 and 16: What can I expect after surgery Whe
Page 17 and 18: Will I have to eat certain foods af
Page 19 and 20: When should I call the doctor • B
Page 21 and 22: Which Foods Make Stool Softer and M
Page 23 and 24: How to Adjust the Dosage of Loperam
Page 25 and 26: This page is only for people who ha
Page 27: Pelvic muscle exercises Please do n

Colorectal Surgery - Duke University Medical Center

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