Scar tissue after colon resection causing bowel obstruction

Posted by jesusfreakinmn @jesusfreakinmn, Jun 8 2:25pm

My mother had colorectal cancer removed in 2014 with an ileostomy bag for 3 months then the were able to reconnect the colon. She is currently in the hospital with an obstruction most likely caused by scar tissue at the point where the reconnect was done. Does anyone know the removal procedure? They have tubed down her nose pumping out fluids for 3 days now and IV fluids, no food or liquid as she puked that up, only ice chips and swabs. Looking at surgery. Is this going to be a situation where she will require another bag????? Or can this cobe corrected lapescope?

Hi, I can imagine you are very worried about your mom.

Here is some information from Mayo Clinic about treatment for total obstruction due to abdominal adhesions (scar tissue) after surgery.
"Treatment for complete obstruction
If nothing is able to pass through your intestine, you'll usually need surgery to relieve the blockage. The procedure you have will depend on what's causing the obstruction and which part of your intestine is affected. Surgery typically involves removing the obstruction, as well as any section of your intestine that has died or is damaged.

Alternatively, your doctor may recommend treating the obstruction with a self-expanding metal stent. The wire mesh tube is inserted into your intestine via an endoscope passed through your mouth or colon. It forces open the intestine so that the obstruction can clear.

Stents are generally used to treat people with colon cancer or to provide temporary relief in people for whom emergency surgery is too risky. You may still need surgery, once your condition is stable."

Whether your mother will require another temporary or permanent ostomy or none at all can only be answered by her surgical team. It will likely depend on how much of the damaged colon may need to be removed.

Are you able to be with your mom in the hospital and talk with her care team?

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Same happened to me! Reconnection failed due to scar tissue! No major problems with colonostomy! Was m 65! Glad I didn’t try again! Am 70 now!

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@colleenyoung

Hi, I can imagine you are very worried about your mom.

Here is some information from Mayo Clinic about treatment for total obstruction due to abdominal adhesions (scar tissue) after surgery.
"Treatment for complete obstruction
If nothing is able to pass through your intestine, you'll usually need surgery to relieve the blockage. The procedure you have will depend on what's causing the obstruction and which part of your intestine is affected. Surgery typically involves removing the obstruction, as well as any section of your intestine that has died or is damaged.

Alternatively, your doctor may recommend treating the obstruction with a self-expanding metal stent. The wire mesh tube is inserted into your intestine via an endoscope passed through your mouth or colon. It forces open the intestine so that the obstruction can clear.

Stents are generally used to treat people with colon cancer or to provide temporary relief in people for whom emergency surgery is too risky. You may still need surgery, once your condition is stable."

Whether your mother will require another temporary or permanent ostomy or none at all can only be answered by her surgical team. It will likely depend on how much of the damaged colon may need to be removed.

Are you able to be with your mom in the hospital and talk with her care team?

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@colleenyoung very interesting. Does the same apply to partial blockage?

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I am very interested in this topic. My husband had a tumor removed from the sigmoid area of the colon one year and 3 months ago. We have been in the ER twice due, in 6 week, due to a bowel “blockage”, however physically the source is unseen by scans and X-rays with contrast. He feels strongly it is scar tissue and he was also born with gastroscesis (intestines on outside at birth) and adhesion removal alone took 3 hours before the removal of the tumor could be removed. My husband is “managing” daily with softeners, lactulose, gas x and when needed Linzess is his last attempt to get movement. We are focusing on completing two remaining chemo treatments for his colon cancer and remaining off Avastin in the event an urgent surgery is needed. (Surgery requires being off this chemical for several weeks so we are being cautious). After which we hope to focus on the blockage which will likely return. I hope this is helpful to others and would like to see this topic grow with more similar experiences. Thank you.

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@trishanna

@colleenyoung very interesting. Does the same apply to partial blockage?

Jump to this post

Trishanna, apologies for the delayed response. I’m not sure about the application in the case of partial blockage. Have you had a chance to talk about it with your physician?

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