Sigmoid colon resection: What to expect for recovery?

@lapg22, I hope you've seen the helpful posts from @eyeart @patriotspride @fisch @sgbisrat @cjay and @paul28. Cjay is right that people who do not have complications do not post in online forums as often. They get on living life.

There is no doubt a recovery period for which you should be prepared and informed. Talk to your surgeon about the recovery period and what YOU can expect. Your surgeon who knows your health status, age, medical history, etc. will be able to discuss with you what your recovery will likely look like.

It sounds like you are a busy, healthy woman. Being physically fit helps too. Is regular physical activity part of your regular routine?

Too many here prior to surgery seem to be so concerned about getting back to a "normal diet". What's your rush? Give your colon a break!
Your so called normal diet might not have been your best diet before and chances are it won't be the best later.
Were you eating red meat as part of your "normal diet"?

Sigmoid colon resection is not 3 or 4 days in the hospital, come home, rest for a couple days and back to work.
You cannot rush the healing of your colon. Only time and colon care will do that.
Enjoy some non-solid food for awhile. Think in terms of what is easily digested.
Eat at home. No restaurants, no fast food, no fried foods, no dairy, no baked goods, no deli meat, nothing spicy, nothing acidic, no alcohol and drink water.

If you can remember what not to eat, figuring out what you can eat comes easier.
What you thought was normal before, actually needs to be gone!
This is about finding your "new normal!"

@lapg22
I had a large tumor in my sigmoid and upper part of my rectum, it was found in February. I had a very short course of radiation then surgery, where I had a lower anterior resection. And an ileostomy for 6 months. At the end of September I had the ileostomy reversed and after 2 nights in the hospital (and moving my bowels) I went home.
Please don’t be worried by what you read here and other online sources. I felt the same way - scared- and then I realized that only the people with problems usually post online. That’s a very small section of those who’ve had this surgery!
I am almost 8 weeks past my surgery, and it’s wonderful (finally!)
I take Immodium every morning, and I tsp. of Metamucil in a bit of water after I eat. Right after the surgery I had a few accidents, but I bought some Depends and just let my body relearn the new plumbing.
I’m finally going back to work in 2 weeks!
Don’t worry, you’ll do great. And feel SO much better afterwards.

I just had a foot resection of my sigmoid about 3 months ago at John’s Hopkins and stayed there for a week.

Wasn’t released until the Dr made sure the system was back to normal. I get constipated once in a while now but, everything is back to normal and never run into the situations I read here.

Wish you the best !

I had my colon resection surgery on Sept 28th of this year, and it went very well. I am a very healthy 71 year old woman. A foot of my colon was removed laparoscopically due to a cancerous polyp that was found in a routine colonoscopy. I was in the hospital for four days...a little longer than normal I understand, but I live two hours from the hospital, and my surgeon wanted to make sure all was well. The first day after surgery was not bad, as the nerve blocks had not quite worn off yet. The second and third days were a bit difficult. You might expect diarrhea those days with a bloody look to it. Scared me, but normal after surgery. I watched my diet for two weeks after, until I was given the ok to go back to normal after my follow up appt. I was told to be very careful about lifting for six weeks. I work full time in sales and interior design, so I had your same concerns. I was back to work two weeks after surgery, and I found out that a teaspoon of psyllium in 8 oz of water daily solved my problems. I wish you the very best.

I had a resection of 1 foot of my colon 2 years ago. It worked out well . Yes you will gradually be able to manage a normal diet.

Re running the the bathroom. You won’t be released until your Dr is assured that your system is working normally

Wishing you success

Hi @lapg22 , I have not had the surgery yet--but I feel fairly committed to scheduling it. I seem to have a flareup every month or two--they are getting closer together, and more painful. I have a phone appointment with the surgeon in a couple of weeks.
I took another look at the comments here on Mayo, and I have decided that many of them are from people who are on the mend. A lot of the people who are having problematic outcomes have other underlying medical issues. I am feeling that I will do OK.
Be sure and ask your surgeon how many sigmoidectomies they have performed, and how many have experienced complications. Bring up the complications that concern you, and ask for clarity. That's what I intend to do when I finally get him on the phone. If you are relatively healthy, it should go OK. You will need time off, for sure.

@eyeart (and @patriotspride) ,
Did you have the surgery? My dr told me NOTHING about the side effects I am reading about here, and now I am terrified! I am scheduled to have about a foot of my sigmoid colon removed laparoscopically later this month. I have had four bouts of diverticulitis over the past five years or so. The most recent one put me in the hospital for three days on 24-hr IV antibiotics, and I have been on two different antibiotics since coming home two weeks ago. I am an otherwise very healthy 57-yr-old woman. I was told I could go back slowly to a regular diet starting about two weeks after surgery and that I shouldn’t have any issues. That is NOT what I am seeing here! My job requires me to meet with people daily and to make presentations in front of important executives. I cannot stop in the middle of a presentation to run out of the room, hoping to make it to the bathroom in time. I am hoping some of you can reassure me that scenario isn’t likely. If not, I will be canceling this surgery!

Mine was in the ascending colon. 1 foot removed .

Never had nerve or incontinence issues

I had a new tumor occur in the sigmoid which resulted in my ostomy due to some new cells on the rear abdominal wall and a small tumor still between my bladder and rectum.

Being treated with 6 courses. And then surgery

I’m a stage 4 survivor who made 2 years in remission and did 600 hours of chemo post that resection and Hi Pec surgery so can say the resection went well

Now facing challenge 2 with cancer and it’s been very rough so far.

Wishing you success in your journey

Hello @patriotspride,
Your case is sounding hopeful to me. I am reading so many reports of lengthy recoveries, with uncontrollable diarrhea, and not being able to leave the house, etc... Did you have a sigmoid resection?
And, I know this is most likely a question for the surgeon--what happens to the nerves that surround the sigmoid colon? Are they sacrificed, and that why incontinence happens?