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What Causes Colon Adhering To Abdomen After Removing A Cancerous Colon Piece?

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Posted on Thu, 17 Dec 2015
Question: My mom went in for surgery Nov 10 for colon cancer. they removed a piece of her colon. every thing seemed fine for 4-5 days but after a week they though something was wrong, they did a ct I believe and found a blockage and had to go back in and found her colon had adhered to her abdomen. She now has a bag to go to the bathroom which they say is temporary 4-6months. During all this time she has had nothing to eat and very little to drink just IV bags. they installed a feeding tube in her neck last night and are suppose to start giving her some nutrition today. She is 72 years an went in to surgery in good shape starting to decline a bit now. We are in a small rural hospital. Should I get her moved?
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Answered by Dr. T Chandrakant (7 hours later)
Brief Answer:
As explained.

Detailed Answer:
Hi.
Sorry to know the state your Mother, family and you must be going through.

Read the history you have provided and understood what would have happened.
To recapitulate: Female/72 - Surgery for colon Ca on Nov 10 - partial colectomy - end-to-end anastomosis (possibly) - CT - after a week - temporary colostomy - nothing to eat during this time only little to drink - IV bags - feeding tube in the neck - most probably for parenteral nutrition - in a small rural hospital - wants to know whether to shift her to bigger place/hospital.

This is always a question about which nothing definite can be opined about.
Yet, I will try to explain:
- First of all discuss frankly with the operating Surgeon what he thinks about the possible progress, condition of the patient ans ask frankly whether he would like to continue the treatment or refer the patient to the higher center for further care.
This will clear lots of points.
The Surgeon who has done both the Surgeries know it all. This too is very important point.
- Please see if the colostomy is moving well.
- What is the general condition of your Mother? Stable, improving over time or not? Any fever, distension of abdomen, vomiting, Leakage from the wound? Any other complication like Pneumonia, DVT or so?
If there is improvement by any and all means there may not be a need to shift to the higher center.

If your operating Surgeon says to shift the patient to higher centers, then only it is better to get her shifted.

I hope this answers your query
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Colon Adhering To Abdomen After Removing A Cancerous Colon Piece?

Brief Answer: As explained. Detailed Answer: Hi. Sorry to know the state your Mother, family and you must be going through. Read the history you have provided and understood what would have happened. To recapitulate: Female/72 - Surgery for colon Ca on Nov 10 - partial colectomy - end-to-end anastomosis (possibly) - CT - after a week - temporary colostomy - nothing to eat during this time only little to drink - IV bags - feeding tube in the neck - most probably for parenteral nutrition - in a small rural hospital - wants to know whether to shift her to bigger place/hospital. This is always a question about which nothing definite can be opined about. Yet, I will try to explain: - First of all discuss frankly with the operating Surgeon what he thinks about the possible progress, condition of the patient ans ask frankly whether he would like to continue the treatment or refer the patient to the higher center for further care. This will clear lots of points. The Surgeon who has done both the Surgeries know it all. This too is very important point. - Please see if the colostomy is moving well. - What is the general condition of your Mother? Stable, improving over time or not? Any fever, distension of abdomen, vomiting, Leakage from the wound? Any other complication like Pneumonia, DVT or so? If there is improvement by any and all means there may not be a need to shift to the higher center. If your operating Surgeon says to shift the patient to higher centers, then only it is better to get her shifted. I hope this answers your query