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Subtotal Colectomy

Surgical removal of most of the colon with ileorectal anastomosis.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Subtotal Colectomy?

In subtotal colectomy the ascending, transverse, descending and most of the sigmoid colon are removed and bowel continuity is restored by ileorectal or ileosigmoid anastomosis.

The main indications are toxic megacolon and severe acute ulcerative colitis, multifocal colon cancer, slow-transit constipation, severe diverticular disease and acute lower gastrointestinal bleeding.

It can be performed open or laparoscopically. Postoperative care includes diarrhoea management, fluid-electrolyte balance, nutritional support and life-long surveillance colonoscopy.

Symptoms

Diarrhoea
Abdominal pain
Rectal bleeding
Abdominal distension
Weight loss
Tenesmus
Fatigue

Risk Factors

Severe ulcerative colitis
Multifocal colon cancer
Severe diverticular disease
Slow-transit constipation
Recurrent intestinal obstruction
Acute lower gastrointestinal bleeding
Family history of colon cancer

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe rectal bleeding
  • Persistent diarrhoea and weight loss
  • Symptoms of toxic megacolon
  • Severe abdominal pain and distension
  • Symptoms of intestinal obstruction

Treatment Methods

01
Open or laparoscopic subtotal colectomy
02
Ileorectal or ileosigmoid anastomosis
03
Adhesiolysis if obstructed
04
Postoperative diarrhoea management
05
Fluid and electrolyte support
06
Long-term endoscopic follow-up

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.