The colon is the large intestine; It is the lower part of the human digestive system. The intestines are a long, tubular organ. The intestines are made up of the small intestine, large intestine and rectum, which is the last segment of the large intestine. After the food is swallowed, it begins to be digested in the stomach and passes into the small intestine where the nutrients in the food are absorbed. After the nutrients in the food are absorbed in the small intestine, the remaining part passes to the large intestine and from there it is transmitted to the rectum and excreted from the body. The large intestine and rectum absorb water and keep these nutrients in them until people go to the toilet.
IN WHICH CASES ARE THICK INTESTINAL SURGERY PERFORMED?
Unstoppable bleeding: In cases of bleeding that cannot be stopped from the large intestine, the affected intestinal section must be removed.
Colon cancer: In patients caught in the early stages of colon cancer, a portion of it can be resolved with a bowel resection, but the size of the surgery increases when it is delayed.
Crohn’s disease: If you have not been able to treat it with medications, surgical removal of this area seems to be the most definitive treatment. If cancer precursor lesions are developing, surgery should be performed.
Ulcerative colitis: If it cannot be treated with drugs and if the complaints persist, surgery may be recommended. In this disease, precancerous lesions may also occur. When cancer precursor lesions are encountered, surgery should be performed.
Entertainment: Small bubbles formed in the large intestine are called diverticula. Inflammation of these diverticula is called diverticulitis. If diverticulitis recurs more than once or if complications have developed, surgery can be performed.
Large intestine surgery performed to prevent cancer that may develop: Cancer development can be prevented by removing the entire large intestine in patients with polio who are at risk of developing multiple cancer. Due to the high risk of developing colon cancer in some genetic diseases, the entire large intestine can be removed in these patients. For example FAP (familial adenematosis poly) or linc syndrome.
Discuss the type of large intestine that will be applied to you with your doctor and understand in detail why he recommends this surgery and ask your questions until there are no questions left in your mind. In some cases, you may have alternative options, understand their advantages and disadvantages and choose accordingly.
NUTRITION AFTER THICK INTESTINE SURGERY:
It is appropriate to stay in the hospital until the bowel movements begin. During this period, it is usually 3-5 days. Especially on the first day, all fluid and electrolyte needs are met intravenously.
Although it varies from surgeon to surgeon, depending on the patient and his disease, only watery food, which we call regimen 1, can be started on the first day.
By looking at the bowel movements and the general condition of the patient, on the second day, we gradually begin to get used to the foods that we call regime 2 such as soup and yogurt. Day by day, the degree and amount of regimen are increased and a diet close to normal food is tried to be started within about 1 week.