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Ileus after laparotomy for rectal cancer
Patient had rectal cancer mostly in upper rectum and had 1st chemo-radiation and 2 subsequent chemo cycles. Then got operated after 2 months of radiation completion, where cancerous part was removed, anastomosis done, ileostomy done. Orally juice, coconut water, ORS were given for 2-3 days but later ileus got set in and patient was throwing up any oral intake. It has been 13 days after operation but ileus is not recovering. Surgeon initially said ileus is common and may recover in 2-3days but now he says initial radiation may be delaying ileus recovery. TPN they started now,that also is causing some complications like irregular heartbeat,fever for which they are treating symptomatically. For ileus recovery they hv put ryles tube and giving perinorm etc My questions are: How to treat ileus here , when will it recover? And was doing surgery first instead of radiation a better option here? And radiation was not needed at all? We are loosing hope of recovery day-by-day due to this surgery
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The recovery may take some time. Usually surgery is done only in early stage like T1 or T2 tumors which are node negative. If disease is locally advanced then radiation with chemo is given first followed by surgery. Surgery, radiation and chemo all three are important part of treatment for ca rectum, though sequencing can change depending upon stage.
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Some times recovery is delayed. Patient has been treated correctly as per guidelines. Complications can arise after any treatment.
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Be positive and there is no reason to lose hope. Patient would be fine
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.