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Upper and mid rectum cancer
Hi, patient(62) has cancer tumor in upper and mid rectum(4cm lenth x 1cm width tumor left after chemo-radio and 2 cycle chemo). Now the surgeon says he will remove the affected part and do anastomosis using laparoscopy. But he says he wants to do ileostomy to let the stitch/stapple heal and then reconnect small intestine. Surgeon says there is 15%chances of leaks in connection if we are not letting it to heal, But patient doesn't want to have ileostomy. can we go with risk of no ileostomy? Or is there any other possible method?
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After chemoradiation,it is better to do  low anterior resection with loop ileostomy  for early recovery of the patient and it can be reversed at a later date based on Histopathology report and need for adjuvant therapy. Usually ileostomy is well accepted.Good luck. Talk to stoma team before the procedure for better understanding of stoma and the care
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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.