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Total abdominal colectomy

Definition

Total abdominal colectomy is the removal of the large intestine from the ileum (lowest part of the small intestine) to the rectum. After it is removed, the end of the small intestine is sewn to the rectum.

Alternative Names

Ileorectal anastomosis

Description

You will receive general anesthesia right before your surgery. This will make you unconscious and unable to feel pain.

During the surgery:

• Your surgeon will make an incision (cut) in your belly. Then your surgeon will remove your large intestine. Your rectum and anus will be left in place.
• Your surgeon will sew the end of your ileum to your rectum.

Risks

Total abdominal colectomy is usually safe. Your risk depends on your general overall health. Ask your doctor about these possible complications:

Risks for any surgery are:

• Blood clots in the legs that may travel to the lungs
• Breathing problems
• Infection, including in the lungs, urinary tract, and belly
• Heart attack or stroke

Risks for this surgery are:

• Bleeding inside your belly
• Wound infections
• Damage to nearby organs in the body
• The end of your small intestine that is sewn to your rectum may come open. This is called anastomosis. This may be life threatening.
• Scar tissue may form in your belly and cause blockage of your small intestine.
• Your wound may break open.

Review Date: 1/26/2009
Reviewed By: Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.