What is Colon Resection Without Diversion?

Colon resection is a surgical procedure where a damaged or diseased portion of the colon is removed. Instead of creating a colostomy or ileostomy (artificial opening for waste elimination), Dr. Ali Shafik reconnects the remaining parts of the intestine, allowing stool to pass normally.

Types of Colon Resections Without Diversion

1. Partial Colectomy: This involves the removal of the affected part of the colon (large intestine), followed by the reconnection of the remaining healthy sections to maintain normal bowel movements without a permanent diversion.
2. Total Colectomy Without Diversion: In this procedure, the entire colon is removed, but the intestinal continuity is preserved to enable normal digestion. The remaining digestive tract is reconnected to ensure natural waste passage.
3. Proctocolectomy with Ileorectal Anastomosis: This surgery involves removing both the colon and rectum while preserving part of the rectum. The small intestine is then connected to the remaining rectum, allowing the normal passage of stool without creating a permanent stoma (colostomy or ileostomy).

When is Colon Resection Without Diversion Recommended? 

• Early- to mid-stage colorectal tumors: To remove the affected portion of the colon while preserving the natural function of the digestive system.
• Recurrent acute diverticulitis: Performed to prevent complications such as perforation or abscess formation.
• Certain inflammatory conditions: To treat severe inflammatory bowel diseases that do not respond to medication while preserving normal digestive function.
• Ileo-rectal anastomosis cases: When the colon and rectum require removal, the small intestine can be directly connected to the remaining part of the rectum to allow normal digestion without creating a stoma.

Advantages of Colon Resection Without Diversion 

• Maintains normal bowel function without the need for a colostomy or ileostomy.
• Promotes faster recovery, particularly with minimally invasive surgical techniques.
• Reduces the risk of long-term complications compared to permanent bowel diversion procedures.

Steps of Colon Resection Without Diversion 

1. Pre-Surgical Preparations:
   • Conducting imaging tests (such as CT scans) to determine the location and extent of the affected area.
   • Performing bowel preparation using laxatives or enemas.
   • Avoid food intake before surgery.
   • Administering antibiotics to prevent infections.
2. Surgical Procedure:
   • Laparoscopic Colon Resection: A minimally invasive procedure that involves small incisions and the use of a camera to remove the affected portion of the colon, reducing complications and recovery time.
   • Open Colectomy: Involves making a larger abdominal incision to remove the damaged part of the colon, commonly used for large tumors.
   • Colonic Resection with Ileorectal Anastomosis: The affected colon and rectum are removed, with the remaining intestines connected to the rectum, eliminating the need for a permanent stoma.

Post-Surgical Recovery Guidelines by Dr. Ali Shafik

After undergoing colon resection without diversion, Dr. Ali Shafiq provided a detailed recovery plan, including the following:

• Hospital Stay: Typically lasting between 3 to 7 days, depending on the complexity of the procedure.
• Dietary Adjustments: Patients should follow a gradual diet transition, starting with liquids and then soft foods, before resuming a normal diet.
• Medications and Wound Care: Instructions on antibiotics, pain management, and wound care to prevent infections.
• Activity and Lifestyle Recommendations: Avoid strenuous physical activity in the initial weeks and engage in light movement to support healing.
• Follow-up Appointments: Regular check-ups with Dr. Ali Shafiq to monitor recovery and prevent complications.

For consultation or to schedule an appointment, feel free to contact Dr. Ali Shafiq’s clinic.