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colon removal & PSC

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in answer to the question about dehydration with ileostomy...

I have had both a ileostomy (22 years) and now a continent ostomy (15 years). I have had to be very careful about taking in enough fluid to stay hydrated with both types but especiallly with the continent ostomy. This might be because when I had the continent ostomy surgery they had to remove even more small intestine so now there is less transit time for any liquid to absorb. My understanding is that the large intestine is where fluid absorption takes place but when that is removed the small intestine somehow adapts and is able to help with absorbing fluids.

I was not able to have the J-pouch for 2 reasons. The first is that it hadn't been invented or widely accepted when I had my initial surgery in 1972. The other is that my rectum was removed and I think I was told it had UC also so there was no need to keep it. I hope this helps a little bit or at the very least gives another perspective.

Blessings,

Barby - KS

UC - 1965, ileostomy - 1972, BCIR (continent pouch) 1994, PSC - 1995, arthritis 2007, tx 11.29.07married 29 years , 5 sons, 2 daughters in law, 1 granddaughter, 1 grandson , granddaughter due 3/09 and 1 golden retriever

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