Not_a_Doctor
kiwifarms.net
- Joined
- May 5, 2025
@Kate Farms Shill yeah, she clearly has no idea what the fuck she is talking about.
As far as I know, there is absolutely no way that a colectomy would cause short gut syndrome. It does play a role in fluid management and electrolyte absorption. Folks who have had a colectomy or diverted their digestion by means of an ileostomy can (in rare cases, such as with CIPO or other enteric neuropathies) be unable to balance fluid (no matter how much they consume orally) and will rely on palliative IV hydration for the rest of their life to prevent kidney failure (note - I’m not talking about precious-POTS-patsys who insist that they can’t possibly drink water and need saline). But, this is nowhere near the same as needing TPN.
If I am feeling kind, perhaps she has a case of post-operative ileus and so she is reliant on TPN until the ileus resolves.
It does take time for the small intestine to adjust post-ileostomy (and assume it would be the same post colectomy) but not to the point where they would rely on TPN. Typically they work with a dietician to slowly adapt back to normal foods (with some exceptions) as their gut adapts.
Further reading on post operative adaptation
Standard disclaimer: not a doctor, so someone with actual knowledge please confirm / correct as appropriate!
As far as I know, there is absolutely no way that a colectomy would cause short gut syndrome. It does play a role in fluid management and electrolyte absorption. Folks who have had a colectomy or diverted their digestion by means of an ileostomy can (in rare cases, such as with CIPO or other enteric neuropathies) be unable to balance fluid (no matter how much they consume orally) and will rely on palliative IV hydration for the rest of their life to prevent kidney failure (note - I’m not talking about precious-POTS-patsys who insist that they can’t possibly drink water and need saline). But, this is nowhere near the same as needing TPN.
If I am feeling kind, perhaps she has a case of post-operative ileus and so she is reliant on TPN until the ileus resolves.
It does take time for the small intestine to adjust post-ileostomy (and assume it would be the same post colectomy) but not to the point where they would rely on TPN. Typically they work with a dietician to slowly adapt back to normal foods (with some exceptions) as their gut adapts.
Further reading on post operative adaptation
Standard disclaimer: not a doctor, so someone with actual knowledge please confirm / correct as appropriate!