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Fate of the rectal stump after subtotal colectomy for ulcerative colitis in the era of ileal pouch-anal anastomosis. Management of the retained rectum after subtotal colectomy remains an important issue even in the era of ileal pouch-anal anastomosis. Considering the risk of rectal cancer, the low success rate of long-term rectal preservation, and the safety of surgery, a more aggressive approach to early Cited by: Jan 05, Welcome to horselover.

Sun Apr 03, pm. I have to have one last surgery to take out the rectum (can't leave it due to cancer risk) as I've decided not to re-attach. Haven't had any issues since my ileostomy 4 years ago and don't really want to go through the recovery and possible complications of re-attachment.

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Aug 17, The stool leaves the body through 2148 Malden MA stoma and doesn't enter the rectum. Sometimes there can still be discharge from the bottom, where the rectum and the anus are, even though there's a stoma. 1  How often there is a need to empty some fluid out of the rectum, and why, will vary from person to person.

In many cases, this is a normal Estimated Reading Time: 5 mins.

Apr 23, 1 year ago. Hi Paul, I had a proctectomy, rectal stump removed 2/3/ It had been a year after having total colectomy with ileostomy. Was experiencing bleeding from stump/ UC issues. It was very sore when sitting for first few weeks, but I was blessed it did heal without issues. The rectal stump will continue to live as it still has a blood supply.

This is only with Ulcerative Colities, CD does not have this problem.

After the operation there will be a bloody discharge from the back passage because of blood left from the operation. Usually this produces a feeling of urge so that this can be passed into the toilet. However, this feeling is not always present and so leakages may occur.