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Post subject: Re: Wilko Johnson - "reprieve of a death sentence"
Posted: Sun May 11, 2014 5:05 pm
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GilgaFrank wrote:
You'd be surprised how much of your body can be removed and still allow you to live. People with Crohn's disease often have bowel resections and they survive, I guess he's in for a long period of recovery now. And a lot of morphine. Best wishes to you Wilko.

You're talking about a complete colon resection involving the construction of something called a J-pouch if, in fact, the rectum is not involved, In such cases, the small intestine survives intact and a colostomy is not maintained after stage II surgery where the small intestine is connected to the pouch. Obviously, the precise nature of the resection and reconstruction in this case has been generally described by the reporter. In some fashion, absorption has to be accomplished internally unless, as suggested, total parenteral nutrition is going to be the case here.

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Post subject: Re: Wilko Johnson - "reprieve of a death sentence"
Posted: Mon May 12, 2014 6:25 am
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ZZDoc wrote:
GilgaFrank wrote:
You'd be surprised how much of your body can be removed and still allow you to live. People with Crohn's disease often have bowel resections and they survive, I guess he's in for a long period of recovery now. And a lot of morphine. Best wishes to you Wilko.


You're talking about a complete colon resection involving the construction of something called a J-pouch if, in fact, the rectum is not involved, In such cases, the small intestine survives intact and a colostomy is not maintained after stage II surgery where the small intestine is connected to the pouch. Obviously, the precise nature of the resection and reconstruction in this case has been generally described by the reporter as quoted above. Other sources state 'parts' of the small and large intestine, but that the procedure is 'so new that it hasn't been given a name'. The classic procedure for pancreatic cancer is known as the Whipple. Anyone interested in the gory details can Google that. Clever surgeons are often able to build upon and improve state of the art to satisfy unique clinical situations if at all possible. I don't where, other than a British surgical journal, that the details of this will be found. The clinicians will have to deem it worthy of a paper. That's at least 6 mos to a year away unless a popular rag decides to publish an abbreviated sketch as part of an article on the artist's condition.

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Post subject: Re: Wilko Johnson - "reprieve of a death sentence"
Posted: Mon May 12, 2014 6:45 am
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ZZDoc wrote:
You're talking about a complete colon resection involving the construction of something called a J-pouch if, in fact, the rectum is not involved, In such cases, the small intestine survives intact and a colostomy is not maintained after stage II surgery where the small intestine is connected to the pouch. Obviously, the precise nature of the resection and reconstruction in this case has been generally described by the reporter. In some fashion, absorption has to be accomplished internally unless, as suggested, total parenteral nutrition is going to be the case here.


I just figured out what the "Doc" part of your name means! Parenteral nutrition, that doesn't sound like fun. I like to chew my steaks, not inject them.

The BBC article says he has had the large and small intestines removed along with his pancreas, spleen and part of his stomach. If that's correct then that doesn't leave much behind apart from a liver, two kidneys and a bladder. So he could stand to lose the bladder and one kidney and still stay alive.

As my gran used to say - there's plenty of folk in the graveyard who'd swap with him.

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Post subject: Re: Wilko Johnson - "reprieve of a death sentence"
Posted: Mon May 12, 2014 8:12 am
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GilgaFrank wrote:
The BBC article says he has had the large and small intestines removed along with his pancreas, spleen and part of his stomach.

I did a search on this. The BBC article overstates the situation, Apparently his tumor was considered inoperable 10 mos ago based upon projections of it potential growth. The growth of the tumor subsided. Hence a reassessment suggested that it could be treated surgically. As I stated previously, the Whipple or modified Whipple procedures are the classic approach to treating pancreatic cancer surgically. You can search this if you care to. Other sources stated the surgeons took part of the small and large bowel in the resection process during which, they apparently went beyond what the Whipple procedures entailed in some creative modification...hence, 'the procedure has not yet been named'. I doubt the media will go further with this and we'll have to rely on the medical community for further insight. I fowarded one of the articles to my gastroenterologist stepson and am waiting for comment.

BTW: I was dubbed ZZDoc over 20 years ago by one of my patients when, during a conversation, he came to learn that I was also a guitar player like he. I have no doubt that 'little 'ol band from Texas' will dig it! 8) 8) 8)

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