Medical Forum
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Question
Posted : May 10, 2009
Hello Dr Firth. I had a subtotal colectomy and ileostomy formation a year ago due to ulcerative colitis. Two months ago I had further surgery to create an ileorectal anastomosis and remove the ileostomy.

I have never dived previously but would love to learn. Do you forsee any problems with an ileorectal anastomosis and diving?

Many thanks for your advice


I use mesalazine suppositries daily (each evening)
Answer
Posted : May 11, 2009
Thanks for your query.

Ulcerative colitis is one of the inflammatory bowel diseases, and the theoretical risks are with gas trapping in inflamed mucosa. Obviously you wouldn't feel like diving during an exacerbation, but provided the condition is quiescent then there's no issue.

There is a specific risk of gas trapping with a continent ileostomy or ileal pouch, but since yours has been removed this risk is no longer present. The mesalazine shouldn't cause any issues.

After 2 months things have presumably settled down so you can make plans for your first dive if you so wish.

Regards, Dr O
Answer provided by Dr Oliver Firth
Dr Ollie Firth
Disclaimer:
The views expressed by Dr Firth & Dr Jules are their own and the publishers accept no liability for the advice and views expressed by Dr Firth , Dr Jules, or other users, which are provided as a general service to divers. Users are warned that secondary posts are the views of other users and may not be medically correct.
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