Small bowel resection





Definition

A small bowel resection is the surgical removal of one or more segments of the small intestine.


Purpose

The small intestine is the part of the digestive system that absorbs much of the liquid and nutrients from food. It consists of three segments: the duodenum, jejunum, and ileum; and is followed by the large intestine (colon). A small bowel resection may be performed to treat the following conditions:

  • Crohn's disease. This condition is characterized by a chronic inflammatory condition that affects the digestive tract. If other treatment does not effectively control symptoms, the physician may recommend surgery to close fistulas or remove part of the intestine where the inflammation is worst.
  • Cancer. Cancer of the small intestine is a rare cancer in which malignant cells are found in the tissues of the small intestine. Adenocarcinoma, lymphoma, sarcoma, and carcinoid tumors account for the majority of small intestine cancers. Surgery to remove the cancer is the most common treatment. When the tumor is large, removal of the small intestine segment containing the cancer is usually indicated.
  • Ulcers. Ulcers are crater-like lesions on the mucous membrane of the small bowel caused by an inflammatory, infectious, or malignant condition that often requires surgery and in some cases, bowel resection.
  • Intestinal obstruction. This condition involves a partial or complete blockage of the bowel that results in the failure of the intestinal contents to pass through. Intestinal obstruction is usually treated by decompressing the intestine with suction, using a nasogastric
    To remove a diseased portion of the small intestine, an incision is made into the abdomen, and the area to be treated is pulled out (A). Clamps are placed around the area to be removed and the section is cut (B). Three layers of sutures repair the remaining bowel (C). (Illustration by GGS Inc.)
    To remove a diseased portion of the small intestine, an incision is made into the abdomen, and the area to be treated is pulled out (A). Clamps are placed around the area to be removed and the section is cut (B). Three layers of sutures repair the remaining bowel (C). (
    Illustration by GGS Inc.
    )
    tube inserted into the stomach or intestine. In cases where decompression does not relieve the symptoms, or if tissue death is suspected, bowel resection may be considered.
  • Injuries. Accidents may result in bowel injuries that require resection.
  • Precancerous polyps. A polyp is a growth that projects from the lining of the intestine. Polyps are usually benign and produce no symptoms, but they may cause rectal bleeding and develop into malignancies over time. When polyps have a high chance of becoming cancerous, bowel resection is usually indicated.

Demographics

According to the National Cancer Institute, adenocarcinoma, lymphoma, sarcoma, and carcinoid tumors account for the majority of small intestine cancers which, as a whole, account for only 1–2% of all gastrointestinal cancers diagnosed in the United States.

Crohn's disease occurs worldwide with a prevalence of 10–100 cases per 100,000 people. The disorder occurs most frequently among people of European origin; is three to eight times more common among Jews than among non-Jews; and is more common among whites than nonwhites. Although the disorder can start at any age, it is most often diagnosed between 15 and 30 years of age. Some 20–30% of patients with Crohn's disease have a family history of inflammatory bowel disease.

The occurrence of polyps increases with age; the risk of cancer developing in an unremoved polyp is 2.5% at five years, 8% at 10 years, and 24% at 20 years after the diagnosis. The risk of developing bowel cancer after removal of polyps is 2.3%, compared to 8.0% for patients who do not have them removed.


Description

The resection procedure can be performed using an open surgical approach or laparoscopically. There are three types of surgical small bowel resection procedures:

  • Duodenectomy. Excision of all or part of the duodenum.
  • Ileectomy. Excision of all or part of the ileum.
  • Jejunectomy. Excision of all or a part of the jejunum.

Open resection

Following adequate bowel preparation, the patient is placed under general anesthesia and positioned for the operation. The surgeon starts the procedure by making a midline incision in the abdomen. The diseased part of the small intestine (ileum or duodenum or jejunum) is removed. The two healthy ends are either stapled or sewn back together, and the incision is closed. If it is necessary to spare the intestine from its normal digestive work while it heals, a temporary opening (stoma) of the intestine into the abdomen ( ileostomy , duodenostomy, or jejunostomy) is made. The ostomy is later closed and repaired.


Laparoscopic bowel resection

Laparoscopic small bowel resection features insertion of a thin telescope-like instrument called a laparoscope through a small incision made at the umbilicus (belly button). The laparoscope is connected to a small video camera unit that shows the operative site on video monitors located in the operating room . The abdomen is inflated with carbon dioxide gas to allow the surgeon a clear view of the operative area. Four to five additional small incisions are made in the abdomen for insertion of specialized surgical instruments that the surgeon uses to perform the surgery. The small bowel is clamped above and below the diseased section and this section is removed. The small bowel ends are reattached using staples or sutures. Following the procedure, the small incisions are closed with sutures or surgical tape.

Diagnosis/Preparation

As with any surgery, the patient is required to sign a consent form. Details of the procedure are discussed with the patient, including goals, technique, and risks. Blood and urine tests, along with various imaging tests and an electrocardiogram (EKG), may be ordered as required. To prepare for the procedure, the patient is asked to completely clean the bowel and is placed on a low residue diet for several days prior to surgery. A liquid diet may be ordered for at least the day before surgery, with nothing taken by mouth after midnight. Preoperative bowel preparation involving mechanical cleansing and administration of antibiotics before surgery is the standard practice. This involves the prescription of oral antibiotics (neomycin, erythromycin, or kanamycin sulfate) to decrease bacteria in the intestine and help prevent postoperative infection. A nasogastric tube is inserted through the nose into the stomach on the day of surgery or during surgery. This removes the gastric secretions and prevents nausea and vomiting. A urinary catheter (thin tube inserted into the bladder) may also be inserted to keep the bladder empty during surgery, giving more space in the surgical field and decreasing chances of accidental injury.


Aftercare

Once the surgery is completed, the patient is taken to a postoperative or recovery unit where a nurse monitors recovery and ensures that bandages are kept clean and dry. Mild pain at the incision site is commonly experienced and the treating physician usually prescribes pain medication. Postoperative care also involves monitoring of blood pressure, pulse, respiration, and temperature. Breathing tends to be shallow because of the effect of anesthesia and the patient's reluctance to breathe deeply and experience pain that is caused by the abdominal incision. The patient is given instruction on the way to support the operative site during deep breathing and coughing. Fluid intake and output is measured, and the operative site is observed for color and amount of wound drainage. The nasogastric tube remains in place, attached to low intermittent suction until bowel activity resumes. Fluids and electrolytes are infused intravenously until the patient's diet can gradually be resumed, beginning with liquids and progressing to a regular diet as tolerated. The patient is generally out of bed approximately eight to 24 hours after surgery. Patients are usually scheduled for a follow-up examination within two weeks after surgery. During the first few days after surgery, physical activity is restricted.

Risks

Risks include all the risks associated with general anesthesia, namely, adverse reactions to medications and breathing problems. They also include the risks associated with any surgery, such as bleeding or infection. Additional risks associated specifically with bowel resection include:

  • bulging through the incision (incisional hernia)
  • narrowing (stricture) of the opening (stoma)
  • blockage (obstruction) of the intestine from scar tissue.

Normal results

Complete healing is expected without complications after bowel resection, but the period of time required for recovery from the surgery varies depending on the condition requiring the procedure, the patient's overall health status prior to surgery, and the length of bowel removed.


Morbidity and mortality rates

According to the National Cancer Institute, the predominant treatment for small intestine cancers is surgery when bowel resection is possible, and cure depends on the ability to completely remove the cancer. The overall five-year survival rate for resectable adenocarcinoma is 20%. The five-year survival rate for resectable leiomyosarcoma, the most common primary sarcoma of the small intestine, is approximately 50%.

Crohn's disease is a chronic incurable disease characterized by periods of progression and remission with 99% of patients suffering at least one relapse. Physicians are presently unable to predict the extent and severity of the disease over time; thus, while morbidity is very high for Crohn's disease, mortality is essentially zero.


Alternatives

Alternatives to bowel resection depend on the specific medical condition being treated. For most conditions where bowel resection is advised, the only alternative is treatment with drugs.


Resources

BOOKS

Michelassi, F. and J. W. Milsom, eds. Operative Strategies in Inflammatory Bowel Disease. New York: Springer Verlag, 1999.

Peppercorn, Mark, ed. Therapy of Inflammatory Bowel Disease: New Medical and Surgical Approaches. New York: Marcel Dekker, 1989.

Ratnaike, R. N., ed. Small Bowel Disorders. London: Edward Arnold, 2000.

Thompson, J. C., and L. Rose. Atlas of Surgery of the Stomach, Duodenum, and Small Bowel. St. Louis: Mosby, 1992.


PERIODICALS

Bines, J. E., R. G. Taylor, F. Justice, et al. "Influence of Diet Complexity on Intestinal Adaptation Following Massive Small Bowel Resection in a Preclinical Model." Journal of Gastroenterology and Hepatology 17 (November 2002): 1170–1179.

Dahly, E. M., M. B. Gillingham, Z. Guo, et al. "Role of Luminal Nutrients and Endogenous GLP-2 in Intestinal Adaptation to Mid-Small Bowel Resection." American Journal of Physiology and Gastrointestinal Liver Physiology 284 (March 2003): G670–G682.

Libsch, K. D., N. J. Zyromski, T. Tanaka, et al. "Role of Extrinsic Innervation in Jejunal Absorptive Adaptation to Subtotal Small Bowel Resection: A Model of Segmental Small Bowel Transplantation." Journal of Gastrointestinal Surgery 6 (March-April 2002): 240–247.

O'Brien, D. P., L. A. Nelson, J. L. Williams, et al. "Selective Inhibition of the Epidermal Growth Factor Receptor Impairs Intestinal Adaptation After Small Bowel Resection." Journal of Surgical Research 105 (June 2002): 25–30.

ORGANIZATIONS

American Board of Colorectal Surgeons (ABCRS). 20600 Eureka Rd., Ste. 600, Taylor, MI 48180. (734) 282-9400. http://www.abcrs.org .

American Society of Colorectal Surgeons (ASCRS). 85 West Algonquin, Suite 550, Arlington Heights, IL 60005. (847) 290 9184. http://www.fascrs.org .

United Ostomy Association, Inc. (UOA). 19772 MacArthur Blvd., Suite 200, Irvine, CA 92612-2405. (800) 826-0826. http://www.uoa.org .


OTHER

"Bowel Resection; Patient Discharge Instructions." Northwest Memorial Hospital Patient Education Brochure . March 2001 [cited June 25, 2003]. <http://www.nmh.org/patient_ed_pdfs/pt_ed_bowel_resection_dischar e.pdf.> .

"Crohn's Disease." American Society of Colon and Rectal Surgeons Patient Brochure. 1996 [cited June 25, 2003]. http://www.fascrs.org .


Monique Laberge, Ph.D.

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?



Bowel resection surgery is performed by a colorectal surgeon, who is a physician fully trained in general surgery as evidenced by certification by the American Board of Surgery (ABS). Colorectal surgeons also are certified by the American Society of Colon and Rectal Surgeons (ASCRS), the leading professional society representing more than 1,000 board-certified colon and rectal surgeons and other surgeons dedicated to advancing and promoting the science and practice of the treatment of patients with diseases and disorders affecting the colon, rectum, and anus.

Bowel resection surgery is performed in a hospital setting.

QUESTIONS TO ASK THE DOCTOR



  • What do I need to do before surgery?
  • What happens on the day of surgery?
  • What type of anesthesia will be used?
  • What happens during surgery, and how is the surgery performed?
  • What happens after the surgery?
  • What are the risks associated with a small bowel resection?
  • How long will I be in the hospital?
  • When can I expect to return to work and/or normal activities?
  • Will there be a scar?


User Contributions:

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Apr 8, 2010 @ 10:22 pm
i had small bowel resection in dec.because of fistula.i am still having comp-lications pain vomiting and swelling i wish someone could help me
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May 11, 2010 @ 11:11 am
what balanced diet diet does a man whose stomach has surgically been removed need to have
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May 26, 2010 @ 3:03 am
I HAD AN INTESTINAL RESECTION IN 2008 AND IT TOOK ME A WHILE TO REALIZE AFTER LOTS OF PAIN DIARRHEA AND VOMITTING THAT I NO LONGER HAD THE SAME STOMACH. ONCE I CHANGED MY DIET TO A NO WHEAT NO GLUTEN DIET I BEGAN TO IMPROVE TOTALLY. I ALSO STAY ON A LOWFAT DIET EATING MEAT AND POULTRY MOSTLY ORGANIC AND NO PORK. I BOUGHT A BOOK ON GLUTEN FREE DIET AND I DISCOVERED READING THAT ONCE YOUR INTESTINES ARE TOUCHED THEY ARE NEVER THE SAME. I HOPE THESE TIPS COULD HELP SOMEONE BECAUSE I HAVE SUFFERED AND LEARNED A LOT THESE PAST TWO YEARS :)
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Nov 4, 2010 @ 9:21 pm
On Oct 19 2010, I had small intestine resection for carcinoid tumor. Was in hospital 9 days.
Dr. removed 8 in small intestine and part of stomach, and 3 lymph nodes. I'm home now and doing good. I have to really be careful not to eat too much, makes me feel uncomfortable if I eat just a little too much. My concern now is a return of the carcinoid tumor. I should be back to work by Dec 14th. My first time to have surgery, guess I'm doing ok for a 63 year old man.
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Nov 23, 2010 @ 2:14 pm
I just got out of the hospital from a laproscopic bowel resection. I had some kinf of benign tumor growing there or something. My question is: when is it okay to smoke cigarettes after the surgery? my doc said if I smoke em right now it will mess up my recovery. I can't find any information as to why smoking after the surgery is bad for my recovery. Will smoking too early kill me directly because of the surgery. noone has given me a straight answer. I was also wondering if smoking pot is okay after this kind of surgery.
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Feb 5, 2011 @ 11:11 am
My 38 yr. old daughter suffered from Crohn's disease for 15 yrs. She was treated w/every drug possible and finally became so uncomfortable that she agreed to surgery for a resection or the bag to let her colon have time to heal. She had the surgery on Dec. 15th with a complete front open incision about 15 " long, was treated w/antibiotics for 24hr. period. The dr. sent her home on the 5th day after the surgery. She was rather lethargic for 2 days at home and died on the 7th day after her surgery. The autopsy isn't complete, but one of the first signs was perotonitis (inflammation of the gastro system). We have lost our precious daughter after all her struggles with this disease and was wondering if anyone out there has experienced anything like this personally, or with a family member. Thanks for your help and understanding.
Delores Reno
Angela
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Feb 18, 2011 @ 5:05 am
Gary, My partner has just had a resection and the surgeon explained that as cigarettes reduces the amount of oxygen carried in the blood that even ceasing smoking just 2 days before surgery improves your recovery immensly. You have a much better chance of recovery if you do not smoke afterwards and if you wish to continue, then holding of as long as you can will improve recovery regardless. Oh, and smoking pot is just not a good choice for you mentally either. My partner also had a dependence on it for a long time and finds that he is much more self destructive (lazy at work/home etc) when smoking it. I understand you have gone through a lot and it may seem to help you deal with it but you will be amazed how you will feel after being without it for 6mths. It can really suck for the first 6mths though.

Delores, my partner has suffered from Crohns Disease for the past 6 years (but only diagnosed in July 2010)and had a bowel resection (laproscopic illeocecal resection) on 11 Feb 2011. The next day he was good but on the Sunday he was in a lot of pain and by Sunday night had temps of 39/40 degress celcius (FYI we are in Australia). They performed a CT scan on Monday which showed nothing and his temps continued to go up and down all week. They ran blood tests etc everyday as the ones from Monday indicated an infection in his body somewhere. He was also at that point pumped full of antibiotics. His legs also swelled up even though he had those stockings on that they make you wear. He was also extremely bloated. They performed a 2nd CT scan with contrast on Thursday (17 Feb)and they found a leak in his bowel - they could not determine where it was but could see the gas etc leaking into his abdomen. He was prepped for emergency surgery that night and this time it was open surgery. The surgery was complicated as they couldn't actually see a hole or anything where the leak could be. He now has a temporary colostomy bag (which he will have for about 2mths) to give his bowels etc time to heal. I am currently 37wks pregnant and have an 18mth old son so I did not travel with him for him to have the surgery but luckily his parents live near the hospital where the surgery needed to be done so have been able to be there for him and pass on information to me. Anyway as I have not been there I haven't had a chance to speak with the drs but it sounds a lot like perotonitis (inflammation of the gastro system)as what your daughter had. He will be in hospital until atleast Monday where they will assess his state of recovery and cease the morphine injections.

I am so very sorry to hear that your daughter lost her life and I feel so very lucky that the drs have done everything possible to sort him out. He is doing much better already and has not even been out of surgery 24hrs yet.
Ilyas
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Feb 20, 2011 @ 2:02 am
I have been advised a resection of the Ileum. My underlying problem is Chronic Mesenteric Ischaemia, and the ileum has become weak. Any information on pre-operative and post-operation would be appreciated.
Chantal Brown
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Mar 22, 2011 @ 5:17 pm
I had a resection of the small intestine Aug 2010 aged 30, as a result of a still undiagnosed growth. It was sent to university pathologists for examination & the most I've been told is that they saw no evidence to suggest it was cancerous or a tumour. It was described to me as being similar to a fibroid, but also as being very rare, especially because of my age & previous good health (excluding pregnancy issues). I'm now 4 months pregnant, 7 months after the surgery. I'm kind of in uncharted territory as the doctors don't seem to have the knowledge to answer my questions. Interested in anyone who has experienced something similar.
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Aug 13, 2011 @ 4:04 am
Back in March of 2011 I had an emergency c-section (6months pregnant) in which my intestines were nicked during the procedure. I had an emergency small bowel resection about 5 days post c-section to correct the problem. Due to the nicked bowels I developed sepsis ( which caused me to go into acute respiratory distress, congestive heart failure, which caused a heart attack, i had to have a tracheotomy and many other terrible life altering things). At the time of this I was an 25 yr old in perfect health. I spent about 2 months in-and-out of medically induced comas in the ICU. I have been home for about 3 months, trying to make the most out of my horrible situation, and recently found out I have an incisional hernia that needs immediate surgery. I am scared to death to go back under the knife, due to my previous experience, but I am in constant severe stomach pain and need some encouraging words to have this taken care of. I have a 5 month old who is still in the NICU, due to being 3 months premature, that i have to live for. Anyone who reads this please say a PRAYER for myself & my family (because i really need as many as i can get) and i will continue to include everyone who needs a prayer in my prayers at night. God Bless You All.
Fee
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Aug 22, 2011 @ 7:07 am
Hey i was diagnosed with crohns disease earlier this year. I feel very low right now, they have tried me on different steroids, special drinks to get some nutrients into me, iv been for intravenous iron therapy as iron tablets actually did more harm than good, iv been back and forward to the hospital, i keep colapsing in agony whilst at work and trying not to vomit all over people. I feel surgery is the only thing that will get rid of this poison. my doc keeps suggesting new meds but im sick of going through all the side effects (some are worse than my original symptoms!) and not getting any better. i just want to start feeling normal again. why wont he just put me forward for surgery? im seeing him on wednesday for a follow up as the medication im on now isnt helping either, how do i say i WANT surgery?? i kinda feel il sound bad begging him to cut me open!? lol. any advice??
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Sep 24, 2011 @ 10:10 am
I had a laproscopic bowel resection on Aug. 22,2011. I have a lot of bloating and am very sick to my stomach. I did't have this in the hospital. Anyone else have this problem this long after the surgery?
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Sep 27, 2011 @ 6:18 pm
I am 52 and had a bowel resection of the small intestine Aug 1, 2011 from scar tissue growth (hysterectomy 7 yrs prior)and returned to the hospital on Aug 22 with an infection that was so severe that I almost lost the battle. I now having bloating and cramping as well as nausea and am under the assumption that this is part of the recovery process as one doctor told me it will take up to 6 months to completely recover. I also have read that some foods may not agree with my digestive system anymore. One good thing came from the surgery is I quit smoking on Aug 1st and have had no relapses and am confident to have kicked the habit.
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Oct 25, 2011 @ 5:05 am
My son 15 years old has just had recent bowel resection - Sigmoid & Rectal. The surgery took 5 hours and he spent 2.5 hours in recovery. The first 24hrs he spent in the high dependancy unit and then a private room. He was up and walking 24 hrs after surgery which was amazing. After 5 days he was discharged to the surprise of us with a 15cm incision line which he is happy to show everyone that visits. For 15 years we have been always treating the symptoms of severe constipation which required lots of medication daily regular bowel washouts and manual evacuations. The sad side of it all was he was never investigated properly on the cause. We were very lucky to have had a friend that had been in contact with a certain . Professor and organized for us to vist him who after 2 visits was able to diagnose his problem. Our son feels on top of the world te happiest we have seen him for a very long time, even though he is still recovering. Always get many opinions as the 1st one may not be the best option.
Alicia
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Nov 28, 2011 @ 11:11 am
Fee...I went through a similar experience to you and felt as though no drugs were working, but I didn't want to rush into surgery either so I waited until I literally had no choice, which is not always the best way as it puts you at a higher risk of complications. I was also really ill for the whole time (almost 2 years). But to me, that was better than taking steroids.

I eventually had to have a small bowel resection in Sept 2010, as scar tissue had formed at the damaged part of my bowel and it had pretty much closed up. I had open surgery which was extremely successful, and I have felt great ever since. Recovery was difficult (painful), but I made progress each day so I never felt disheartened. Crohn's can of course return at any time, so I count myself lucky every day.

As surgery is not a cure and can, in some people, make things worse, your doctor will be trying to get you into remission through the use of drugs first. Although surgery will probably be inevitable at some stage. I used to think of surgery as 'opening a can of worms', and maybe it is. But for me, it was definitely the right decision and has given me my life back.

Just remember to listen to your body and do what is right for you.
Nathan
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Jan 15, 2012 @ 11:23 pm
I had gastric bypass 2 years ago. As a result I developed several bowel issues. I have since undergone 3 small bowel recections. I guess 3 realy is a charm. Since my last procedure I have been pain free and now move my bowels on a regular basis.
Janis McSpadden
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Jan 20, 2012 @ 10:10 am
small bowel resection, please send me this information. I would like to read the comments. Thanks!!
Cody
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Mar 6, 2012 @ 1:13 pm
I recently underwent a small bowel resection due to Crohn's disease. I started having problems about 3 weeks prior to being admitted to the hospital. The problems started with discomfort which progressed to extreme pain in a short time. At two different times i went to the emergency room where i underwent a CT scan to diagnose a perforated terminal ileum. Was advised to speak with my gastrointeroligist and turned away.
After speaking with him i was put on 2 different kinds of antibiotics and prednisone in addition to my immunosuppressant. The antibiotics along with prescription painkillers appeared to be working. However, a few weeks later the same symptoms returned. I was sweating and pale, my heart was racing due to an infection that was progressing in my body. The gastrointerologist finally recommended i turn to a surgeon for a consultation. Which was a relief to me, as i knew at this point was the only rational course of action. In fact, i had felt this way for a while.
I was scanned once more when i was admitted into the hospital awaiting the resection. They pinpointed the problem, a perforation which had not responded to medications. The next day i was in surgery prep receiving a spinal block and anesthesia.
I woke 2 hours later in the recovery room and spent 3 days in the hospital. Thats right, i was released after 3 days. I had 13 staples closing about 6 inches worth of incision beneath my belly button. I spent a lot of time in the bathroom. Still at times my trips to the restroom are frequent. I feel better than i did just prior to surgery but i know my life will always be a little different than before i went under. Surgery is stressful and scary to undergo. Good luck
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Mar 24, 2012 @ 11:23 pm
I had a small bowel resection done 5 days ago and just came home from the hospital today. The doctor told me that I have a weeks worth of stool inside me & I need to go to the bathroom asap to get it out! I have been reading that you should clean yourself out before the surgery but I was not informed by my doctor or the hospital to do so. Does anyone know if this is going to be a problem? I am finally passing gas but still cant go yet. I een tried an enema but nothing!!
Rick F
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Aug 23, 2012 @ 1:13 pm
I had a small bowel resection in November, 2002, as the result of an obstruction from adhesions caused by radiation therapy in 1985. There were complications after the surgery, and I spent three weeks in the hospital until my digestive system started moving again. After recovering from the surgery, I had no problems for the next ten years. Until now. The adhesions are back, most likely as a result of the resection, and the obstuctions are reocurring, along with the pain. I just had some tests in preparation for another resection, probably this coming week. As long as they keep operating, adhesions will be formed, and with time, they get hard and cause obstructuions.
marie
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Aug 23, 2012 @ 8:20 pm
I am scheduled to go in for intestinal resection in about 1 1/2 weeks. I have had Crohn's Disease for 10 years now and it has progressively gotten worse. None of the medications we've tried have worked. My body seems to get used to the medication after a few months and it just stops working. I have 3 small children and feel like I'm missing out on their childhood due to being in pain all of the time. So surgery it is. I'm a little scared of the outcome and optimistic that I will be able to be a better mom after the surgery. Any advice or comments would be appreciated.
Jeanette
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Dec 25, 2012 @ 4:16 pm
My son had a small bowel resection almost two months ago and he has chronic diarrhea as every thing he eats runs right through him. im concerned about dehydration and wonder if other have had the same problem?
Thomas
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Jan 29, 2013 @ 6:18 pm
I had a small bowel resection January 11, 2013 due to scarring caused by Crohn's Disease leading to obstructions. Woke up with 21 staples in my abdomen but luckily no Ostomy. Originally they had me on an epidural for pain management. Although it did take away the incision pain, it did not seem to work for the pain from the actual resection so I was taken off the epidural and put on a morphine pump. I remained in the hospital for six days and then released. It has been 18 days since the surgery and the incision is alright but I am still getting pain inside from the resection. That pain wasn't a problem at first because I had a prescription for Percocet when they released me, but the prescription has run out and they will not give me anymore in fear that I will become addicted so I guess I just have to deal with it for now and hope it goes away soon. At least now I can use the bathroom regularly.
susan
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Feb 1, 2013 @ 2:14 pm
I appreciate the comment from 20. I had my similar surgery on April 2012. I have had diarrhea ever since. I am used to eating salads and nuts however I am told not to. Maybe this is why I have the diarrhea.
steph
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Feb 6, 2013 @ 5:17 pm
I have crohns & it took a few years for me to find the right medicine to help me. obviously its not the same for everyone but I can tell you im on humira now & its been my saving grace but my daughter, age 13 has been diagnosed with crohns for 2 years now. we thought she was getting better til January 13th when we took her to the er, she had horrible pain, temperature and chills. we found out she had to go in for emergency surgery due to a perforation to her bowel. she had a liter of infection in her belly, they fixed the perforation and removed a foot of her small intestine. she was in the hospital for a week and is finally home. I would tell you all if your medicine doesn't seem to be working at least get them to do another colonoscopy because to me the infection didn't have to be if hey realized how bad her intestine was.
jake
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Apr 12, 2013 @ 4:04 am
hi all after a huge RTA in 2004 i had a colostomy bag for a year after an ileectomy then a hernia repaired a year later. I had the worst runs ever, burning pain in my rectum and couldnt control it. When i needed to go i had little warning and many accidents. I changed my diet on cabbage cauliflower mushrooms fried foods coffee wine curry or strong spices. I take 2 x 2mg of lopirimide with breakfast of porridge every day. If im careful about my fairy intake and have a proper balanced diet my bowel movements are normal and im in no pai. I also have a pelvic injury but thats another story. I hope this helps someone :-) oh i still use baby nappy cream if ive been bad and had a 'runny' day!
michael
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May 1, 2013 @ 5:17 pm
I am a 60 year old Caucasian male with no prior personal or family history of any bowel disorders. After working all day without any warning I developed a sudden onset of severe gastric pain at 2000 hours on April 05,2013. I hung on to the pain trying antacids, trying to go the the bathroom etc. Over the next few hours the pain became incredible, I could barely stand or walk. I had pain at every inspiration and it was getting worse. The following morning it was obvious I needed to get to the ER. I arrived at 0800 hours. I was X-Rayed, CT scanned with contrast and an IV started. After a few hours the Doc appears and tells me he doesn't like what he sees and I must go to emergency exploratory surgery. I am so sick now I do not care about much, where do I sign? I woke up (kinda) a day later. I was kept in ICU for three days and then to a step down unit for five more days before going home. I had a bullet sized hole in my Jejunum and had gone septic. BP dropped to 66/33 and it did not look good for the home team. My wife was scared and it looked like everybody's face I saw in my haze looked quite concerned too. I was so sick, I just did not care one way or another. Doc did a Jejunum resection said he had to remove about 22cm. That was four weeks ago as of this writing. I am bored stiff and looking forward to going back to work in two weeks. A total of six weeks from the time I got cut (the scar is a beauty). I feel the change in my digestive system and will adapt to my altered processing center. I thanked the Doc for saving my life and am looking forward to no severe complications in the future.
Ken P
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Jun 2, 2013 @ 10:10 am
Hi, I recently had lapascopich done with 4 insiccions total to remove small bowel obstruction , then large bowel or colon fisstules. I was in pain the first 24 hours after surgery. Then I was told to get up and start walking to kick start my bowels again. Unfortunalty they don't want to wake up. My stomach rumbles and I belch but I cannot pass gas or go to the bathroom. It's day 4 now in post -op and I'm wondering is it possible for the Bowles to totally stop working after being tampered with. Could nerves and stress about recovery be slowing me down. All test results come back perfect each day . I'm confused ok why they won't wake up.
Annette
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Jul 8, 2013 @ 10:22 pm
My husband has Crohn's Disease, and had a small bowel resection in Jan. 2013. He was feeling pretty
good until recently. He has a hernia now from it not healing correctly since he's also on chemotherapy
for liver cancer. He has been experiencing a lot of bloating all of a sudden. We're thinking about
making an appointment with the doctor to see if this is a normal side effect. Has anyone else
experienced this?
JLS
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Jul 26, 2013 @ 5:17 pm
Hi all, my sister of 58 just had a resection of the total small intestine today. It was also accompanied with a large tumor and removal of many lympnods . Dr says it cancerous but do not yet have the pathology. She wasin good health with no other conditions. What should a tough old Swede like her expect for the future? Thanks
Dee
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Aug 23, 2013 @ 11:11 am
I had my jejunum removed 2 years ago. I have not been able to digest solid foods with the exception of sashimi grade tuna in small doses. I didn't have any health issues. The reason for the surgery was that during insertion of a bladder sling the surgeon perforated my small intestines. A week later another surgeon was correcting the perforation and sewed my small intestines to my abdominal wall-basically sewed me shut. The mistake was undiscovered for almost 3 years. The final surgery was to remove the damaged tissue which was my jejunum and part of my ilium. Can anyone tell me what important role the missing parts of me played and why I can not eat?
Thank you
Dee
Dee
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Aug 23, 2013 @ 11:11 am
I had my jejunum removed 2 years ago. I have not been able to digest solid foods with the exception of sashimi grade tuna in small doses. I didn't have any health issues. The reason for the surgery was that during insertion of a bladder sling the surgeon perforated my small intestines. A week later another surgeon was correcting the perforation and sewed my small intestines to my abdominal wall-basically sewed me shut. The mistake was undiscovered for almost 3 years. The final surgery was to remove the damaged tissue which was my jejunum and part of my ilium. Can anyone tell me what important role the missing parts of me played and why I can not eat?
Thank you
Dee
Michelle
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Oct 6, 2013 @ 8:20 pm
I am scheduled to go in for a bowel resection surgery on 10/22/13 due to 3 bouts of diverticulitis. I had symptoms fromt he beginning of 2013 through May 2013 where i was in the hospital on and off for 10 days. I think had another episode in July and was in the hospital for 4 days. I was wondering if any of you would know if a holistic doctor would be worth a try prior to surgery. I have the diverticulitis in the ascending colon...What would any of you suggest? Thanks Michelle
michael
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Dec 20, 2013 @ 11:11 am
hi to all
i had laparotomy and small bowel resection surgery for crown's disease strictures
i had the surgery on 10/12/2013
i am recovery from the surgery i was in hospital for 7 days i am still in horrific pain
my surgeon said it was worst she's ever seen there was 20 strictures and they 1 meter of small bowel
thanks michael
molly logie
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Jan 27, 2014 @ 5:17 pm
Hi I had a big part of my small bowel removed in may 2012 it had burst inside me I also went into septic shock and almost died I had nurses coming out every day to pack my wound I get a lot of pain in my stomach still also I get a lot of acid coming up my throat it really burns can U tell me how long it takes to be pain free I feel terrible at the moment
cherie
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Mar 11, 2014 @ 10:22 pm
I have carcinoid cancer stage 4. In 2011, the small bowel was obstructed by a tumour. My primary tumour is in the duodendum. When the surgeon operated, he intended to remove what he could of the tumours, but it was wrapped around the superior mesenteric artery. He could not take a chance so he connected the jejunum to the traverse colon, and bypassed the small bowel. Would the small bowel still function in this case? I still have terrible diarheaa, but am blessed to have been here 5 years since stage 4 diagnosis. I take care of my mother who is in very bad health and have my 2 grandsons over 3 to 4 nights a week. Anyone else have something like this?
terry
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Apr 19, 2014 @ 2:02 am
I had surgery 6wks ago for a corhns stricture on my right side in my small intestine. I had lapo small bowel reconnection. I have abdominal pain incision pain. I am exhausted I can't eat or drink I have no appetite. I still have many loose bowel movements. I was told my blockage was bad enough I had to have surgery so march 4th 2014 I had surgery the 2nd day after surgery I started having severe loose stools an I still had a epaderal couldn't feel I had To go it was painful from bending my abdomen getting up to be changed. Wanted to know if anyone else has had similar issues. I also have bad gas and its a nasty sicking smell! Plz let me know if anyone has had any of these problems. I had thought 6wks out I would feel better I feel worse than I did with a blockage an not having bm. I expected cotrhns issues but not to feel this bad!

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