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If you have a severe injury or disorder in the gastrointestinal tract, then you may need to undergo Small Bowel Resection Surgery. This surgery involves the removal of the damaged or diseased portion of your small intestine, also known as the small bowel. This procedure is conducted for individuals with advanced Crohn’s disease, congenital malformations, hernias, and many more. Typically, it doesn’t affect the normal function of the digestive system.
The small bowel, which is 20 to 30 feet in size, is responsible for absorbing most of the nutrients you eat and for transporting waste products to the large intestine. The procedure is often recommended if there is a severe disruption of intestinal function. Manipal Hospitals, Broadway, has a renowned team of experienced and skilled gastroenterologists and specialists who provide the most advanced and comprehensive patient-centric care.
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A wide variety of conditions may damage your small bowel. In some cases, your physician may recommend removing a portion of your small bowel.
The conditions that might require this procedure include the following:
Severe infection, ulcers, or bleeding in the small intestine
Intestine blockages, either congenital (present at birth) or from scar tissue
Noncancerous tumours
Precancerous polyps
Cancer
Injury to the small intestine
Meckel’s diverticulum (a pouch of intestine present at the time of birth)
Crohn’s disease
Potential risks of Small Bowel Resection Surgery include:
Frequent diarrhoea
Bleeding in the belly
Pus collecting in the abdomen (it may require drainage)
The intestine is pushed into your belly (incisional hernia)
Scar tissue forms an intestinal blockage, which further requires surgery
Short bowel syndrome (problems absorbing vitamins and nutrients)
Leakage at the reconnected site in the small intestine (anastomosis)
Problems with stoma
Incisions breaking open
Infection at the incision site
Typically, any surgery can cause the following risks:
Blood clots in the legs
Difficulty breathing
Reactions to anaesthesia
Bleeding
Infection
Damage to surrounding structures
Follow the below recommendations given by your surgeon before the surgery for optimal surgical results:
You may be asked to stop consuming blood-thinning medications such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), and others.
Ask the surgeon about the medicines that you are supposed to continue until the day of your surgery.
Try to quit smoking before surgery because smoking increases the risk of surgery, such as slow healing.
Inform your surgeon about the illness you have, such as a cold, flu, fever, herpes breakout, or others, before your surgery.
You may have to undergo bowel preparation to cleanse your intestines. This may involve using laxatives and following a liquid diet for a few days.
The two main types of Small Bowel Resection include the following:
Open Surgery: In Open Surgery, the surgeon makes an incision in the abdomen. Then, your surgeon identifies the affected area of your small intestine, clamps it off, and removes it.
Laparoscopic Surgery: Laparoscopic or Robotic Surgery involves three to five smaller incisions. Firstly, your surgeon pumps gas into your abdomen to inflate it. Then they use miniature lights, cameras, and small tools to find the affected area, clamp it off, and remove it.
Resection surgery may prevent the worsening of severe gastrointestinal issues. This procedure can help you avoid more extensive treatments, such as a larger resection. However, this procedure will preserve the intestinal tissue as much as possible, which helps you avoid certain complications such as short bowel syndrome.
Typically, recovery occurs within a few months. However, most people feel absolutely well enough to resume their daily activities within a few weeks.
Contact your healthcare provider if you experience the following signs:
Difficulty having a bowel movement.
Frequent nausea and vomiting.
Pus or blood drainage from the incision.
Pain that doesn’t get relieved from medications.
Signs of infection, such as fever or warm skin near the incision.
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