{"id":1283,"date":"2019-02-08T11:23:39","date_gmt":"2019-02-08T09:23:39","guid":{"rendered":"https:\/\/www.drpedonomou.com\/?page_id=1283"},"modified":"2019-05-03T19:53:35","modified_gmt":"2019-05-03T16:53:35","slug":"small-bowel-surgery","status":"publish","type":"page","link":"https:\/\/www.drpedonomou.com\/en\/surgical-procedures\/small-bowel-surgery\/","title":{"rendered":"Small Bowel Surgery"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1k0x0j-0a747ff9cf57602ab75130baf7d5c4df\">\n.avia-section.av-1k0x0j-0a747ff9cf57602ab75130baf7d5c4df{\nbackground-color:#f9f9f9;\nbackground-image:url(https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/lepto-entero.jpg);\nbackground-repeat:no-repeat;\nbackground-position:100% 100%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-1k0x0j-0a747ff9cf57602ab75130baf7d5c4df main_color avia-section-default avia-no-border-styling  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blockquote modern-quote modern-centered  avia-builder-el-1  el_before_av_hr  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Small Bowel Surgery <\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-dquvv7-db3ba1fdcc698ad3ce6acb7fc6e367da\">\n#top .hr.av-dquvv7-db3ba1fdcc698ad3ce6acb7fc6e367da{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.hr.av-dquvv7-db3ba1fdcc698ad3ce6acb7fc6e367da .hr-inner{\nwidth:100px;\nborder-color:#109bc5;\n}\n<\/style>\n<div  class='hr av-dquvv7-db3ba1fdcc698ad3ce6acb7fc6e367da hr-custom  avia-builder-el-2  el_after_av_heading  avia-builder-el-last  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av-layout-grid-1'  class='av-layout-grid-container av-c3ce8j-744ddff5c982b70dbf86060ec3f2ddba entry-content-wrapper main_color av-fixed-cells  avia-builder-el-3  el_after_av_section  el_before_av_one_full  grid-row-not-first  container_wrap fullsize'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-avyr3n-458a307c815299c9f2c90e0041b9ac4f\">\n.flex_cell.av-avyr3n-458a307c815299c9f2c90e0041b9ac4f{\nvertical-align:bottom;\nbackground-color:#109bc5;\n}\n.responsive #top #wrap_all .flex_cell.av-avyr3n-458a307c815299c9f2c90e0041b9ac4f{\npadding:4px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-avyr3n-458a307c815299c9f2c90e0041b9ac4f av-gridrow-cell av_one_half no_margin  avia-builder-el-4  el_before_av_cell_one_half  avia-builder-el-first  content-align-bottom'  ><div class='flex_cell_inner'><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8oovwj-7d7ed19593e96e12bb203dc34943e7b9\">\n.flex_cell.av-8oovwj-7d7ed19593e96e12bb203dc34943e7b9{\nvertical-align:bottom;\nbackground-color:#109bc5;\n}\n.responsive #top #wrap_all .flex_cell.av-8oovwj-7d7ed19593e96e12bb203dc34943e7b9{\npadding:4px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-8oovwj-7d7ed19593e96e12bb203dc34943e7b9 av-gridrow-cell av_one_half no_margin  avia-builder-el-5  el_after_av_cell_one_half  avia-builder-el-last  content-align-bottom'  ><div class='flex_cell_inner'><\/div><\/div>\n<\/div><div id='after_grid_row_1'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-1283'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-7wx0j7-61df7f40c1e3a3e01edbd15487e1a078 sc-av_one_full av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7wx0j7-61df7f40c1e3a3e01edbd15487e1a078\">\n.flex_column.av-7wx0j7-61df7f40c1e3a3e01edbd15487e1a078{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-7wx0j7-61df7f40c1e3a3e01edbd15487e1a078 av_one_full  avia-builder-el-6  el_after_av_layout_row  el_before_av_section  avia-builder-el-no-sibling  first no_margin flex_column_table_cell av-equal-height-column av-align-top av-animated-generic top-to-bottom av-zero-column-padding  '     ><section  class='av_textblock_section av-jrvufq6k-0c0862cbe28433bedcd2591bfcfe78c4 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>There are a number of disease processes that can occur in the small intestine that may require surgical management.<\/p>\n<p><strong>Intussusception<\/strong> is a problem that occurs when one portion of the bowel is drawn into an adjacent segment of bowel. This problem can resolve by itself but may result in a dangerous bowel obstruction. Although intussusception usually occurs in children, it can also happen to adults. When an adult develops an intussusception it usually is because of an underlying tumor. Surgery is often needed to uncover the cause of the intussusception and to treat the obstruction.<\/p>\n<p><strong>Adhesions<\/strong> sometimes result in patients who have undergone surgery or who have experienced intraabdominal inflammation. An adhesion is a type of scar tissue that forms within the abdominal cavity. An adhesion can kink the bowel and can result in pain or in a dangerous obstruction. Occasionally adhesions can form in a patient who has never had abdominal surgery. This may occur in about 3% of people who develop adhesions. Often adhesions that result in pain or obstruction require surgery to free the bowel and relieve an obstruction.<\/p>\n<p>An <strong>internal hernia<\/strong> occurs when bowel slips into a space or opening within the abdominal cavity. These spaces are usually the result of prior surgery or trauma. An internal hernia can lead to abdominal pain, bloating, obstruction, and sometimes gangrene of the intestine. An internal hernia is an emergency and warrants urgent surgery.<\/p>\n<p>A <strong>Meckle&#8217;s diverticulum<\/strong> is an out-pouching that occurs near the end of the small bowel in about 2% of the population. Most Meckle&#8217;s diverticula never develop symptomatic problems. Among the problems that can result that require surgery are: bleeding from the diverticulum, volvulus (twisting of the bowel) around the diverticulum, intussusception (see above), diverticulitis (inflammation and infection of a diverticulum), and cancer in the diverticulum. When symptomatic, a Meckle&#8217;s diverticulum can be resected via a laparoscopic approach.<\/p>\n<p><strong>Crohn&#8217;s Disease<\/strong> is a type of inflammatory bowel disease that can occur anywhere along the gastrointestinal tract. Among the problems that can occur in Crohn&#8217;s Disease are small bowel strictures, bowel obstruction, and fistula formation. Laparoscopic surgery has been proven to be a useful way to treat Crohn&#8217;s disease that requires surgery.<\/p>\n<p>Although cancer of the small intestine is rare, there are number of small bowel neolplasms that can be treated with laparoscopy:<\/p>\n<h2>Malignant neoplasms<\/h2>\n<ul>\n<li><strong>Adenocarcinomas<\/strong> are tumors that rarely affect the small bowel but, when present, can spread to other organs and usually require removal with surgery.<\/li>\n<li><strong>Lymphoma<\/strong> is a type of cancer of the lymphatic system. In some cases it can be isolated to the bowel, but it often affects other organ systems. The usual treatment is chemotherapy, but small bowel lymphoma sometimes requires surgery for obstruction, perforation, or to obtain a diagnosis.<\/li>\n<li><strong>Carcinoid<\/strong> tumors are a type of tumor of the endocrine system. They can present with a wide array of symptoms including severe diarrhea, wheezing, and flushing of the skin. The symptoms of carcinoid tumor (or &#8220;carcinoid syndrome&#8221;) can be helped with medication, but surgery is needed for cure of the tumor or, in some cases, to help alleviate severe symptoms.<\/li>\n<\/ul>\n<h2>Benign Neoplasms<\/h2>\n<p><strong>Lipoma<\/strong>, <strong>leiomyoma<\/strong>, and <strong>adenoma<\/strong> are all examples of benign tumors that can grow within the small bowel tract. These tumors can present with a variety of vague symptoms including dull pain, bloating, and loss of appetite. Usually surgery is indicated to treat these tumors in order to alleviate these symptoms, prevent obstruction of the small intestine, and to obtain a clear diagnosis.<\/p>\n<p>A variety of diseases of the small and large bowel, including cancer, require surgical intervention. Traditional methods of surgery require painful and extended periods of recuperation because of long incisions through the various layers of tissue and muscle of the abdominal wall.<\/p>\n<p>Laparoscopic surgery on the bowel allows for exploration of the abdomen and removal of diseased segments of bowel without making a large and painful incision. Patients recover more quickly and with less pain than with traditional \u201copen\u201d surgery without compromising the ability to treat and cure disease.<\/p>\n<p><a href=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-988 size-medium\" src=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins-300x214.jpg\" alt=\"\" width=\"300\" height=\"214\" srcset=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins-300x214.jpg 300w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins-768x547.jpg 768w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins-1030x733.jpg 1030w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins-260x185.jpg 260w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins-705x502.jpg 705w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins-450x320.jpg 450w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-adhesins.jpg 1107w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a> <a href=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-989 size-medium\" src=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1-300x214.jpg\" alt=\"\" width=\"300\" height=\"214\" srcset=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1-300x214.jpg 300w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1-768x547.jpg 768w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1-1030x733.jpg 1030w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1-260x185.jpg 260w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1-705x502.jpg 705w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1-450x320.jpg 450w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-1.jpg 1107w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a> <a href=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-990 size-medium\" src=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2-300x214.jpg\" alt=\"\" width=\"300\" height=\"214\" srcset=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2-300x214.jpg 300w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2-768x547.jpg 768w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2-1030x733.jpg 1030w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2-260x185.jpg 260w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2-705x502.jpg 705w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2-450x320.jpg 450w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/small-bowel-internal-hermia-2.jpg 1107w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><iframe class=\"ginger-extension-definitionpopup\" style=\"left: 88.5px; top: 385.906px; z-index: 100001; display: none;\" src=\"chrome-extension:\/\/kdfieneakcjfaiglcfcgkidlkmlijjnh\/content\/popups\/definitionPopup\/index.html?title=neoplasms&amp;description=an%20abnormal%20new%20mass%20of%20tissue%20that%20serves%20no%20purpose\"><\/iframe><\/p>\n<\/div><\/section><\/div><\/div><!--close column table wrapper. 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