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Bowel resection may be done as an open surgery, with a long incision in the abdomen. It may also be done laparoscopically or robotically by creating several small incisions in the abdomen through which surgical instruments are inserted. [2] [3] [4] Once the abdomen is accessed by one of these methods the surgery may proceed.
Short bowel syndrome in adults and children is most commonly caused by surgery (intestinal resection). [4] In those who undergo intestinal resection, approximately 15% eventually develop small bowel syndrome (75% of those due to 1 large resection and 25% due to multiple separate intestinal resections). [4] This surgery may be done for:
When the resection is complete, the surgeon has the option of reconnecting the bowel by stitching or stapling together the cut ends of the bowel (primary anastomosis) or performing a colostomy to create a stoma, an opening of the bowel to the abdominal wall that provides an alternate exit for the contents of the gastrointestinal tract. [1]
A proctosigmoidectomy, Hartmann's operation or Hartmann's procedure is the surgical resection of the rectosigmoid colon with closure of the anorectal stump and formation of an end colostomy. It was used to treat colon cancer or inflammation (proctosigmoiditis, proctitis, diverticulitis , volvulus , etc.).
[5] [6] Short-bowel syndrome was the cause for 73% of American intestinal transplantations in 2008, followed by functional bowel problems for 15% and other causes representing 12% of cases. [7] Natural SBS is mercifully rare, estimated to be 3 per 100,000 births. [8]
Jejunoileal bypass (JIB) was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which all but 30 cm (12 in) to 45 cm (18 in) of the small bowel were detached and set to the side.
The procedure was studied by researchers in Boston utilizing a group of ten young pigs. Five of the pigs underwent removal of 90 percent of the bowel followed by STEP. The other pigs underwent the bowel resection without the STEP procedure, serving as control subjects. STEP was shown to lengthen the bowel from 105.2 ± 7.7 cm to 152.2 ± 8.3 cm ...
Other long-term bowel dysfunction symptoms may include fecal and gas incontinence, urgency, frequent bowel movements, and difficulty emptying. The symptoms collectively are referred to as low anterior resection syndrome (LARS) and adversely affect quality of life, sometimes so much so that some patients even prefer to have their stoma-reversal ...
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