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Complications from surgical repair include Peptic ulcer disease, Gastroesophageal reflux disease, Cholecystitis, Esophagitis, Megaduodenum, Blind loop syndrome, and anastomotic leak. [10] Late complications may occur in about 12 percent of patients with duodenal atresia, and the mortality rate for these complications is 6 percent. [15]
Enteric complications: Abdominal distension, irregular diarrhea, increased flatus, pneumatosis intestinalis, colonic pseudo-obstruction, bypass enteropathy, volvulus with mechanical small bowel obstruction; Extra-intestinal manifestations: Arthritis; Severe pain issues that are not fully understood; Liver disease, occurs in at least 30%
Reperfusion injury following bowel ischemia due to any cause; Retroperitoneal and mesenteric inflammatory edema secondary to acute pancreatitis [8] Ileus and bowel obstruction; Intra-abdominal masses of any cause; Abdominal packing for control of bleeding; Closure of the abdomen under undue tension; Ascites (intra-abdominal fluid accumulation) [9]
The treatment of intestinal ischemia depends on the cause and can be medical or surgical. However, if bowel has become necrotic, the only treatment is surgical removal of the dead segments of bowel. [34] In non-occlusive disease, where there is no blockage of the arteries supplying the bowel, the treatment is medical rather than surgical ...
Surgery to remove diseased or damaged portion of the small intestine; Some children are also born with an abnormally short small intestine, known as congenital short bowel. [1] Surgical complications, requiring re-surgery, are a common cause of small bowel syndrome, contributing up to 50% of cases based on some estimates. [4]
The overall rate of complications during the 30 days following surgery ranges from 7% for laparoscopic procedures to 14.5% for operations through open incisions. One study on mortality revealed a 0% mortality rate out of 401 laparoscopic cases, and 0.6% out of 955 open procedures.
An upper GI series examines the small intestine. During the procedure, the person will stand or sit in front of an x-ray machine and drink barium, a chalky liquid. Barium coats the small intestine, making signs of a blockage or other complications of gastric surgery show up more clearly on x rays.
Those with severe ischemia who develop complications such as sepsis, intestinal gangrene, or bowel perforation may require more aggressive interventions such as surgery and intensive care. Most patients make a full recovery; occasionally, after severe ischemia, patients may develop long-term complications such as a stricture [7] or chronic ...