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Doctor insights on: Small Bowel Obstruction In Cancer Patients

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How to differentiat small bowel obstruction from large bowel obstruction? Medical

How to differentiat small bowel obstruction from large bowel obstruction? Medical

Difficult: Without a physical exam and full medical history. Usually a small bowel obstruction will not occur unless there is scar tissue from a past abdominal surgery. Small bowel obstruction can have abdominal pain with frequent vomiting. Large bowel obstruction is less common & can be from cancer or diverticulitis. Lack of bowel movement with colon obstruction. True bowel obstruction can be very serious. ...Read more

Dr. Barry Rosen
4,348 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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What stage colon cancer has symptoms of blood in the ostomy pouch?

What stage colon cancer has symptoms of blood in the ostomy pouch?

None: Blood in an ostomy punch can be many things. Is it a colostomy or ileostomy? Why was the surgery done, history cancer or diverticulitis or colitis? How long ago was the ostomy surgery? Bleeding does indicate need for a doctor evaluation. Can be ostomy appliance irritation, colitis, etc. There is no cancer staging associated with intestinal bleeding. ...Read more

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CT scan, retained stool the colon. few scattered lymph nodes seen. Dilatation of the terminal ileum, This can be seen with backwash ileitis, cancer???

CT scan, retained stool the colon. few scattered lymph nodes seen. Dilatation of the terminal ileum, This can be seen with backwash ileitis, cancer???

Colonoscopy: Please consider asking your provider if a colonoscopy might be indicated to view the tissue in the colon and terminal ileum and to get biopsies ...Read more

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What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

What's the standard treatment of post op adhesions which causes obstruction in the small intestines after a sigmoid colon cancer surgery?

None: There is no rx for adhesions themselves. If they cause a bowel obstruction then that will be treated with a tube through the nose to decompress the bowel and no food for a few days. If that doesnt work then surgery may be required. ...Read more

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Pillcam found 2 AVMs w/possible 3rd in distal small bowel. The definite AVMs were in proximal small bowel and proximal colon. Should I be worried about having three of these things already? I'm 26.

Pillcam found 2 AVMs w/possible 3rd in distal small bowel. The definite AVMs were in proximal small bowel and proximal colon. Should I be worried about having three of these things already? I'm 26.

Be aware ..: Though very uncommon there are genetic syndromes - like hereditary hemorrhagic telangiectasias - that may predispose you to AVMs. You should consider reviewing this possibility with your doctors, but I suspect the already are. It can have other manifestations to watch out for. Best of luck ...Read more

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Sigmoid colon cancer removed surgically. After 10 days ultrasound impression is ' subacute small bowel intestinal obstruction and mild intraperitoneal free fluid collection. Is this common?

No, not common: Bowel obstruction can occur due to post op adhesions(uncommon) or tumor left behind(this will happen if the cancer was advanced/late stage. Your doctor will have to sort out which of these two possibilities apply to your case. ...Read more

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What % can colon cancer return with ulcerative colitis after cancer tumor is removed from that part of colon ?

High risk of cancer: Recurrence risk given cancer is a function of the stage of cancer when diagnosed, independent of uc. However, uc patients have an approximately 1% per year risk of new cancer appearing. Because of this high risk, total colectomy has been the standard of care for uc. If you have any colon left, it should be examined and biopsied periodically looking for dysplasia, the precursor of cancerous change. ...Read more

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I'm 19 and they found 2 inflammatory polyps, .59 cm hyperplastic polyp, and rectal juvenile polyp in my colon. What's the risk of future colon cancer?

I'm 19 and they found 2 inflammatory polyps, .59 cm hyperplastic polyp, and rectal juvenile polyp in my colon. What's the risk of future colon cancer?

Genetics consult: 19 yo woman PMH sig for iron deficiency anemia with colonic polyps found on virtual colonoscopy. You need a referral for a standard colonoscopy where the polyps will be removed and examined pathologically. With your history, you may have Inflammatory Bowel Disease and or some type of familial polyposis which may give you a higher risk in future but your expert GI doc will always watch out for you ...Read more

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Can colon cancer patients get a colon transplant?

Can colon cancer patients get  a colon transplant?

No, not needed: The good news is that you don't absolutely need your colon. For most colon cancers, the amount of colon that needs to be removed will not be missed. ...Read more

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Is intestinal obstruction a symptom of colon cancer?

Is intestinal obstruction a symptom of colon cancer?

All too often: It is not uncommon for colon cancers to not cause symptoms until they reach a size sufficient to block the lumen of the colon; at this point, people will typically present with cramping abdominal pain, severe bloating, and vomiting. These findings often indicate an advanced cancer that may require emergency surgery (+/-stent). The goal of screening is to find cancers before any symptoms develop. ...Read more

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A 17 year olds sysmptoms :change in bowel movement constipation narrow stools small black dots in stool tight abdomen mild stomach pain colon cancer?

A 17 year olds sysmptoms :change in bowel movement  constipation narrow stools small black dots in stool tight abdomen mild stomach pain colon cancer?

Needs eval : This isn't a usual presentation for colon cancer, since it's usually without symptoms, and doesn't happen to 17 year olds very often. There are a lot of colon conditions that need to be considered by a doctor in person to figure this one out which i'd suggest you get done early next week. ...Read more

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Can a large polyp in your colon mean colon cancer?

Can a large polyp in your colon mean colon cancer?

Maybe: Larger growths can contain cancer, but other polyps can be large and still be fully benign. Pathology would review the polyp after it is removed. ...Read more

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Complications of a collapsed colon with ovarian cancer?

Complications of a collapsed colon with ovarian cancer?

Call surgeon: If ovarian cancer has caused obstruction of the large intestine, common humanity would call for a surgeon to see if he/she can relieve the obstruction by whatever means even if the cancer is uncurable long-term. ...Read more

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Colonoscopy shows 10cm ulcerative tumor in sigmoid colon but disease also in liver section 4&5, pelvic area, peritoneal and splenic bed what options?

Go see an Oncologist: It looks like you have advanced case of colon cancer. There is fairly good treatment for this type of cancer. But you need to find a medical oncologist and consult him/her for further treatment right away. ...Read more

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Are adhesions the usual cause of small bowel obstruction?

IT'S A RISK FACTOR: Repeated abdominal surgeries might increase the likelihood of developing abdominal adhesions. In simple terms like cobwebs. These can sometimes be the cause of partial or complete bowel obstructions. The mechanism is different because the source is external as compared to a mass growing inside the bowel. Talk to your doctor about your concern. ...Read more

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What is the likelyhood of a sudden polyp in gallbladder being cancer after colon cancer in person with lynch syndrome?

What is the likelyhood of a sudden polyp in gallbladder being cancer after colon cancer in person with lynch syndrome?

Low but possible: Cancer of the gallbladder is associated with hnpcc/lynch syndrome but, overall most gallbladder polyps are benign. I would speak with your GI doctor as a cholecystectomy may be advised depending on the size and how long it's been there. ...Read more

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What kind of doctor sees somebody for small bowel obstruction?

What kind of doctor sees somebody for small bowel obstruction?

General Surgeon: The management of a small bowel obstruction can be challenging and requires a surgeon so as to "follow" one's course and decide if surgery is necessary. On the one hand, most obstructions are due to scar tissue from prior surgery and will often get better without surgery; on the other hand, the intestine can die and lead to life-threatening problems. Therefore, we have to watch one very closely. ...Read more

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What should I not eat so I can avoid small bowel obstruction from scar tissue?

What should I not eat so I can avoid small bowel obstruction from scar tissue?

No connection: Small bowel obstruction from scar tissue (or adhesions) is caused by scarring that is external to the small intestine, usually caused by previous abdominal surgery or infection. I am not aware that any special diet will increase or decrease the risk of this happening. ...Read more

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What is the difference between small bowel obstruction and large bowel obstruction?

What is the difference between small bowel obstruction and large bowel obstruction?

SIMPLE: Same mechanism just different part of the bowel being affected. Either the small or large bowel. ...Read more

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What is the difference between a large bowel obstruction and a small bowel obstruction?

What is the difference between a large bowel obstruction and a small bowel obstruction?

Different causes: Small bowel obstruction is rarely due to a lesion or intussuception. It is mostly due to adhesions from previous surgery. Large bowel does not obstruct from adhesions but usually an intraluminal lesion such as carcinoma of colon. ...Read more

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I need help with small bowel obstruction?

I need help with small bowel obstruction?

Small bowel obstruct: Ion is a medical emergency. It should be treated by confirming the diagnosis, bowel rest, possible decompression with a nasogastric tube on suction. If not resolving within 24 hours, surgical exploration is indicated to avoided ischemic or dead bowel. Do not delay if you think you are obstructed. This is not to be treated t home! ...Read more

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What can I do for small bowel obstruction?

What can I do for small bowel obstruction?

Come to hospital: A small bowel obstruction usually occurs due to scar tissue from prior abdominal surgery, causing the bowel to kink like a garden hose. If severe, the bowel can die; however, the bowel can (and usually does) unkink itself after a day-or-two of "bowel rest": no food or liquid, IV fluids, and keeping the stomach empty with a ng tube. This requires close monitoring in the hospital. ...Read more

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Are the symptoms of small bowel obstruction bad?

It can be.: The most common symptoms include cramping, generalized abdominal pain, nausea, vomiting, bloating, and the absence of any passage of stool or gas. We call this last symptom obstipation, and it is a very important predictor of the severity of the episode. In some cases, the pain becomes constant and severe--this may represent a compromised blood supply to the bowel, requiring emergency surgery. ...Read more

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What is the definition or description of: small bowel obstruction?

What is the definition or description of: small bowel obstruction?

Small Bowel Obstruct: Small bowel obstruction (sbo) is, as the name states, blockage of the upper (small) intestine. It leads to crampy abdominal pain, nausea vomitting and often dehydration. Treatment may be supportive (fluids and bowel rest) or operative, depending on the cause and duration of the obtruction. ...Read more

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What is the protocol or general plan for small bowel obstruction?

What is the protocol or general plan for small bowel obstruction?

Expectantly: Small bowel obstruction (sbo) has many causes and requires different managements with different patients. In general, serial exams with labs and imaging studies are needed for your surgeon to make the best decision with you. Depending on your presentation and co-morbidities, your surgeon may treat you conservatively (bowel rest +/- ng decompression, ivf..) or with surgery without delay. ...Read more

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How can adhesions cause small bowel obstruction?

How can adhesions cause small bowel obstruction?

Think of adhesions: as bands of fibrous scars. If one happens to form in a location that involves a bowel loop, the loop can be deformed or compressed to the point where the lumen is compromised enough to be obstructed. ...Read more

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What is the best treatment for small bowel obstruction?

What is the best treatment for small bowel obstruction?

See doctor: If you have an acute small bowel obstruction you should get emergency care. There are several possibilities and you will likely need to be hospitalized for at least short period of time since you will likely not be able to eat or drink until issue is resolved. ...Read more

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Are adhesions the usual cause of small bowel obstruction?

IT'S A RISK FACTOR: Repeated abdominal surgeries might increase the likelihood of developing abdominal adhesions. In simple terms like cobwebs. These can sometimes be the cause of partial or complete bowel obstructions. The mechanism is different because the source is external as compared to a mass growing inside the bowel. Talk to your doctor about your concern. ...Read more

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What occurs if you have a small bowel obstruction and u don't take any medical treatment for it?

If it turns: Into a complete sbo, it can strangulate and cause peritonitis and death. Other complications such as aspiration of vomitus and electrolyte abnormalities that cause heart problems are also possible. As you can see, it is best to have medical treatment for any sbo. ...Read more

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How to differentiat small bowel obstruction from large bowel obstruction? Medical

Difficult: Without a physical exam and full medical history. Usually a small bowel obstruction will not occur unless there is scar tissue from a past abdominal surgery. Small bowel obstruction can have abdominal pain with frequent vomiting. Large bowel obstruction is less common & can be from cancer or diverticulitis. Lack of bowel movement with colon obstruction. True bowel obstruction can be very serious. ...Read more

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If I had a small bowel obstruction with a closed loop and herniation in to the omentum, what is the likelyhood it could happen again?

If I had a small bowel obstruction with a closed loop and herniation in to the omentum, what is the likelyhood it could happen again?

Unlikely: If you had surgery, which i assume you did, the chances of a recuurent bowel obstruction are low but possible. It is very infrequent that people require multiple surgerires for recurrent bowel obstructions. ...Read more

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Apparently I have an ileus vs partial small bowel obstruction. What's the tx for at home? How long it take to recover? Ss- severe nausea & llq pain.

GI issue: You need to try and better understand what the cause of the issue. It can be treated at home with hydration and bowel rest if it is due to gastroenteritis. If there is a functional cause you may need to be in the hospital and possibly need surgery to fix. ...Read more

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How fast can I make my small bowel obstruction go away?

How fast can I make my small bowel obstruction go away?

U Can't Do It Alone: Small bowel obstructions (sbo) require in-patient care to fully evaluate and rx. This includes reversal of the inevitable dehydration, emptying the stomach with an ng tube, and monitoring one's overall well-being to determine if surgery is necessary. Most sbos are secondary to adhesions from prior surgery; thankfully, this resolves with above measures 2/3 of the time. ...Read more

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Does small bowel obstruction usually cause many symptoms?

Does small bowel obstruction usually cause many symptoms?

Yes: Small bowel obstruction is typically the result of a blockage of one's small bowel and presents with symptoms of crampy abdominal pain, nausea, and vomiting. This is typically caused by adhesions or scar tissue as a result of previous surgery. It is typically treated conservatively with bowel rest (nothing by mouth) and IV fluids. Surgery may be necessary at times. ...Read more

Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


Obstruction (Definition)

Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more