Doctor insights on:
Small Bowel Obstruction Surgery
I had a small bowel obstruction surgery that was done by a general surgeon. What type of specialist /doctor do I see after for consultation?
Surgeon and PCP: It is important for you to follow up with the surgeon who operated on you because he/she will be able to recognize if your bowels have returned to normal function. It will also be important for you to see your primary care doctor who will have the greatest continuity of care with you. In the event of a re-obstruction, be sure to return to the same surgeon. They will know your anatomy details. ...Read moreSee 2 more doctor answers
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
I had a small intestine/ bowel obstruction surgery and my stomach has been puffy and huge since the surgery. I am fairly slim and don't understand why?
Intestinal block: What was the cause of your small intestinal obstruction? Did your surgeon tell you its etiology? What is the name of the surgical procedure that was undertaken? Please send me this information. Thank you very much. ...Read more
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
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?
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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