Doctor insights on:
Thickening Of The Small Intestine
My CT scan showed distention of the duodenum and possible thickening of the small intestine. What does that mean?
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
What can cause thickening of small intestines and what does a radiologist mean by mucosal enhancement?
Small bowel findings:
Thickening of the small bowel may suggest an inflammation in the lining in the small intestine. This could be something like Crohn's disease other problems such as infections or celiac disease.
The term mucosal inhancement is a radiographic term that describes the relationship of the lining of the colon to the contrast that you drank. ...Read more
Does ileitis (inflamed and thickened walls) cause liquid (pus) outside the small intestine? Can the latter carry bacteria? Thanks
Yes: Ileitis also called Crohn Disease is associated with mucosal inflammation and in some cases abscess formation. You can sometimes expect rectal seepage that can contain bacteria. I hope you are under the care of a gastroenterologist as this can turn out to be more than a simple illness. ...Read more
Several tests: Several tests examine the intestine: endoscopy, exploratory surgery, ct scan, x-ray, gastrograffin enema, ultrasound. Each test is used based upon the clinical presentation and indication. The least invasive and least expensive are x-ray and ultrasound. They also provide the least information. Ct scan provides a lot of info, but requires more radiation. Endoscopy and surgery have more risks. ...Read more
See below: The stomach empties into the first part of the small intestine, the duodenum, where bile and pancreatic enzymes enter for digestion. Next is the jejunum and then the ileum. These are parts of the small intestine that also absorb nutrients & vitamins that then can enter into the blood stream. ...Read more
Within and without..: The obstrction can be form something within the lumen (the passage) or within the wall or from externally (within the abdomen but outside the si). With this in mind it is possible to work through the possibilites and reach a conclusion... ...Read more
Small intestine: Other than eating a nutritious diet with a variety of fresh ingredients and adequate amounts of dietary fiber, there is nothing that you need to do to promote the health of the small intestine. The intestines do not need periodic cleanses or supplements for optimal health. If you're having problems, discuss them with your doctor. Good luck. ...Read more
Differs among people: Some people can lose a significant length of their intestine and still maintain relatively normal function. Other people can retain their entire intestine length and still have poor function. Historically, adults require about 100cm minimum to function without supplemental fluids or nutrition. However, this depends on presence of large intestine and the valve between the small and large intestine. ...Read more
Small intestine: There are entire textbooks hundreds of pages long written just on small intestinal diseases. It would be hard to pinpoint whatever it is you're looking for. Can you rephrase your question? ...Read more
All but 150-200cm: All the intestine can be removed. However, most adults need to keep at least 150 to 200 cms of small intestine to maintain enough function to avoid complications such as dehydration, severe diarrhea, and vitamin/mineral deficiencies. When you have less than that amount, you may require supplemental IV fluids of nutrition into the vein. Some patients receive intestine transplant, if necessary. ...Read more
All but 150-200 cm: All the intestine can be removed. However, most adults need to keep at least 150 to 200 cm of small intestine to maintain enough function to avoid complications such as dehydration, severe diarrhea, and vitamin/mineral deficiencies. When you have less than that amount, you may require supplemental IV fluids of nutrition into the vein. Some patients receive intestine transplant, if necessary. ...Read more
Knotted bowels: Intussuseption occurs when bowel folds into itself; volvulus is when bowels become twisted--both may result in "knotting" & are emergent conditions. The sensation may also result from autonomic dysfunction with slow transit, dysmotility syndromes, & gut spasms. These situations are distinguished from bowel obstruction. ...Read more
Nothing: Unless you are having symptoms of bowel obstruction. Usually the kink is due to prior abdominal surgery and adhesions. The obstruction can be partial, intermittent or complete, the latter usually requiring surgical correction and the former two usual respond to bowel rest in the hospital for 1-3 days. ...Read more
Cysts in the: Small intestine are uncommon. Enteric duplication cysts, which are congenital anomalies, can occur anywhere along the GI tract. Usually these are asymptomatic, incidental findings on imaging studies and require no treatment. If they cause problems due to obstruction they can be surgically removed. ...Read more
Rarely: If there is enough inflammation or infection from diverticulitis, then rarely the small intestine can become attached to the colon and secondarily become inflamed or kinked in the reaction. I have seen this occur on rare occaision. So typically a small bowel obstruction would not occur in diverticulitis. ...Read more