Small Bowel Resection
(Small Intestine Surgery; Ileum Surgery)
A small bowel resection is the removal of part of the small intestine.
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Reasons for Procedure
This surgery may be done to treat many health issues, such as:
- Intestinal blockage
- Bleeding, infection, ulcers, or holes in the small intestines
- Crohn disease
- Precancerous polyps
- Injury to the intestine
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
- Excessive bleeding or blood clots
- Problems from anesthesia, such as wheezing or sore throat
- Damage to other organs or structures
- Blockage of the intestine caused by scar tissue
- Hernia at the incision site
- Leaking from the intestine
- Problems getting enough nutrients
Things that may raise the risk of problems are:
What to Expect
Prior to Procedure
The surgical team may meet with you to talk about:
- Anesthesia options
- Any allergies you may have
- Current medicines, herbs, and supplements that you take and whether you need to stop taking them before surgery
- Fasting before surgery, such as avoiding food or drink after midnight the night before
- Whether you need a ride to and from surgery
- Tests that will need to be done before surgery
- Cleaning the bowels
The doctor will give general anesthesia. You will be asleep.
Description of Procedure
The surgery may be done in one of two ways:
An incision will be made in the belly. The part of the intestine that is damaged will be removed. If any healthy intestine is left, the ends will be joined together. If not, an opening called a stoma will be made in the belly wall. This opening will let stool exit into a bag worn outside the body. The surgical incision will be closed with stitches. A bandage will be placed over the area.
Small incisions will be made in the belly. A tube will be passed through one of the incisions. It will push gas into the belly. This will make it easier for the doctor to view the area. A camera will allow the doctor to see inside the belly. Other tools will be passed through the incisions. They will be used to remove the section of intestine that is damaged. If any healthy intestine is left, the ends will be joined together. If not, an opening called a stoma will be made in the belly wall. This opening will let stool exit into a bag worn outside the body. The surgical incisions will be closed with stitches. A bandage will be placed over the area.
How Long Will It Take?
About 1 to 4 hours
Will It Hurt?
Pain and swelling are common in the first week. Medicine and home care help.
Average Hospital Stay
The usual length of stay is 5 to 7 days. You may need to stay longer if there are any problems.
At the Hospital
After the procedure, the staff may:
- Give medicines to control pain or nausea
- Teach stoma care, if needed
- Place a tube through the nose and into the stomach to give the area time to rest
- Give IV nutrition while the intestine heals
Recovery will take 1 to 2 months. Physical activity will be limited during this time. You will need to delay your return to work.
Problems To Look Out For
Call your doctor if you are not getting better or you have:
- Signs of infection, such as fever or chills
- Redness, swelling, excess bleeding, or drainage from the incision
- Lasting nausea or vomiting
- Pain you cannot control with medicine
- Problems passing urine or stool, including bleeding
- New or unexpected symptoms
If you think you have an emergency, call for medical help right away.
- Colorectal surgery considerations. EBSCO DynaMed website. Available at: https://www.dynamed.com/procedure/colorectal-surgery-considerations.
- Lopes, M., Duarte, T., et al. Clinical outcome of patients submitted to resection of the small bowel segments. Clin Surg, 2018; 3: 2061.
- Treatment for Crohn's disease. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease/treatment.
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