Intestinal obstruction repair

Information, Symptoms, Treatments and Resources

Definition

Intestinal obstruction repair is surgery to relieve a bowel obstruction. A complete obstruction, no matter what the cause, is a surgical emergency.

Alternative Names

Repair of volvulus; Reduction of intussusception

Description

When a blockage occurs in the bowel (intestine), stool is unable to move through. Gas is trapped within the bowel, causing swelling and abdominal distention. The obstruction also interrupts normal blood flow, which can cause portions of the bowel to die. When parts of the bowel die, fluids and bacteria from the bowel can leak into the abdominal area, causing a life-threatening infection called peritonitis.

Causes of intestinal obstruction include:

  • Scar tissue (adhesions)
  • Incarcerated hernias
  • Tumors or cysts
  • Intussusception
  • Twisting or kinking of the bowel (volvulus)
  • Swallowed objects (foreign bodies)

Intestinal obstruction repair is done while you are under general anesthesia, which means you are asleep and do not feel the pain of surgery. The surgeon makes a small cut in the belly area. The bowel obstruction is located and repaired. If possible, injured sections are removed and the healthy ends of the bowel are stitched together (resection). If resection is not possible, the ends are brought out through an opening in the abdomen (ostomy).

The surgeon will also examine the bowel for injury or lack of blood flow.

Indications

Surgery is frequently needed to treat a bowel obstruction, but the type of operation depends on the cause of the obstruction (for example, adhesions, tumor, or a hernia).

Risks

Risks for any anesthesia include the following:

  • Reactions to medications
  • Problems breathing
Risks for any surgery include the following:
  • Bleeding
  • Infection
Other risks of abdominal surgery include the following:
Expectations after surgery

The outcome is usually good if the obstruction is treated before tissue damage or tissue death occurs in the bowel.

Convalescence

The time it takes to recover from bowel obstruction surgery depends on the specific operation needed to correct the obstruction and the person's general health.

Review date: October 16, 2006
Reviewed by: J.A. Lee, M.D., Assistant Professor of Surgery, Columbia University Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. � 1997- 2008 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.