Type of Surgery

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Last updated: 11/24/2009

Demographics

According to the National Cancer Institute, adenocarcinoma, lymphoma, sarcoma, and carcinoid tumors account for the majority of small intestine cancers which, as a whole, account for only 1–2% of all gastrointestinal cancers diagnosed in the United...

States.

Crohn's disease occurs worldwide with a prevalence of 10–100 cases per 100,000 people. The disorder occurs most frequently among people of European origin; is three to eight times more common among Jews than among non-Jews; and is more common among whites than nonwhites. Although the disorder can start at any age, it is most often diagnosed between 15 and 30 years of age. Some 20–30% of patients with Crohn's disease have a family history of inflammatory bowel disease.

The occurrence of polyps increases with age; the risk of cancer developing in an unremoved polyp is 2.5% at five years, 8% at 10 years, and 24% at 20 years after the diagnosis. The risk of developing bowel cancer after removal of polyps is 2.3%, compared to 8.0% for patients who do not have them removed.



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2. Purpose

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Despite being less than a minute long, this narrated animation explains the fate of food that we eat within the digestive tract.

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To remove a diseased portion of the small intestine, an incision is made into the abdomen, and the area to be treated is pulled out (A). Clamps are placed around the area to be removed and the section is cut (B). Three layers of sutures repair the remaining bowel (C). (Illustration by GGS Inc.) To remove a diseased portion of the small intestine, an incision is made into the abdomen, and the area to be treated is pulled out (A). Clamps are placed around the area to be removed and the section is cut (B). Three layers of sutures repair the remaining bowel (C). (Illustration by GGS Inc.)




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Other Information

A small bowel resection is the surgical removal of a diseased section of the small intestines. A small bowel resection may be performed to treat the following problems:

• Crohn’s Disease

• Tumor

• Gangrene

• Obstruction – incarceration in a hernia

• Trauma

The small bowel resection can be performed laparoscopically using long, thin instruments inserted through small incisions. During the procedure, the diseased section of the small intestine is stapled and removed. The bowel is then reconnected to reestablish the continuity of the digestive tract.


From http://www.debakeydepartmentofsurgery.org/home/content.cfm?proc_name=small+bowel+resection&content_id=274

Other Information

Biliary colic is the presenting symptom in 80% of patients with gallstone disease who seek medical care; however, only 10-20% of all individuals with gallstones experience severe gallstone pain.


From: eMedicine

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