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Partial ileal bypass surgery is a surgical procedure which involves shortening the ileum to shorten the total small intestinal length. [ 1 ] First introduced in 1962 by Professor Henry Buchwald of the University of Minnesota, [ 2 ] the procedure is used to treat a number of hyperlipidemias including familial hypercholesterolemia .
There is also evidence from a systematic review of randomized controlled trials that chewing gum, as a form of 'sham feeding', may stimulate gastrointestinal motility in the post-operative period and reduce the duration of postoperative ileus. [8] If possible the underlying cause is corrected (e.g. replace electrolytes).
Surgery to remove diseased or damaged portion of the small intestine; Some children are also born with an abnormally short small intestine, known as congenital short bowel. [1] Surgical complications, requiring re-surgery, are a common cause of small bowel syndrome, contributing up to 50% of cases based on some estimates. [4]
Paralytic ileus: short-term paralysis of the bowel; Perioperative mortality, any death occurring within 30 days after surgery; Shock; Sterile technique, aseptic post-operative care, antibiotics, use of the WHO Surgical Safety Checklist, and vigilant post-operative monitoring greatly reduce the risk of these complications. Planned surgery ...
Ileus, which refers to functional obstruction or aperistalsis of the intestine, is a physiologic response to abdominal surgery, including the Whipple procedure. [34] While post-operative ileus is typically self-limited, prolonged post-operative ileus occurs when patients develop nausea, abdominal distention, pain or intolerance of food by mouth ...
Ventral rectopexy alone is a syspensive type surgery, a category which also includes colposacropexy. [10] Resection rectopexy additionally involves removal of a section of the sigmoid colon (sigmoidectomy). It is thought to have decreased post operative problems of constipation, because the redundant colon is removed and therefore cannot "kink".
When caused by cancer, bowel perforation typically requires surgery, including resection of blood and lymph supply to the cancerous area when possible. When perforation is at the site of the tumor, the perforation may be contained in the tumor and self resolve without surgery. However, surgery may be required later for the malignancy itself.
Foreign bodies (e.g. gallstones in gallstone ileus, swallowed objects such as expandable water toys) Intestinal atresia; Urinary retention; After abdominal surgery, the incidence of small bowel obstruction from any cause is 9%. In those where the cause of the obstruction was clear, adhesions are the single most common cause (more than half). [22]