Small Bowel Resection
Performed by Our Manhattan Colorectal Surgeons
Small bowel resection involves the removal of a segment of small intestine
and reconnection of the two ends with sutures or staples. There are multiple
reasons for performing a small bowel resection, including Crohn's
disease and tumors.
To learn more about your treatment options, call Manhattan Surgical Associates
The first step in the diagnosis of disorders of the small intestine that
may require surgical treatment includes a history and physical examination.
An upper gastrointestinal endoscopy may also be performed. In addition,
a capsule endoscopy, which is a small camera that is swallowed and transmits
pictures of the lining of the small intestine, may be performed.
Other studies that may be used include:
- Plain abdominal X-rays
- Contrast x-rays, such as a small bowel series
- CT scans of the abdomen and pelvis
Your primary care physician, gastroenterologist, and surgeon will discuss
the options for diagnosis for your particular case.
Depending on the diagnosis, non-surgical management may be the first course
of action for certain diseases of the small intestine. However, in many
diseases of the small intestine, surgical removal is recommended. A small
bowel resection includes removal of a piece of small intestine and reconnecting
the ends with sutures or staples.
Preparation & Anesthesia
The night prior to the procedure, you will be instructed to take nothing
to eat or drink after midnight. In addition, you will be prescribed a
bowel preparation. The preparation should be taken as instructed.
For a small bowel resection, you will receive general anesthesia, in which
you are completely asleep and monitored at all times by an anesthesiologist.
After anesthesia is established, an incision will be made on your abdomen
and the diseased segment of small intestine will be removed. The two ends
of small intestine will be reconnected using sutures or staples. You will
have a dressing placed over the operative site.
Following a small bowel resection, you will be admitted to the hospital.
You will receive pain medication and intravenous fluid. Once bowel function
returns, as evidenced by passage of gas or stool, your diet will be advanced.
Once you tolerate a diet, and have no signs of fever or other complications
of the surgery, you will be discharged from the hospital. You will be
given a prescription for pain medication. In the 1-2 weeks following surgery,
you will see your surgeon for a follow-up appointment.
If you have any questions or concerns, you should
contact your surgeon immediately.