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Having Bowel Surgery: Limited Bowel Resection

This surgery is done to treat diseases of the digestive tract. It removes part of the large and small intestines. When healed, bowel movements still occur through the anus.

Preparing for Surgery

Preparation may begin a few weeks before surgery and can include the following:

  • If you smoke, try to quit.

  • Tell your doctor about any medications, herbs, or supplements you take. Ask whether you should stop any of them before surgery.

  • If you will have a stoma, a specially trained healthcare provider called an enterostomal therapy (ET) nurse will meet with you. The two of you will decide on the stoma’s placement.

  • If instructed, stop eating solid food a day or two before surgery. Switch to a diet of clear liquids such as broth.

  • You will receive instructions for bowel prep, which helps ensure that your digestive tract is ready for surgery.

  • Don’t eat or drink anything after midnight the night before surgery. This includes water, gum, and breath mints.

  • If your doctor tells you to take medication the morning of surgery, swallow it with only small sips of water.

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The Procedure

  • The diseased portion of the intestine is removed (resected).

  • If there is an abscess (infected area), the abscess is drained or removed.

  • The ends of the intestine are sewn together. This connection is called an anastomosis.

Risks and Complications

Bowel surgery has certain risks and possible complications. Your healthcare provider can discuss them with you. They may include:

  • Infection

  • Injury to nearby organs

  • An anastomosis that leaks

  • Blood clots

  • Risks related to anesthesia

 

Publication Source: Buchman AL, Sleisenger & Fordtran's Gastrointestinal and Liver Disease, 8th ed., Chapter 100 – Short Bowel Syndrome, 2006, pp 2262-2265
Publication Source: Fry RD, et al, Sabiston Textbook of Surgery, 18th ed., Inflammatory bowel disease, 2008, pp 1384-1388
Online Source: Massachusettes General Hospital, Division of General Surgery http://www.massgeneral.org/gensurg/pdf/colorectal_perspectives-III.pdf
Online Medical Reviewer: Trahan, Katherine MD
Date Last Reviewed: 8/1/2005
Date Last Modified: 10/14/2005