segmental-resection-los-angeles-ibd-treatmentInflammatory bowel disease (IBD) is a chronic condition of the intestinal tract that may produce localized inflammation and scarring of the small intestine. When medications become ineffective, segmental resection can offer relief from painful symptoms and an improved quality of life. The purpose of segmental resection is to remove a damaged portion of the small intestine, thereby avoiding more serious complications such as bowel obstruction.

The IBD Center of Excellence offers a team of renowned gastroenterologists and colorectal surgeons specializing in the comprehensive management of inflammatory bowel disease. Patients treated at our state-of-the-art outpatient center in Beverly Hills receive highly individualized care with exceptional outcomes. To learn more about complications of IBD or to schedule a consultation with one of our physicians, contact us at (888) 421-4172.

Who is a Candidate for Segmental Resection?

Only patients with the Crohn’s form of IBD, which can affect the entire length of the intestinal tract, may experience symptoms or complications requiring small bowel resection. Patients who are unusually fatigued or suffer unexplained weight loss may be suffering from a damaged section of small intestine that is impeding nutrient uptake.

Before undergoing a small bowel resection, the extent and location of intestinal obstruction must be confirmed through X-ray of CT scans of the abdomen. Blood and urine tests may also be performed to analyze nutrient levels. Our colorectal surgeons and gastroenterologists work closely with each patient to determine if a segmental resection is the best solution to his or her specific condition.

Surgical Procedure

Prior to surgery, you will be placed under general anesthesia and closely monitored by one of our expert anesthesiologists. If an open surgical technique is used, an incision will be made along the abdomen to expose the small intestine. Once the diseased section of small intestine has been located, it is clamped on either end. After freeing the segment from surrounding tissue, the former is then cut free and removed.

With a laparoscopic approach, several small incisions will be made around the abdomen to provide access for high-tech surgical instruments. A fiber-optic device is used to provide live video feed from within the abdomen to a monitor in the operating room. After the diseased segment of small bowel has been located, it can be clamped, pulled out through one of the incisions, repaired outside of the body, and then reinserted.

If only a small portion of small bowel is resected, the free ends can be joined back together. For larger resections, an ileostomy must be created. An ileostomy involves connecting the free end of the small intestine closest to the stomach with an opening in the abdomen, called a stoma. This allows intestinal contents to drain directly to a sealed pouch on the outside of the body, and may be temporary or permanent. The entire procedure takes 1-4 hours depending on the surgical approach and extent of damaged bowel that must be removed.

Recovery from Segmental Resection

The majority of people who undergo segmental resection recover fully and regain proper bowel function. Even with an ileostomy, most activities including hiking, gardening, and most types of work may be resumed upon full recovery.

Many patients who undergo segmental resection at the IBD Center of Excellence are eligible for a minimally invasive, laparoscopic approach. Laparoscopy typically results in quicker recovery times and less pain due to reduced incision size and decreased trauma to surrounding tissue.

If a large portion of the small intestine was removed, the digestive tract may be too short to absorb proper nutrients. This may be corrected by a close monitoring of your nutrient intake and vitamin consumption as directed by an experienced gastroenterologist.

Contact an IBD Specialist in Beverly Hills

The IBD Center of Excellence in Beverly Hills offers a team of world-renowned gastroenterologists and colorectal surgeons who have trained at some of the top medical schools and residencies in the country. Our extensive experience in the treatment of inflammatory bowel disease, coupled with a highly individualized approach, helps us to deliver compassionate and effective care to each patient. For more information on the complications of IBD and surgical treatment, or to schedule a consultation with one of our physicians, please call (888) 421-4172 or fill out our contact form.

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