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Surgery for intestinal perforation


Intestinal perforation is a condition in which a whole forms in the stomach and small intestine.

How are intestinal perforations diagnosed?

Intestinal perforations are diagnosed using imaging scans like x rays, CT scans and MRI scans. They can also be detected using tests for acid values in the blood. Assessing kidney and liver function; hemoglobin levels which may indicate blood loss.

What are the symptoms of intestinal perforation?

Following are the symptoms of intestinal perforation:
  • 1.Stomach pain
  • 2.Nausea and vomiting
  • 3.High fever and chills
  • 4.Urinary issues
  • 5.Obstructed passage of stools
  • 6.High heartbeat
  • 7.Dizziness


What are the treatments available for the condition?

In almost all cases surgery is necessary for closing the perforations. The main aim of the surgery is to fix the causes for peritonitis and anatomical problems and remove foreign objects that have caused the perforation. Sometimes part of the intestine is also removed, this procedure is called colostomy. During this procedure a part of the intestine is diverted to create a stoma.



How to get ready for the surgery?

The doctor will advise a full physical examination before the surgery, to check for any other complication that needs to be addressed before surgery. The doctor will inform the patient about the requirement of having a ‘stoma’ after the surgery. A stoma is an opening in the belly wall that is made during the surgery by the doctor in order for the waste to leave the body, which doesn’t happen if there is no bowel movement through the rectum. The waste from the stoma collects in the colostomy bag. If you have a prior medical condition and you are taking medicines prescribed by a doctor please make sure you inform the surgeon beforehand. If you have a habit of smoking you will be advised to stop smoking a few weeks prior to the date of the operation as smoking may result in other complications or may cause infections resulting in failure of the procedure. Quitting smoking enhances the chances of success. The doctor will prescribe laxatives a few days before the surgery; this will help in clearing out the digestive tract. The patient is required to stop drinking or eating anything before 12 hours of the surgery.

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.



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