44020 Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal

Name of the Procedure:

Enterotomy, small intestine (other than duodenum); exploration, biopsy(s), or foreign body removal.

Summary

An enterotomy is a surgical procedure involving an incision into the small intestine, excluding the duodenum. The procedure allows doctors to explore the intestine, take tissue samples (biopsies), or remove foreign bodies that may be causing problems.

Purpose

The procedure addresses a variety of medical conditions such as obstructions, gastrointestinal bleeding, and suspicious growths in the small intestine. The goals are to identify and treat the underlying issue, alleviate symptoms, and prevent further complications.

Indications

• Symptoms such as severe abdominal pain, bleeding, or obstruction in the small intestine.
• Suspicion of tumors, polyps, or other abnormalities.
• Presence of foreign bodies that require removal.
• Inconclusive results from less invasive diagnostic methods.

Preparation

• The patient may need to fast for 8-12 hours before the procedure.
• Adjustments to medications, such as blood thinners, may be necessary.
• Preoperative diagnostic tests, including blood work and imaging studies, might be required to assess the patient's condition.

Procedure Description

1. The patient is administered general anesthesia.
2. A surgical incision is made in the abdomen to access the small intestine.
3. The surgeon makes a precise incision into the small intestine.
4. The small intestine is explored for abnormalities.
5. Tissue samples may be taken for biopsy, or any foreign bodies are removed.
6. The incision in the intestine is closed with sutures or staples.
7. The abdominal incision is then closed, typically in layers, to ensure proper healing.

Duration

The procedure typically takes between 1 to 3 hours, depending on the complexity and the issues being addressed.

Setting

An enterotomy is performed in a hospital setting, often in an operating room.

Personnel

• Surgeon
• Anesthesiologist
• Surgical nurses
• Possibly a pathologist (for immediate examination of biopsy samples)

Risks and Complications

• Infection
• Bleeding
• Damage to surrounding organs and tissues
• Anastomotic leak (leakage from the site where the intestine is sutured)
• Adhesions (scar tissue that can cause future obstructions)

Benefits

• Diagnostic clarity regarding intestinal conditions.
• Relief from symptoms such as obstruction or bleeding.
• Removal of foreign objects or abnormal growths. Benefits are often realized shortly after recovery from surgery, with a significant improvement in symptoms and overall health.

Recovery

• Hospital stay for a few days post-procedure is common.
• Pain management will be provided, often involving medications.
• Gradual return to normal diet and activities as tolerated.
• Follow-up appointments to monitor healing and address any complications.

Alternatives

• Endoscopic procedures (less invasive but may not be as comprehensive).
• Medical management (e.g., medications) might be suitable for less severe conditions.
• Imaging studies for diagnosis can avoid surgery but might not provide as conclusive results.

Patient Experience

The patient will be under general anesthesia during the procedure and will not feel pain. Post-procedure, some discomfort and pain are expected, which will be managed with medication. Recovery involves careful monitoring and gradual resumption of normal activities.