|Discussion in 'All Categories' started by Rahul - Jan 14th, 2013 4:44 am.|
|This is regarding my father. He is located in Punjab and has been suffering from stomach problems for many years now. Around 10 years back, he had first instance of obstruction where a pipe was put through his nose to extract foul liquid and gases. He was fine after few days. In 2006, he was operated for Gall Bladder. 2 years back, he was diagnosed with TB in small intestine - he had treatment for more than a year and during a CT scan around a year back, doctor detected some strictures in small intestine. TB treatment was complete. In Nov'12 he had a problem of obstruction where he was vomiting and was suffering from pain. He was hospitalized and doctor inserted pipe through his nose and kept him on glucose for 2 days after which his obstruction was cleared on its own. But doctor still kept him in hospital for check ups. Strictures were noticed at 3 places in small intestine during CT scan. Doctor has advised for surgery to remove the infected portion. We had consulted some good doctors around Amritsar for the same and thinking of future course of action. Some doctors have even advised for laproscopic surgery.
Please provide your inputs on what would be the best treatment for him.
His age is 60 and he is also a hypothyroid patient.
His thyroid level is normal now but HB was 7.8 as on last weekend.
re: Small Bowel Obstruction Treatment by Dr J S Chowhan - Jan 16th, 2013 10:31 am
Dr J S Chowhan
Your father should go for laparoscopic adhesiolysis. In our opinion, laparoscopic adhesiolysis for chronic abdominal pain, recurrent bowel obstruction, or both, is safe and effective and results in minimal peri-operative morbidity. In many patients at World Laparoscopy Hospital we use laparoscopic surgery in the setting of acute bowel obstruction, however, laparoscopic intervention may increase the risk of operative complications in old patients and need experienced surgeon.
J S Chowhan
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