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What Causes Abdominal Adhesion To Re-develop?
Question: Recently had lysis of and adhesions. Was told I have no effective adb adhesions. There is surgery, but is involved and has many risks. I still have considerable discomfort (one month postponed). I can palmate an organ above the umbilicus which is firm and fist sized. Could this be my stomach?
Brief Answer:
As explained below.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/73 - recently had lysis of and ... was told that you have no effective abd adhesion - surgery involved with risks - still have discomfort - one month postponed - can palpate an organ above umbilicus - firm and of fist size - wants to know whether this can be a stomach....
Stomach is usually not affected by adhesion hence this can be a part of the small intestine or large intestine or pancreas as per the history you have provided.
Adhesion have a bad tendency of recurrence and the risk depends upon the type of adhesion.
If the adhesion are filmsy or in the form of bands, the surgery is easy and fruitful, gives good results.
If the adhesion are dense and the intestines are stuck to each other, then only the surgery has risks. But if an experienced Surgeon does it , the risks are reduced.
Secondly every surgery has has inherent risks and still all types are surgery are done.
The best investigations are as follows:
Contrast enhanced CT scan of the abdomen. This will also help to know the reasons for the lump in abdomen and helps in decision making.
Enteroclysis under fluoroscopy control if required.
Diagnostic Laparoscopy and procedure as required.
The symptoms of pain, borborygmi (intestinal movements with sounds), bloating,
constipation and so on. If the symptoms are severe, one still needs surgery.
I hope this answers your query and helps you in decision making.
Please feel free to ask for further queries if you feel that there is a gap of communication.
As explained below.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/73 - recently had lysis of and ... was told that you have no effective abd adhesion - surgery involved with risks - still have discomfort - one month postponed - can palpate an organ above umbilicus - firm and of fist size - wants to know whether this can be a stomach....
Stomach is usually not affected by adhesion hence this can be a part of the small intestine or large intestine or pancreas as per the history you have provided.
Adhesion have a bad tendency of recurrence and the risk depends upon the type of adhesion.
If the adhesion are filmsy or in the form of bands, the surgery is easy and fruitful, gives good results.
If the adhesion are dense and the intestines are stuck to each other, then only the surgery has risks. But if an experienced Surgeon does it , the risks are reduced.
Secondly every surgery has has inherent risks and still all types are surgery are done.
The best investigations are as follows:
Contrast enhanced CT scan of the abdomen. This will also help to know the reasons for the lump in abdomen and helps in decision making.
Enteroclysis under fluoroscopy control if required.
Diagnostic Laparoscopy and procedure as required.
The symptoms of pain, borborygmi (intestinal movements with sounds), bloating,
constipation and so on. If the symptoms are severe, one still needs surgery.
I hope this answers your query and helps you in decision making.
Please feel free to ask for further queries if you feel that there is a gap of communication.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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