Question: I recently had a small bowel obstruction. The CT scan findings were "Dilated
fluid-filled loop of small bowel with transition point along left
upper quadrant jejunal wall thickening which may represent underlying
nonspecific jejunitis possibly ischemic, inflammatory or infectious in
etiology. Impression: Small bowel obstruction with left upper quadrant transition point of
nonspecific jejunitis which may represent underlying infectious,
inflammatory or ischemic etiology" I was hospitalized with an NG tube and it resolved however 3 weeks later I still don't feel I am 100%-- although I think I am being hyper-vigilant about every feeling that goes on in by inside. I had a follow-up Upper-GI with small bowel follow through a week after discharge that said this: "FINDINGS: Barium bolus demonstrates normal passage through a normally
distensible esophagus. The GE junction is unremarkable, and there is
no hiatal hernia or reflux demonstrated. Evaluation of the stomach demonstrates no focal abnormality. The duodenum demonstrates no evidence for focal ulceration or mass. On initial small bowel images, there is mild prominence of the proximal jejunal loops. Subsequent images demonstrate fullness in the
proximal jejunum with relative decompression distally. Contrast is followed through the colon where the terminal ileum demonstrates normal configuration.Spot-film assessment of the left upper quadrant demonstrates a region of proximal ileum with acute angulation with mild dilatation
proximally, and relative tapering to normal following. While there is no evidence for high-grade obstruction, this region may represent low-grade or intermittent obstructing point. There is no evidence for mass or intraluminal mucosal abnormality appreciated to suggest focal pathology in this region. IMPRESSION: Acute angulation suggested in the proximal jejunum may act as an
intermittent or low-grade resistance to bolus passage. Configuration would lend itself to diagnosis of adhesion in the presence of previous surgical history, otherwise appearance is nonspecific. Unremarkable upper GI examination"
The only abdominal surgery I have ever had was a pelvic laparoscopy 20 years ago with an umbilical incision. I don't understand how I could have an adhesion in the small bowel from that-- or am I misunderstanding how close these areas are? My doctor's are somewhat casual and cavalier yet now I feel like there is the dark cloud hanging over me for the rest of my life- It might happen again, it might not. I did ingest probably an abnormally high amount of fiber 45g and 52g, within a few days of the onset of SBO. Could these acute angulations be something I was born with- congenital- or have been living with for a very long time without any trouble and the overdose of fiber was a sign I should be more careful about fiber? Although I have never been diagnosed officially, I have long thought I have IBS (the constipating form) but maybe it's actually these issues with the small bowel aggulations? I would like something more definitive for answers. RIght now I am terrified of fiber and have been avoiding high-fiber foods and am even afraid to add back my favorite vegetables and things like oatmeal back in to my diet.