Patient: On January 16, he was hospitalized for 3 days for intestinal obstruction and was discharged after a review of the film. On January 26, he was admitted again for treatment because of abdominal pain and difficulty in passing stool. The doctor said that the intestine should be amputated by surgery. I want to go to the provincial hospital to do it. I don’t know what method is used there. Is there a bed in the hospital now? Can you tell me about the treatment for this disease? Can I be cured? Laboratory and examination results: The last hospital visited.
Shandong Provincial Hospital Gastrointestinal Surgery Department Sheng Hongguang: According to your described condition and examination information, it is initially determined that the cause of your intestinal obstruction is incomplete intestinal obstruction caused by polyps or tumors blocking the intestine, which is mechanical intestinal obstruction.
The pathology taken during the colonoscopy did not find any lesion, but it does not exclude the possibility of lesion, because the pathology can only take a few positions of the polyp or tumor, sometimes it does not reflect the whole polyps or tumors of all lesions.
In case of intestinal obstruction caused by polyps or tumors, the best treatment is surgery to remove the intestinal segment containing the polyps or tumors and then perform intestinal anastomosis to re-establish the continuity of the digestive tract. The prognosis varies depending on the presence or absence of lesions and whether the lesions are early or late. However, in general, the results of surgery for polyps or tumors of the colon are better.
In patients who are elderly and have more comorbidities, such as cardiopulmonary insufficiency, and who are at greater risk for surgery and find it difficult to tolerate surgical treatment, endoscopic placement of a stent in the intestinal stenosis may be used to temporarily relieve the obstruction. The advantage of this method is that it is less invasive, safer, and the patient recovers quickly. However, the disadvantage is that the obstruction is easy to recur after 3 or 6 months after surgery because the polyp or tumor is not removed. Therefore, it is only a palliative treatment method. If the patient can tolerate surgical treatment, this treatment method is generally not recommended.