Small Bowel

Small Bowel Surgery in Surat

What is the small bowel ?

The small intestine or small bowel is an organ in the gastrointestinal tract where most of the end absorption of nutrients and minerals from food takes place. It lies between the stomach and large intestine, and receives bile and pancreatic juice through the pancreatic duct to aid in digestion.  The small intestine is the longest part of the digestive system about twenty feet long and folds many times to fit inside your abdomen. It consists of three parts: duodenum, jejunum and ileum. Read and know in brief about small bowel and basic of Small Bowel Surgery in Surat.

Problems with the small intestine can include:

  1. Bleeding
  2. Celiac disease
  3. Crohn’s disease
  4. Infections
  5. Intestinal cancer
  6. Intestinal obstruction
  7. Irritable bowel syndrome
  8. Ulcers, such as peptic ulcer
  9. Intestinal Tuberculosis
  10. Intestinal Gangrene


GI bleeding occurs when an abnormality on the inner lining begins to bleed. Approximately 5% of all GI bleeding comes from the small bowel. Abnormal blood vessels (arteriovenous malformations or AVMs) cause 30 to 40% of bleeds. AVMs are the main source of bleeding in patients over the age of 50 years. Tumors (benign and malignant), polyps, Crohn’s disease, and ulcers are some of the other causes of bleeding.

Multiple tests can be used to diagnose and treat the source of small bowel bleeding, including: endoscopy, enteroscopy, x-ray studies, capsule endoscopy, deep small bowel enteroscopy, and intraoperative enteroscopy. AVMs can typically be treated with cautery delivered through an endoscope or enteroscope. Tumors (benign and malignant) can be biopsied and have their location marked using endoscopy, but surgery is typically required to take them out. Other conditions, such as Crohn’s disease, are often treated with medications. 

Celiac disease

Celiac disease is an autoimmune disorder that’s triggered when you eat gluten. It’s also known as celiac sprue, no tropical sprue, or gluten-sensitive enteropathy.

Gluten is a protein in wheat, barley, rye, and other grains. It’s what makes dough elastic and gives bread its chewy texture.

When someone with celiac disease eats something with gluten, their body overreacts to the protein and damages their villi, small finger-like projections found along the wall of their small intestine.

When your villi are injured, your small intestine can’t properly absorb nutrients from food. Eventually, this can lead to malnourishment, as well as loss of bone density, miscarriage, infertility or even neurological diseases or certain cancers.

Celiac disease


If your celiac disease isn’t better after at least a year without gluten, it’s called refractory or nonresponsive celiac disease.

Most people with celiac disease never know that they have it. Researchers think that as few as 20% of people with the disease get the right diagnosis. The damage to your intestine is very slow, and symptoms are so varied that it can take years to get a diagnosis.

Celiac disease isn’t the same thing as gluten intolerance or gluten sensitivity. People with gluten intolerance may have some of the same symptoms and may want to avoid gluten. But they don’t show an immune response or damage to the small intestine

Crohn's disease


Crohn’s disease (sometimes called Crohn disease) is a chronic inflammatory disease of the intestines. It primarily causes ulcerations (breaks in the mucosal lining) of the small and large intestines, but can affect the digestive system anywhere from the mouth to the anus. It also is called granulomatous enteritis or colitis, regional enteritis, ileitis, or terminal ileitis.

Crohn’s disease is related closely to another chronic inflammatory condition that involves only the colon called ulcerative colitis. Together, Crohn’s disease and ulcerative colitis are referred to as inflammatory bowel disease (IBD). Ulcerative colitis and Crohn’s disease have no medical cure. Once the diseases begin, they tend to fluctuate between periods of inactivity (remission) and activity (relapse).

Crohn's Disease

Men and women are affected equally by inflammatory bowel disease. Americans of Jewish European descent are more likely to develop IBD than the general population. IBD has historically been considered predominantly a disease of Caucasians, but there has been an increase in the reported cases in African Americans. The prevalence appears to be lower among Hispanic and Asian populations. IBD most commonly begins during adolescence and early adulthood (usually between the ages of 15 and 35). There is a small second peak of newly diagnosed cases after age 50. The number of new cases (incidence) and number of cases (prevalence) of Crohn’s disease in the United States are rising, although the reason for this is not completely understood.

Crohn’s disease tends to be more common in relatives of patients with Crohn’s disease. If a person has a relative with the disease, his/her risk of developing the disease is estimated to be at least 10 times that of the general population and 30 times greater if the relative with Crohn’s disease is a sibling. It also is more common among relatives of patients with ulcerative colitis.


Gastrointestinal infections are viral, bacterial or parasitic infections that cause gastroenteritis, an inflammation of the gastrointestinal tract involving both the stomach and the small intestine. Symptoms include diarrhea, vomiting, and abdominal pain. Dehydration is the main danger of gastrointestinal infections, so rehydration is important, but most gastrointestinal infections are self-limited and resolve within a few days. However, in a healthcare setting and in specific populations (newborns/infants, immunocompromised patients or elderly populations), they are potentially serious. Rapid diagnosis, appropriate treatment and infection control measures are therefore particularly important in these contexts.

Intestinal cancer

Intestinal Cancer

Small intestine cancer is a rare disease where cells in the tissue of the small intestine change. They grow out of control and can form a mass, or tumour.

The small intestine (also called “small bowel”) connects your stomach to your large intestine. Its main job is to break down and absorb food, fats, vitamins, and other substances your body needs. If you have this type of cancer, tumour cells may block the small intestine.

There are five types of small intestine cancer:

  • Adenocarcinomas. These make up an estimated 30% to 40% of cases. An adenocarcinoma starts in the lining of the small intestine. At first, it may look like a small, noncancerous growth called a polyp, but over time it can turn into cancer.
  • Sarcoma . Cancerous cells develop in the soft tissue of the small intestine.
  • Carcinoid tumors . These slow-growing cancers often take root in the lower section of the small intestine. They might also affect your appendix or rectum. These tumors give off large amounts of certain body chemicals, like serotonin.
  • Gastrointestinal stromal tumors (GISTs). This is a rare form of small intestine cancer. More than half of them start in the stomach. Not all GISTs are cancerous.

Intestinal lymphomas. A lymphoma is a cancer that starts in the lymph nodes. People who develop them often have a type of immunodeficiency disorder. That means your body’s natural défense system is weakened and may not fight infection and disease the way it should.

SIDS Hospital is performing most number of Small Bowel Surgery in Surat.

Intestinal obstruction

Intestinal obstruction is a blockage that keeps food or liquid from passing through your small intestine or large intestine (colon). Causes of intestinal obstruction may include fibrous bands of tissue (adhesions) in the abdomen that form after surgery, an inflamed intestine (Crohn’s disease), infected pouches in your intestine (diverticulitis), hernias and colon cancer, tuberculosis of intestine.

Intestinal Obstruction

Without treatment, the blocked parts of the intestine can die, leading to serious problems. However, with prompt medical and surgical care, intestinal obstruction often can be successfully treated. For obstruction related Small Bowel Surgery in Surat one can visit at SIDS Hospital.

Irritable bowel syndrome

IBS is a mix of belly discomfort or pain and trouble with bowel habits: either going more or less often than normal (diarrhea or constipation) or having a different kind of stool (thin, hard, or soft and liquid). Doctors used to call IBS other names including:

  • IBS colitis
  • Mucous colitis
  • Spastic colon
  • Nervous colon
  • Spastic bowel

There are four types of the condition. There is IBS with constipation (IBS-C) and IBS with diarrhea (IBS-D). Some people have an alternating pattern of constipation and diarrhea. This is called mixed IBS (IBS-M). For people who don’t fit into these categories easily, the condition is called unsub typed IBS, or IBS-U.

Irritable Bowel Syndrome

IBS isn’t life-threatening, and it doesn’t make you more likely to get other colon conditions, such as ulcerative colitis, Crohn’s disease, or colon cancer. But it can be a long-lasting problem that changes how you live your life. People with IBS may miss work or school more often, and they may feel less able to take part in daily activities. Some people may need to change their work setting: shifting to working at home, changing hours, or even not working at all.

Ulcers, such as peptic ulcer

Peptic ulcer disease occurs when open sores, or ulcers, form in the stomach or first part of the small intestine. Many cases of peptic ulcer disease develop because a bacterial infection eats away the protective lining of the digestive system. People who frequently take pain relievers are more likely to develop ulcers.

Peptic Ulcers

Peptic ulcer disease is a condition in which painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine (the duodenum). Normally, a thick layer of mucus protects the stomach lining from the effect of its digestive juices. But many things can reduce this protective layer, allowing stomach acid to damage the tissue. Dr Dhaval Mangukiya with vast experience for Small Bowel Surgery in Surat available at SIDS Hospital for his expert advice and solutions.

Intestinal Tuberculosis

Abdominal tuberculosis is an increasingly common disease that poses diagnostic challenges, as the nonspecific features of the disease which may lead to diagnostic delays and development of complications. This condition is regarded as a great mimic of other abdominal pathology. A high index of suspicion is an important factor in early diagnosis. Abdominal involvement may occur in the gastrointestinal tract, peritoneum, lymph nodes or solid viscera. Various investigative methods have been used to aid in the diagnosis of abdominal tuberculosis. Early diagnosis and initiation of ant tuberculous therapy and surgical treatment are essential to prevent morbidity and mortality. Most of the patients respond very well to standard antitubercular therapy and surgery is required only in a minority of cases. We are most experienced in small bowel surgery in surat for intestinal tuberculosis.

Intestinal Gangrene

Intestinal Ischemia is a serious condition which causes pain and improper functioning of intestines due to blockage of intestinal supply due to blockage in an artery.  It affects mainly small intestines; large intestines can also get affected by ischemia. Early diagnosis can help to recover from the disease by using the right medications at the right time and surgical intervention if required.

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