Surgery to treat double bowel - laparoscopic surgery

This is an automatically translated article.

This article is professionally consulted by resident Doctor Le Thanh Tuan - Department of General Surgery - Vinmec Nha Trang International Hospital. The doctor has extensive experience in examination, treatment and surgery of abdominal diseases.
Digestive tract disease is a rare birth defect of the digestive tract in children, when having a double intestine can cause a number of dangerous complications. Digestive tract disease can be found anywhere in the gastrointestinal tract, of which the most common is the double bowel, accounting for over 70% of cases. When detecting double bowel, the only treatment method is surgical intervention, laparoscopic surgery is the method that is widely used because it has many outstanding advantages compared to open surgery.

1. Overview of double bowel disease

During the formation of the alimentary canal in the fetus, the contents of the alimentary canal from the mouth to the anus can be repeated, anywhere in the gastrointestinal tract can be repeated, but the repeat form This is the most common. The condition of repeated gastrointestinal tract in the intestine is called double bowel disease or double bowel cyst.
In double bowel disease, the intestine is seen to have the same structure as the intestine, but it has grown over and adhered to a normal segment of the gastrointestinal tract, which may not communicate with the main intestine or with the main intestine. Normally, the mucosa lining the inner surface of the double intestine is the intestinal mucosa, but in some cases, the mucosa is the dysplastic gastric mucosa, which easily causes ulcers and intestinal perforation, which is very dangerous.

Signs of double bowel disease: Because the location and size of double bowel disease is not the same, the symptoms of the disease also vary from person to person. Possible signs include:
Some cases of small double bowel have no symptoms, only incidentally discovered during examination. Abdominal pain: As the most common manifestation, pain is usually caused by secretions that do not have a place to drain, causing stasis, possibly because the mucosa is a dysplasia of the stomach lining, causing duodenal cystic ulcers. Signs of abdominal pain in some cases are also atypical, pain is less dull in waves, so it is easy to ignore, Digestive disorders: The patient may vomit, nausea; bowel disorders, diarrhea or constipation are common in cases of colonic distal cysts. Children sometimes manifest when complications have occurred: severe abdominal pain, vomiting, bloody stools, bowel movements, if the complication is bowel obstruction, the patient has bowel obstruction, if there is a perforated cyst, the patient has abdominal pain. keep feverish. Complications of double bowel :
The most common is double bowel disease causing intussusception in young children. Duodenal cysts can cause ulceration and gastrointestinal bleeding leading to acute or chronic blood loss depending on the extent of bleeding. When the double bowel cyst is too large, it can compress and cause intestinal obstruction. Rare complications are intestinal volvulus, perforation of the cyst causing peritonitis, bleeding in the cyst... Carcinoma of double bowel disease is very rare.

2. Double bowel surgery

If the double intestine is small and causes no symptoms, it is only necessary to monitor, not need surgical intervention.
In the case of double bowel causing gastrointestinal symptoms or worse complications, treatment is needed, the only treatment method is surgical removal of the appendix. Currently, laparoscopic surgery is widely applied in the treatment of double bowel disease due to its outstanding advantages compared to open surgery.

The advantages of laparoscopic surgery to treat double bowel disease:
Makes it easier and more convenient to observe and find double bowel cysts compared to open surgery. As a minimally invasive method, the incision is small so there is less pain for the child and the scar formed is smaller. Faster recovery time, due to reduced hospital stay and treatment costs. When laparoscopically treating double bowel, depending on the characteristics of the cyst, there are appropriate strategies: simple cyst resection with closure of the gastrointestinal defect, or resection of the bowel containing the double cyst and reconstruction. gastrointestinal circulation. In most cases, laparoscopic double bowel surgery has a good prognosis and good recovery.
Because this is a surgical intervention method, it is inevitable that some side effects may occur during surgery such as: Damage to blood vessels, damage to organs in the abdomen, bleeding, infection after surgery...
Some things to pay attention to after laparoscopic surgery:
After surgery, children need to fast for at least 48 hours and give fluids if there is a bowel resection. Prophylactic antibiotics must be used after surgery. If there are any abnormal signs, it is necessary to immediately notify the medical staff such as: The child has a high fever, severe abdominal pain that does not decrease, the drainage tube has bright red blood... Signs of digestive disorders in children It is common, but when it recurs many times, it is necessary to pay attention and examine to avoid missing double bowel malformations in children, if the disease is detected late, it can be a manifestation of dangerous complications. Double bowel in children is thoroughly treated by laparoscopic surgery, there are some cases of incomplete or mild treatment without intervention that need to be examined regularly.
When a child shows signs of double bowel disease, parents can take the child to Vinmec International General Hospital for examination, diagnosis and treatment. Here, there is a team of well-trained pediatricians with high technical qualifications, rich experience in the treatment of diseases of infants, children and children under 16 years old. Vinmec is equipped with a system of modern and advanced medical supplies and professional service quality that will support high efficiency in diagnosis and treatment of patients.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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Surgery to treat double bowel - open surgery What is a double bowel cyst? When is laparoscopic surgery performed?