Our Summary

This study looked at the relationship between certain blood markers and the need for intestinal resection (removal of a part of the intestine) in patients who underwent surgery for a certain type of hernia (where an organ pushes through an opening in the muscle or tissue that holds it in place). The researchers analyzed the blood cell counts of 102 patients before their surgery, and recorded the types of operations and the results.

They found that patients who needed part of their intestine removed had higher levels of certain types of white blood cells (neutrophils), wider variation in platelet size (PDW), higher ratios of neutrophils to lymphocytes (NLR), and higher ratios of platelets to lymphocytes (PLR). This suggests that these blood markers could be used to predict the need for intestinal resection in patients with this type of hernia, especially when there aren’t advanced imaging methods available.

FAQs

  1. What blood markers did the study find to be associated with the need for intestinal resection in hernia patients?
  2. How could these blood markers potentially be used in the treatment of patients with this type of hernia?
  3. Did the study suggest that these blood markers could replace the need for advanced imaging methods in predicting the need for intestinal resection?

Doctor’s Tip

One helpful tip a doctor might tell a patient about intestinal resection is to maintain a healthy diet and lifestyle before and after surgery. Eating a well-balanced diet with plenty of fiber, staying hydrated, and avoiding foods that may cause discomfort or exacerbate symptoms can help support the healing process and prevent complications. Additionally, staying active and following any post-operative care instructions provided by your healthcare team can help promote a smooth recovery.

Suitable For

Patients who are typically recommended intestinal resection include those with severe intestinal conditions such as:

  1. Inflammatory bowel disease (Crohn’s disease, ulcerative colitis)
  2. Intestinal obstruction or blockage
  3. Intestinal perforation or rupture
  4. Intestinal tumors or cancers
  5. Diverticulitis (inflammation or infection of small pouches in the colon)
  6. Traumatic injuries to the intestine
  7. Severe gastrointestinal bleeding
  8. Ischemic bowel disease (reduced blood flow to the intestines)
  9. Intestinal strictures or narrowing
  10. Fistulas (abnormal connections between organs) in the intestine.

It is important to note that intestinal resection is a major surgery and is typically recommended when other treatment options have been unsuccessful or when there is a significant risk to the patient’s overall health and well-being.

Timeline

Before intestinal resection:

  • Patient presents with symptoms such as abdominal pain, bloating, changes in bowel habits, and/or rectal bleeding
  • Patient undergoes diagnostic tests such as blood work, imaging studies (CT scan, MRI, colonoscopy), and possibly a biopsy
  • Surgeon determines that intestinal resection is necessary based on the severity of the condition, location of the affected area, and overall health of the patient
  • Patient undergoes pre-operative preparations such as fasting, bowel cleansing, and education on the procedure and recovery process

After intestinal resection:

  • Patient undergoes surgery to remove the affected part of the intestine
  • Patient is monitored closely in the hospital for complications such as infection, bleeding, and bowel obstruction
  • Patient receives pain management and support to help with recovery
  • Patient slowly resumes eating and drinking, and may need to follow a special diet to adjust to the changes in digestion
  • Patient is discharged from the hospital and continues to follow-up with healthcare providers for monitoring and adjustments to medications and lifestyle habits to support intestinal function and overall health.

What to Ask Your Doctor

  1. What are the risks and benefits of intestinal resection in my specific case?
  2. How will intestinal resection affect my digestion and overall health in the long term?
  3. Are there any alternative treatments or less invasive options available for my condition?
  4. What is the success rate of intestinal resection for patients with similar conditions?
  5. How long is the recovery time after intestinal resection surgery?
  6. What can I expect in terms of post-operative care and follow-up appointments?
  7. Are there any specific dietary or lifestyle changes I should make after intestinal resection?
  8. Will I need any additional testing or monitoring after the surgery?
  9. Are there any potential complications or side effects associated with intestinal resection surgery?
  10. How will intestinal resection surgery impact my quality of life and ability to perform daily activities?

Reference

Authors: Köksal H, Ateş D, Nazik EE, Küçükosmanoğlu İ, Doğan SM, Doğru O. Journal: Ulus Travma Acil Cerrahi Derg. 2018 May;24(3):207-210. doi: 10.5505/tjtes.2017.93937. PMID: 29786814