Intestinal adhesions are bands of fibrous tissue that can connect the loops of the intestines to each other, the intestines to other abdominal organs or the intestines to the abdominal wall. These bands can pull sections of the intestines out of place and may block passage of food. Adhesions are a major cause of intestinal obstruction.
Adhesions may be present at birth (congenital) although most form after abdominal surgery or inflammation. They are more common after procedures on the colon, appendix or uterus than after surgery on the stomach, gallbladder or pancreas. The risk of developing adhesions increases with the passage of time after the surgery.
Intestinal Adhesions Symptoms
Some adhesions will cause no symptoms. If the adhesions cause partial or complete obstruction of the intestines, the symptoms one would feel would depend on the degree and the location of the obstruction. These symptoms include cramping abdominal pain, vomiting, bloating, inability to pass gas and constipation.
Some adhesions will cause no symptoms and go away by themselves. For people whose intestines are only partially blocked, a diet low in fiber, called a low-residue diet, allows food to move more easily through the affected area. In some cases, surgery may be necessary to remove the adhesions, reposition the intestine, and relieve symptoms. But the risk of developing more adhesions increases with each additional surgery.
Methods to prevent adhesions include using biodegradable membranes or gels to separate organs at the end of surgery or performing laparoscopic (keyhole) surgery, which reduces the size of the incision and the handling of the organs.