Treatment after intestinal adhesion Intestinal adhesion refers to the adhesion between intestinal loops in abdominal cavity. There are two reasons for intra-abdominal adhesion and banding: 1, congenital-(Meckel diverticulum and meconium aseptic peritonitis); 2, acquired-mostly stimulated by abdominal surgery, inflammation, trauma, bleeding, foreign bodies, tumors and other reasons, resulting in extensive adhesion of the peritoneum, but also in a rope shape. Intestinal adhesion after the second operation is the most common, followed by infection and congenital. The above reasons lead to peritoneal and intestinal ischemia, granuloma formation of foreign bodies, exudation of fibrous tissue, formation of cellulose soft adhesion, most of which are completely absorbed without leaving traces, and some of the cellulose soft adhesion is gradually organized and becomes fibrous membrane adhesion or band, which can cause intestinal obstruction in severe cases. Because of intestinal adhesion, even if there is no obstruction at ordinary times, there will be mild abdominal pain, bloating, diarrhea and other manifestations. If the adhesion is extensive, the intestinal contents are abnormally increased, the edema and peristalsis of intestinal mucosa are obviously increased, the tortuosity of the relatively fixed intestinal loop is increased after adhesion, the intestinal cavity stenosis becomes more serious, and the passage of the contents is blocked, which can cause incomplete intestinal obstruction. Although it occurs repeatedly, the obstruction can be relieved by gastrointestinal decompression and treatment of traditional Chinese and western medicine, and its nature is still simple. However, if patients occasionally have intestinal inflammation such as overeating or food allergy, which leads to abnormal increase of intestinal contents, edema of intestinal mucosa and enhanced peristalsis, the tortuosity of intestinal tract can be increased, the stenosis of intestinal cavity will be aggravated, and the obstacles for the passage of contents will be more obvious, eventually forming complete obstruction. If the adhesion is a fibrous cord-like tissue, the adhesion is only attached to the other end of the intestinal wall and the abdominal posterior wall or lateral abdominal wall. When the position of intestinal loop changes suddenly due to strenuous exercise and sudden change of posture, constrictive obstruction can occur. There is no special treatment for intestinal adhesion, but its complication adhesive intestinal obstruction should be found and treated as soon as possible, and more importantly, it should be prevented. So the suggestion is: 1. Pay attention to whether the patient has flatulence, abdominal pain, nausea and vomiting, abdominal distension and other symptoms. 2, the best way to prevent intestinal adhesion is to improve the level of surgery, aseptic operation, hemostasis, avoid tissue damage and prevent all kinds of foreign body pollution or stimulation of abdominal cavity. Patients can properly supplement microecological agents to regulate intestinal flora. Taking some traditional Chinese medicines can regulate qi movement, enhance intestinal peristalsis and prevent constipation. Supplement: Personally, I think tongji hospital in Wuhan or Zhongshan No.1 Hospital in Guangzhou are both good! 1) tongji hospital General Surgery Affiliated to Tongji Medical College, Huazhong University of Science and Technology: National Key Discipline. A group of experts represented by Qiu Fazu, an academician of the Chinese Academy of Sciences, are not only skilled, but also noble in medical ethics. The main diseases diagnosed and treated are: (1) hepatobiliary diseases; (2) Gastrointestinal diseases: early diagnosis of gastrointestinal diseases and timely operation through electronic gastroscope and fibercolonoscopy. The application of various new surgical operations, such as subtotal gastrectomy, pyloric reconstruction of gastroduodenal ulcer, standardized radical gastrectomy for gastric cancer, rectal cancer surgery and postoperative local intraperitoneal chemotherapy, has greatly improved the therapeutic effect. In particular, the long-term survival rate and quality of life of patients with gastric cancer have been continuously improved; (3) Portal hypertension and spleen surgery; (4) Endocrine diseases (pancreas, breast, thyroid; (5) Vascular diseases. 1) Gong Jianping: Professor, chief physician, doctoral supervisor. Since the early 1990s, clinical research on rational treatment of gastric cancer has been carried out, and standardized and individualized radical surgery has been carried out for patients with gastric cancer, which has significantly improved the survival rate of patients and reached the leading level in China after identification. The treatment of gastrointestinal tumors is no longer limited to simple surgery. Professor Gong Jianping used the principles of tumor biology to conduct drug sensitivity tests on tumor patients, designed individualized chemotherapy schemes for patients, and implemented specific and sensitive postoperative chemotherapy, which further improved the survival rate of patients. At the same time, in order to reduce the surgical trauma of patients and improve their quality of life, Professor Gong Jianping took the lead in carrying out minimally invasive laparoscopic radical resection of digestive tract tumors in China, and achieved good results. In 2002, the concept of automatic suture for digestive tract reconstruction was put forward nationwide. Supplement: 2) Hu Junbo: Deputy Director, Professor and Chief Physician of Gastrointestinal Surgery, member of Parenteral Nutrition Branch of Chinese Medical Association, member of Basic Nutrition Group of General Surgery Branch of Hubei Medical Association, and young editorial board of Journal of Abdominal Surgery. 1997 received a doctor's degree in medicine and worked in general surgery in tongji hospital in the same year. 1998-200 1 Received postdoctoral training at the Cancer Research Center of the University of Maryland, USA, mainly engaged in the research of tumor pathogenesis and treatment, and published more than 40 papers, of which 23 were included in SCI, with the total number of citations 130. Many papers have been published in important international academic journals, Cancer Research, Ongene, Ji and so on. Mainly engaged in the clinical work of general surgery, and accumulated rich experience in the diagnosis and treatment of gastrointestinal diseases. Especially for gastric cancer, colon cancer, rectal cancer and anal canal diseases. Participated in 4 monographs, undertook many national and provincial scientific research projects, and applied for 3 patents. In 2004, he won the New Century Excellent Talents Support Program Award of the Ministry of Education. 2. Comprehensive Department of Gastrointestinal and Pancreatic Surgery, First Affiliated Hospital of Sun Yat-sen University: mainly treating benign and malignant tumors of esophagus and gastrointestinal tract, peptic ulcer complications, various gastrointestinal bleeding, pancreatic surgical diseases, intestinal fistula, intestinal obstruction, esophageal stenosis, achalasia, superior mesenteric artery compression syndrome, adult Hirschsprung's disease, short bowel syndrome, internal and external hernia, rectal prolapse, rectal prolapse, circular hemorrhoids and inflammatory bowel disease. In recent years, radical gastrectomy (such as D4 radical gastrectomy) has been widely carried out. ), total mesorectal excision, anus-preserving operation for low rectal cancer, radical resection for rectal cancer with protective function, and "J"-shaped pouch anus anastomosis for colon have been carried out. 1) Zhan Wenhua: Professor, chief physician and doctoral supervisor. Honorary Head of Gastrointestinal Surgery Group, Surgery Branch of Chinese Medical Association. He has been engaged in general surgery for more than 30 years and has accumulated rich clinical experience in gastrointestinal and pancreatic surgery. Follow-up: How long does intestinal adhesion appear? A: The symptoms of patients with intestinal adhesion can vary according to the degree and location of adhesion. Mild people may be asymptomatic, or occasionally have mild abdominal pain and bloating after eating; Severe cases can often be accompanied by abdominal pain and bloating, poor exhaust, belching, burping, dry stool and so on. Normal intestinal peristalsis can expel food residues and gas from the body, while patients with intestinal adhesion narrow the intestine, block the passage of intestinal contents, and the gas and feces in the intestine cannot be discharged smoothly. The more they accumulate, the greater the pressure in the intestinal cavity, and the patient feels abdominal distension and difficulty in defecation. Patients with intestinal adhesion have reached the level of dry stool, and most of them are severe patients. Often the adhesion area is large and serious, the intestinal muscle function is limited and the peristalsis is abnormal, which leads to intestinal dysfunction and abnormal operation of intestinal contents. Food stays in the intestinal cavity for too long, and water is absorbed by the intestinal wall, resulting in dry stool. The light person defecates once every two or three days, and the heavy person defecates once a week. It is difficult to defecate every time, and it must be done with laxatives. Long-term retention of stool is easy to cause adhesive intestinal obstruction and intestinal necrosis, which is life-threatening. According to statistics, adhesive intestinal obstruction accounts for about 25% ~ 40% of all kinds of intestinal obstruction. Because there is inflammatory exudation after abdominal infection, cellulose is deposited in abdominal cavity, omentum or intestinal wall, forming connective tissue and causing adhesion. Such as pelvic inflammatory disease, adnexitis and various diseases after abdominal surgery. Adhesion can often occur, with intestinal adhesion as the most common. Patients often feel abdominal distension, abdominal pain, nausea, loss of appetite, constipation and even mechanical intestinal obstruction. Once intestinal adhesion occurs, the patient is very painful and his physical condition goes from bad to worse, which seriously affects his work and life. Therefore, it is very necessary to start rehabilitation treatment as soon as possible after the infection is cured. The specific methods are as follows: 1, wax therapy or incandescent lamp, infrared ray, etc. It can improve abdominal blood circulation and relieve symptoms such as abdominal distension and abdominal pain. 2. Audio frequency electrotherapy has the function of removing adhesion and relieving pain. 3. interference current therapy and medium frequency electrotherapy can not only eliminate adhesion and relieve pain, but also promote intestinal peristalsis and relieve constipation. 4. Breathing exercise, abdominal muscle exercise, abdominal massage and lower limb activity are beneficial to prevent adhesion and improve digestive function. Radix Aucklandiae 12 Rhizoma Cyperi 12 Radix Curcumae 9 Fructus Aurantii 9 Herba Hedyotidis Diffusae 15 Radix et Rhizoma Rhei 15 (lower back) Radix Paeoniae Alba 18 Pu Chuan 9 Chuanlian 6 Radix Salviae Miltiorrhizae 18 Jujube 20 Rhizoma Atractylodis Macrocephalae 15 Rhizoma Corydalis 6.