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Enterocele is a prolapse of the small bowel. Small bowel is located between large intestine and stomach and it is responsible for absorption of special minerals and nutritional elements from the food, needed for body. Small intestine also receives the bile from the pancreas, thus taking part in the whole gastrointestinal function. During enterocele small bowel is descended into the lower part of pelvic cavity, creating pressure on the vagina or pelvic floor. It also forms the bulge, which is caused by the falling out of the small bowel from place. Enterocele is predominant in women and can be caused by strenuous childbirth and other possible causes of continuous pressure on the pelvic floor, such as chronic cough, weight lifting, and diseases of the small intestine. Bowel diseases and chronic constipation can also be contributing factors to enterocele. Nonetheless, 45% of all enterocele cases are caused by complicated childbirth. Obesity in some cases and long-term lack of physical exercise also cause enterocele. Women who underwent pelvic surgery, who are long-term smokers or who have disorder of the connective tissue are in the risk group.
Overall, in 80% the recurrence of the prolapse does not happen again and surgery has good results.
Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko
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