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intestinal decompression

Lee M Bass, Stanley Kim, Riccardo Superina, Saeed Mohammad
Portal hypertension secondary to portal vein obstruction following liver transplant occurs in 5%-10% of children. Jejunal varices are uncommon in this group. We present a case series of children with significant GI blood loss, negative upper endoscopy, and jejunal varices detected by CE. Case series of patients who had CE for chronic GI blood loss following liver transplantation. Three patients who had their initial transplants at a median age of 7 months were identified at our institution presenting at a median age of 8 years (range 7-16 years) with a median Hgb of 2...
October 20, 2016: Pediatric Transplantation
V I Pomazkin
AIM: to compare long-term results after 2 types of stage management of obstructing colonic cancer. MATERIAL AND METHODS: Main group included 105 patients after staged treatment with decompressive colostomy followed by radical surgery at the second stage. Control group consisted of 115 patients after obstructive colonic resection with colostomy as radical intervention at the first stage; the second stage included reconstructive intervention colostomy removal. RESULTS: Local recurrences were observed in 5...
2016: Khirurgiia
Gloria Tun, Dominic Bullas, Ayman Bannaga, Elmuhtady M Said
Percutaneous endoscopic colostomy (PEC) is a minimally invasive endoscopic procedure that offers an alternative treatment for high-risk patients with sigmoid volvulus or intestinal pseudo-obstruction who have tried conventional treatment options without success or those who are unfit for surgery. The procedure acts as an irrigation or decompressing channel and provides colonic 'fixation' to the anterior abdominal wall. The risk of complications highlights the importance of informed consent for patients and relatives...
October 2016: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
Yin Li
Enhanced recovery after surgery (ERAS) is a patient-centered, surgeon-led system combining anesthesia, nursing, nutrition and psychology. It aims to minimize surgical stress and maintain physiological function in perioperative care, thereby expediting recovery. ERAS theory has been clinically applied for nearly 20 years and it is firstly used in colorectal surgery, then widely used in other surgical fields. However, ERAS is not used commonly in esophagectomy because of its surgical complexity and high morbidity of postoperative complications, which limits the application of ERAS in the field of esophagectomy...
September 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Sébastien de Maistre, Nicolas Vallée, Emmanuel Gempp, Pierre Louge, Claude H B Duchamp, Jean-Eric Blatteau
Introduction Massive bubble formation after diving can lead to decompression sickness (DCS) that can result in neurological disorders. In experimental dives using hydrogen as the diluent gas, decreasing the body's H2 burden by inoculating hydrogen-metabolizing microbes into the gut reduces the risk of DCS. In contrast, we have shown that gut bacterial fermentation in rats on a standard diet promotes DCS through endogenous hydrogen production. So we set out to test these experimental results in humans. Materials and methods 39 divers admitted into our hyperbaric center with neurological DCS (Affected Divers) were compared with 39 healthy divers (Unaffected Divers)...
September 15, 2016: Journal of Applied Physiology
Teus J Weijs, Koshi Kumagai, Gijs H K Berkelmans, Grard A P Nieuwenhuijzen, Magnus Nilsson, Misha D P Luyer
Routine use of nasogastric tubes for gastric decompression has been abolished in nearly all types of gastro-intestinal surgery after introduction of enhanced recovery after surgery programs. However, in esophagectomy the routine use of nasogastric decompression is still a matter of debate. To determine the effects of routine nasogastric decompression following esophagectomy compared with early or peroperative removal of the nasogastric tube on pulmonary complications, anastomotic leakage, mortality, and postoperative recovery...
September 15, 2016: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
Hideaki Nishigori, Masaaki Ito, Yuji Nishizawa
PURPOSE: We introduce a novel transanal tube (TAT), named the "WING DRAIN", designed to prevent anastomotic leakage after rectal cancer surgery, and report the fundamental experiments that led to its development. MATERIALS AND METHODS: We performed the basic experiments to evaluate the effect of TATs on intestinal decompression, the changes they make in patterns of watery fluid drainage, the changes in their decompression effect when the extension tube connecting the TAT to the collection bag fills with watery drainage fluid, and the variations in intestinal contact and crushing pressure made by some types of TAT...
August 9, 2016: Surgery Today
Georgina Louise Armstrong, Thierry Georges Vancaillie
A variety of neuromodulation approaches have been described for the management of pelvic neuropathies, including interstitial cystitis, pudendal neuralgia and persistent genital arousal disorder. The benefits of a combined sacral and pudendal nerve neuromodulator has yet to be explored for these patients. In this report, we describe the case of a 35-year-old woman with a complex pelvic neuropathy resulting in urinary, sexual and gastro-intestinal dysfunction. She presented with an established diagnosis of interstitial cystitis; however, she also fulfilled diagnostic criteria for pudendal neuralgia and persistent genital arousal disorder...
2016: BMJ Case Reports
Zheng Zhao, Yong Wang, Yue Tu, Ping Ni
OBJECTIVE: Design and make triple cannula dual-lumen vacuum extractor to improve effect of decompression in operation of intestinal obstruction. METHODS: Triple cannula dual-lumen vacuum extractor was applied in 32 patients who underwent operation of intestinal obstruction from 2012 to 2015 in our hospital. The effect of intestinal decompression and patient prognosis were observed. RESULTS: 32 patients that used triple cannula dual-lumen vacuum extractor had good recovery except for one patient abdominal incision with fatty liquefaction...
January 2016: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
Tomoyuki Wakahara, Masahide Kaji, Yuko Harada, Shinobu Tsuchida, Akihiro Toyokawa
In cases of small bowel perforation with gross contamination, enterostomy has traditionally been the treatment of choice. An 86-year-old woman was diagnosed with perforative peritonitis. Emergency laparotomy revealed a small bowel perforation with gross contamination, and a T-tube enterostomy was performed. The T-tube was used for intestinal decompression for the first few days and was then accompanied by enteral feeding. When oral intake was sufficient, the T-tube was removed. The abdominal wall's fistula healed within 2 days of removal...
2016: Journal of Surgical Case Reports
Kenji Hashimoto, Masayasu Omori, Emiko Yoshimura, Motoi Asano, Ryo Harada, Junichi Toshimori, Masafumi Inoue, Motohiro Yokoyama, Haruhiko Kobashi
A 60-year-old woman with a history of distal gastrectomy for gastric cancer presented with a chief complaint of epigastric pain. Duodenal ileus due to the migration of a gastric bezoar was diagnosed, and she was hospitalized. We performed endoscopic lithotripsy and injection of cola, but the bezoar migrated toward the anus. Her abdominal pain worsened the following day, and she was diagnosed with ileus induced by the gastric bezoar. After decompression with an ileus tube, 1000ml/day of cola was injected via the ileus tube, and the ileus resolved on the 5th day of therapy...
May 2016: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
Weiming Zhu
Intestinal obstruction is the most common complication after gastrointestinal surgery, and will endanger the patients if not managed properly. The key to the management of intestinal obstruction includes not only the selection of treatment, but also adequate judgment of the cause, location, extent and the probability of reoperation by detailed inquiry of the history, thorough physical examination, and imaging studies, which will guide the treatment. Non-operative therapy is the mainstay of treatment for incomplete obstruction, whilebowel decompression the gut by small intestinal decompression tube, preoperative procedures including restoration of systemic homeostasis should be performed...
April 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Naoki Sano, Masayoshi Yamamoto, Kentaro Nagai, Keiichi Yamada, Nobuhiro Ohkohchi
The nasogastric tube (NGT) has become a frequently used device to alleviate gastrointestinal symptoms. Nasogastric tube syndrome (NTS) is an uncommon but potentially life-threatening complication of an indwelling NGT. NTS is characterized by acute upper airway obstruction due to bilateral vocal cord paralysis. We report a case of a 76-year-old man with NTS, induced by an indwelling long intestinal tube. He was admitted to our hospital for treatment of sigmoid colon cancer. He underwent sigmoidectomy to release a bowel obstruction, and had a long intestinal tube inserted to decompress the intestinal tract...
April 21, 2016: World Journal of Gastroenterology: WJG
Zambaiti Elisa, Chiaramonte Cinzia, Salerno Sergio, Li Voti Giuseppe, Siracusa Fortunato
Congenital colonic stenosis is a rare pediatric condition. Since 1968, only 16 cases have been reported in the literature. To the authors' knowledge, multiple congenital colonic stenosis has not been previously reported in the literature. We report the case of a 2-month-old male, presented at our Neonatal Intensive Care Unit with a suspicion of intestinal malrotation. Clinical examination revealed persistent abdominal distension. During the enema examination, the contrast medium appeared to fill the lumen of the colon up to three stenotic segments and could not proceed further...
2016: Case Reports in Pediatrics
Yoshifumi Nakayama, Masaki Akiyama, Yusuke Sawatsubashi, Noritaka Minagawa, Takayuki Torigoe, Keiji Hirata
This report presents an operative case of advanced descending colon cancer in an adult patient with intestinal malrotation. A 63-year-old Japanese male was suffering from left side abdominal pain, abdominal distension, and constipation. An endoscopic examination revealed an advanced tumor in the descending colon. Computed tomography (CT) of the abdomen revealed the thickening of the descending colon wall and superior mesenteric vein rotation. An opaque enema detected severe stenosis of the descending colon...
2016: Case Reports in Gastrointestinal Medicine
S V Malyk, V I Podlesniy, D O Lavrenko, V V Chekini
Microjejunostomy was performed to 12 patients in surgical department in 2013-2014yrs with the objective of decompression of initial portions of a small bowel and nutritivEesupport achievement. While performing primary operative intervention decompressiornwas applied in 4 patients, and while relaparotomy --n 8. Application of method of asmall bowel drainage have provided its adequate decompression and was not accom pnied by additional trauma of the structures drained. This method may constitutEealternative for duodenostomy...
December 2015: Klinichna Khirurhiia
Ezekiel Wong Toh Yoon
PTEG is a minimally invasive method to access the stomach or small intestine via an esophagostomy. It is used as an alternative to nasogastric tubing for gastric decompression or long-term enteral nutrition when gastrostomy is not suitable, such as in patients with total gastrectomy or advanced gastric cancer.
March 2016: Clinical Case Reports
S A Aliev, E S Aliev, B M Zeinalov
The article presents a retrospective analysis of the results of surgical treatment of postoperative intraabdominal complications in 42 patients with colon cancer complicated by bowel obstruction and perforation of the tumor. The pyoinflammatory processes such as peritonitis and abscesses of abdominal cavity took a leading place in the structure of postoperative complications according to the authors. Method of "closed" decompression and intraluminal irrigation of the large intestine without wide opening of organ lumen was developed and applied into practice as perioperative prophylaxis of pyoinflammatory processes...
2015: Vestnik Khirurgii Imeni I. I. Grekova
Takatsugu Matsumoto, Motoki Nagai, Daisuke Koike, Yukihiro Nomura, Nobutaka Tanaka
A 26-year-old woman was referred to our hospital because of abdominal distention and vomiting. Contrast-enhanced computed tomography showed a blind loop of the bowel extending to near the uterus and a fibrotic band connecting the mesentery to the top of the bowel, suggestive of Meckel's diverticulum (MD) and a mesodiverticular band (MDB). After intestinal decompression, elective laparoscopic surgery was carried out. Using three 5-mm ports, MD was dissected from the surrounding adhesion and MDB was divided intracorporeally...
February 27, 2016: World Journal of Gastrointestinal Surgery
A S Ermolov, A G Lebedev, G P Titova, P A Yartsev, I E Selina, P A Reznitsky, O A Alekseechkina, O Kh Kaloeva, N V Shavrina, O L Evdokimova, R G Zhigalkin
AIM: To review one of actual problems of emergency surgery - diagnosis and treatment of patients with non-occlusive mesenteric circulatory disorders. MATERIAL AND METHODS: The article presents the clinical observations showing the ambiguity of clinical picture, features and challenges of diagnosis, treatment of disease and opportunities for positive outcomes. Diagnostic methods are x-ray, abdominal ultrasonography according to which acute abdominal ischemia may be assumed...
2015: Khirurgiia
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