keyword
https://read.qxmd.com/read/38532245/type-of-prior-operation-does-not-predict-surgical-intervention-for-small-bowel-obstruction
#1
JOURNAL ARTICLE
Alexandra L Van Horn, Alexa P Soult, Molly E Sternick, Emily L Sturm, Rebecca C Britt
Background : Patients with prior abdominal surgeries are at higher risk for intra-abdominal adhesive tissue formation and subsequently higher risk for small bowel obstruction (SBO). Purpose : In this study, we investigated whether surgical intervention for SBO was more likely following specific types of abdominal surgeries. Research Design : With retrospective chart review, we pooled data from 799 patients, ages 18 to 89, admitted with SBO between 2012 and 2019. Patients were evaluated based on whether they underwent surgery or were managed conservatively...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38520291/modified-graham-patch-repair-of-small-bowel-anastomotic-leak
#2
JOURNAL ARTICLE
Ashley Alden, Robert D Bennett
The modified Graham patch repair is a well-established technique for management of perforating foregut injuries, often learned by surgeons during general surgery training. There is, however, little to no data regarding the utilization of this technique for perforation of the distal midgut or in the re-operative field. We present two cases of midgut anastomotic complications successfully managed with modified graham patch repair at our institution. The first case is a 79-year-old female who underwent an emergent right hemicolectomy at an outside institution for management of an iatrogenic perforation during endoscopic polypectomy...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38515946/trauma-to-the-solid-abdominal-organs-the-missed-dark-box-of-colonoscopy
#3
EDITORIAL
Mohamed H Emara, Usama Mazid, Yasmine A Elshaer, Mahmoud A Elkerdawy, Dilaver Farooq Malik, Aya M Mahros
Colonoscopy is an integral part of the lower bowel care and is generally considered a potentially safe diagnostic and therapeutic procedure performed as a daycare outpatient procedure. Colonoscopy is associated with different complications that are not limited to adverse events related to the bowel preparation solutions used, the sedatives used, but to the procedure related as well including bleeding and perforation. Injuries to the extra-luminal abdominal organs during colonoscopy are uncommon, however, serious complications related to the procedure have been reported infrequently in the literature...
February 21, 2024: World Journal of Gastroenterology: WJG
https://read.qxmd.com/read/38513418/case-report-jejunal-diverticulosis-with-chronic-interstitial-and-mesenteric-adhesions-chronic-mesenteric-volvulus-and-decompensated-small-bowel-obstruction
#4
Sarlote Agate Vanka, Janis Rudzitis, Ingus Skadins, Juta Kroica, Sintija Miluna-Meldere, Janis Dreijers
INTRODUCTION: Jejunal diverticulosis has not gained significant attention because of its rarity and typically asymptomatic course as well as the relative diagnostic inaccessibility of the jejunum. This report presents a rare case of jejunal diverticulosis complicated with chronic interstitial and mesenteric adhesions, chronic mesenteric volvulus, and decompensated small-bowel obstruction. PRESENTATION OF CASE: An 84-year-old man was admitted to the emergency room with a 24-h history of acute colicky abdominal pain...
March 19, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38509559/parenteral-nutrition-a-life-saving-intervention-for-4-months-in-short-bowel-syndrome-a-case-report-and-review-of-the-literature
#5
REVIEW
Saulius Švagždys, Ieva Smolskaitė, Rūta Vindžigalskytė
BACKGROUND: Short bowel syndrome (SBS) in adults is defined as having less than 180 to 200 cm of remaining small bowel. Many literature sources do not provide precise epidemiological data, and challenges in estimating the prevalence of SBS include its multifactorial etiology and varying definitions. The most common pathologies leading to SBS include Crohn disease, mesenteric ischemia, radiation enteritis, post-surgical adhesions, and post-operative complications...
March 21, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38498843/contemporary-assessment-of-adhesiolysis-and-resection-for-adhesive-small-bowel-obstruction-in-the-state-of-new-york
#6
JOURNAL ARTICLE
Matthew M Symer, Xinyan Zheng, Bradley B Pua, Art Sedrakyan, Jeffrey W Milsom
BACKGROUND: Adhesive small bowel obstruction (aSBO) is a common surgical problem, with some advocating for a more aggressive operative approach to avoid recurrence. Contemporary outcomes in a real-world setting were examined. STUDY DESIGN: A retrospective cohort study was performed using the New York Statewide Planning and Research Cooperative database to identify adults admitted with aSBO, 2016-2020. Patients were stratified by the presence of inflammatory bowel disease (IBD) and cancer history...
March 18, 2024: Surgical Innovation
https://read.qxmd.com/read/38495965/internal-hernia-through-a-mesenteric-defect-following-esophagectomy-and-reconstruction-with-a-stomach-preserved-ileocolic-interposition
#7
Daisuke Tomita, Kentoku Fujisawa, Yu Ohkura, Masaki Ueno, Harushi Udagawa
Esophagectomy is the standard treatment for esophageal cancer and often involves the stomach as a substitute organ for esophageal reconstruction. However, we actively perform stomach-preserved ileocolic interposition because of its advantages in gastrointestinal function and the prevention of reflux esophagitis. Despite its benefits, few facilities perform esophageal reconstruction with ileocolic interposition; hence, postoperative complications following this procedure have rarely been reported. We present the first case of internal hernia through a mesenteric defect following esophagectomy and reconstruction with a stomach-preserved ileocolic interposition...
March 2024: Curēus
https://read.qxmd.com/read/38493617/complete-ileal-obstruction-secondary-to-a-22-year-old-non-absorbable-suture-for-an-open-appendectomy-clinical-case-report
#8
Yasir Alshareefy, Tala Muassess, Mahpara Mir, Hussam Altrabulsi, Ali Alshareefy
INTRODUCTION: Small bowel obstruction (SBO) is a common surgical emergency. Our report describes a case of a 61-year-old male who was found to have a PROLENE suture left in situ from a previous open appendectomy 22 years ago, over which a fibrous adhesive band had formed, resulting in a terminal ileal volvulus and subsequent SBO. CASE: A 61-year-old male presented with a 3-day history of severe lower abdominal cramps, nausea and constipation. A previous open appendectomy, performed 22 years ago, was the only significant detail in his medical history...
March 16, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38486809/functional-prediction-of-proteins-from-the-human-gut-archaeome
#9
JOURNAL ARTICLE
Polina V Novikova, Susheel Bhanu Busi, Alexander J Probst, Patrick May, Paul Wilmes
The human gastrointestinal tract contains diverse microbial communities, including archaea. Among them, Methanobrevibacter smithii represents a highly active and clinically relevant methanogenic archaeon, being involved in gastrointestinal disorders, such as inflammatory bowel disease and obesity. Herein, we present an integrated approach using sequence and structure information to improve the annotation of M. smithii proteins using advanced protein structure prediction and annotation tools, such as AlphaFold2, trRosetta, ProFunc, and DeepFri...
January 2024: ISME Commun
https://read.qxmd.com/read/38483200/bioinspired-nanozymes-as-nanodecoys-for-urinary-tract-infection-treatment
#10
JOURNAL ARTICLE
Yihong Zhang, Wanling Liu, Gen Wei, Quanyi Liu, Guoqiang Shao, Xiang Gu, Xiaomiao Cui, Zijun Zhou, Yuting Wang, Sheng Zhao, Faheem Muhammad, Sirong Li, Tong Li, Yan Du, Hui Wei
Urinary tract infections (UTIs), common bacterial infections in communities and medical facilities, are mainly mediated by FimH. The glycan sites of the uromodulin protein play a crucial role in protecting against UTIs by interacting with FimH. A bioinspired approach using glycan-FimH interactions may effectively reduce bacteria through an antiadhesive mechanism, thereby curbing bacterial resistance. However, typical antiadhesive therapy alone fails to address the excessive reactive oxygen species and inflammatory response during UTIs...
March 14, 2024: ACS Nano
https://read.qxmd.com/read/38461140/comparison-of-the-effect-between-traditional-conservation-and-nasointestinal-tube-placement-in-adhesive-small-bowel-obstruction-a-matched-case-control-study
#11
JOURNAL ARTICLE
Hui Wang, Jun-Rong Zhang, Peng-Sheng Tu, Wen-Xuan Chen, Shuai Chen, Qing-Feng Chen, Zong-Qi Weng, Xin-Chang Shang-Guan, Bing-Qiang Lin, Xian-Qiang Chen
Adhesive small bowel obstruction (ASBO) causes a major burden in emergency medicine. Owing to in situ decompression, nasointestinal tube (NIT) placement has been increasingly used in clinical practice compared with traditional conservation (TC); however, the indications remain controversial. This study was designed to explore the indications for each treatment in ASBOs and then suggest the optimal strategy. After propensity score matching, 128 pairs were included (the NIT and TC groups). The occurrence of severe adverse events (SAEs), peri-treatment clinical parameters, and radiological features were compared between the successful and failed treatment groups...
March 8, 2024: Asian Journal of Surgery
https://read.qxmd.com/read/38456280/the-effect-of-hyperosmolar-water-soluble-contrast-for-the-management-of-adhesive-small-bowel-obstruction-a-systematic-review-and-meta-analysis-erratum
#12
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
April 1, 2024: Annals of Surgery
https://read.qxmd.com/read/38453749/assessing-risk-of-recurrent-small-bowel-obstruction-after-non-operative-management-in-patients-with-history-of-intra-abdominal-surgery-a-population-based-comprehensive-analysis-in-taiwan
#13
JOURNAL ARTICLE
Shang-Wei Lin, Chung-Yen Chen, Pin-Chun Chen, Che-Lun Feng, Hung-Yu Lin, Jian-Han Chen
BACKGROUND: Despite a significant 30% ten-year readmission rate for SBO patients, investigations into recurrent risk factors after non-operative management are scarce. The study aims to generate a risk factor scoring system, the 'Small Bowel Obstruction Recurrence Score' (SBORS), predicting 6-month recurrence of small bowel obstruction (SBO) after successful non-surgical management in patients who have history of intra-abdominal surgery. METHODS: We analyzed data from patients aged ≥ 18 with a history of intra-abdominal surgery and diagnosed with SBO (ICD-9 code: 560, 568) and were successful treated non-surgically between 2004 and 2008...
March 7, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38447338/assessing-the-modified-frailty-index-and-post-operative-outcomes-in-adhesive-small-bowel-obstruction-a-retrospective-cohort-study
#14
JOURNAL ARTICLE
Gaurav Talwar, Tyler McKechnie, Janhavi Patel, Reva Qiu, Kathy Wu, Yung Lee, Dennis Hong, Aristithes Doumouras, Jessica Bogach, Cagla Eskicioglu
INTRODUCTION: Studies identifying predictors of postoperative outcomes in adhesive small bowel obstruction are limited. This study investigates the efficacy of the modified frailty index (mFI)to predict postoperative morbidity and mortality among patients undergoing surgery for adhesive small bowel obstruction. METHODS: A multicentre retrospective cohort study including patients undergoing surgery for adhesive small bowel obstruction after failed trial of nonoperative management between January 2015 and December 2020 was performed...
March 5, 2024: Journal of Surgical Research
https://read.qxmd.com/read/38447175/lycopene-ameliorated-dss-induced-colitis-by-improving-epithelial-barrier-functions-and-inhibiting-the-escherichia-coli-adhesion-in-mice
#15
JOURNAL ARTICLE
Yunshuang Yue, Mengxuan Shi, Xunyu Song, Chen Ma, Daotong Li, Xiaosong Hu, Fang Chen
Adherent-invasive Escherichia coli plays an important role in the pathogenesis of inflammatory bowel disease. Blocking the adhesion of E. coli to intestinal epithelial cells appears to be useful for attenuating inflammatory bowel disease. Lycopene has been reported to have anti-inflammatory and antimicrobial activities. The aim of this study was to test the intervention effect of lycopene on colitis in mice and to investigate the possible mechanism through which lycopene affects the adhesion of E. coli to intestinal epithelial cells...
March 6, 2024: Journal of Agricultural and Food Chemistry
https://read.qxmd.com/read/38445910/modified-frailty-index-predicts-postoperative-morbidity-in-adhesive-small-bowel-obstruction-analyzing-the-national-inpatient-sample-2015-2019
#16
JOURNAL ARTICLE
Gaurav Talwar, Tyler McKechnie, Yung Lee, Tania Kazi, Abdullah El-Sayes, Jessica Bogach, Dennis Hong, Cagla Eskicioglu
BACKGROUND: There are limited data identifying predictors of postoperative outcomes in adhesive small bowel obstruction (ASBO). This study used the National Inpatient Sample (NIS) to assess the efficacy of the modified frailty index (mFI) to predict postoperative morbidity among patients undergoing an operation for ASBO. METHODS: A retrospective analysis of the NIS between September 1, 2015, and December 31, 2019, was performed to identify adult patients who underwent nonelective operative intervention for ASBO...
March 2024: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38439639/the-importance-of-integrating-diagnostic-modalities-in-patient-selection-for-crs-hipec-in-colorectal-peritoneal-metastases
#17
JOURNAL ARTICLE
Nadine L de Boer, Checca Bakkers, Alexandra Rm Brandt-Kerkhof, Marianne de Vries, Joost Nederend, Cornelis Verhoef, Ignace Hjt de Hingh, Jacobus Wa Burger
BACKGROUND: Despite thorough preoperative work-up for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC), so called open-close (OC) procedures as a result of irresectable disease remain common. Currently, diagnostic laparoscopy (DLS) is considered the gold standard, and consequently overrules the results of computed tomography (CT) scans; however, certain regions of the abdomen are difficult to assess and postoperative adhesion formation may further compromise staging during DLS...
March 4, 2024: Acta Radiologica
https://read.qxmd.com/read/38435166/incidental-appendico-ileal-fistula-in-a-patient-with-adhesive-intestinal-obstruction-a-case-report
#18
Deepak Gusain, Rahul Varshney, Arvind Singh, Jyoti Koli, Rahul Gupta
A fistulous communication between the appendix and any viscus is rare. Such fistula is most often acquired due to recurrent appendicitis, cystic fibrosis, Crohn's disease, tuberculosis, and malignancy. Here in, we report a rare case of an appendico-ileal fistula incidentally detected during laparotomy for adhesive small bowel obstruction. The fistula was divided, the ileal opening was sutured, and appendectomy was performed. Postoperative recovery was uneventful, with no evidence of malignancy, tuberculosis, or inflammatory bowel disease on the histopathological examination of the appendix...
February 2024: Curēus
https://read.qxmd.com/read/38430140/treatment-of-adhesive-intestinal-obstruction-by-nasogastric-tube-under-enhancedrecovery-after-surgery-an-efficacy-analysis
#19
JOURNAL ARTICLE
Ting Liu, Yanping Tang, Lijun Li, Dan Xia, Zimeng Chang
OBJECTIVE: To explore the application value of enhanced recovery after surgery (ERAS) in the treatment of adhesive intestinal obstruction (AIO) by nasogastric tube (NGT). METHODS: Between December 2020 and December 2022, AIO patients who received NGT treatment at The Fourth Hospital of Changsha were selected, including 43 cases receiving ERAS nursing (observation group) and 35 cases receiving routine care (control group). The two groups were compared in terms of postoperative rehabilitation, as well as their psychology, pain, and quality of life which were evaluated using Self-Rating Anxiety/Depression Scale (SAS/SDS), Visual Analogue Scale (VAS), and Short-Form 36 Item Health Survey (SF-36), respectively...
March 1, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38429164/laparoscopic-application-of-sodium-hyaluronate-carboxymethylcellulose-barrier-in-abdominopelvic-surgery-a-preferred-reporting-items-for-systematic-reviews-and-meta-analyses-for-systematic-review-protocols-compliant-systematic-review-and-meta-analysis
#20
REVIEW
Terri Siebert, Gerhard Moersdorf, Torben Colberg
BACKGROUND: We aimed to evaluate the incidence of postoperative adhesion formation and adhesion-related consequences (eg, bowel obstruction) after placement of a sodium hyaluronate-carboxymethylcellulose adhesion barrier after laparoscopic abdominopelvic surgery. METHODS: In this systematic review and meta-analysis, we searched the Medical Literature Analysis and Retrieval System Online and Embase via Ovid, Cochrane Central Register of Controlled Trials, ScienceDirect, BIOSIS Previews, Cumulative Index to Nursing and Allied Health Literature, and Clinical Trial Registries...
February 29, 2024: Surgery
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