keyword
https://read.qxmd.com/read/38466460/like-a-rolling-gall-stone-optimal-treatment-of-gallstone-obstruction-of-the-sigmoid-colon
#21
JOURNAL ARTICLE
Antonio Pesce, Augusto Lauro, Costanza Gonella Pacchiotti, Vito D'Andrea, Nicolò Fabbri, Mario Bertasi, Carlo Vittorio Feo
BACKGROUND: Sigmoid gallstone ileus is a rare complication of cholelithiasis, accounting for 1-4% of all cases of large-bowel obstruction. This is a highly morbid, and often fatal, condition due to its challenging diagnosis and late presentation. CASE PRESENTATION: We report a case of a 90-year-old woman admitted to Emergency Department with abdominal pain and large-bowel obstruction due to a 6 cm gallstone lodged in a diverticulum of the proximal sigmoid colon as a consequence of a cholecysto-colonic fistula...
March 11, 2024: Digestive Diseases and Sciences
https://read.qxmd.com/read/38465720/l3w3-incisional-hernia-with-lod-robotic-etep-tar-repair-with-video
#22
JOURNAL ARTICLE
Victor Gheorghe Radu, Diana Teodora Cucu
video width="640" height="480" controls controlsList="nodownload" poster="https://www.revistachirurgia.ro/pdfs/video/Victor_Gheorghe_Radu_L3W3_Incisional_Hernia.jpg" style="margin-top: -20px;" source src="https://www.revistachirurgia.ro/pdfs/video/Victor_Gheorghe_Radu_L3W3_Incisional_Hernia.mp4" type="video/mp4" Your browser does not support the video tag. /video Introduction: The Rives-Stoppa procedure has emerged as the preferred method for ventral hernia repair, and the principles of this technique are similarly applied in minimally invasive surgery using the eTEP (enhanced view totally extraperitoneal) approach...
February 2024: Chirurgia
https://read.qxmd.com/read/38465151/atypical-presentation-of-breast-cancer-metastasis-to-the-bowel-a-case-report
#23
Ayodeji Ayeni, Peter Elemile, John Nwadiokwu, Victor Okebalama, Opeyemi Taiwo
Breast cancer rarely metastasizes to the intestinal tract. It is even more uncommon to find intestinal metastasis as the first sign of distant spread. We describe an atypical case of small and large bowel carcinomas arising from primary breast cancer and presenting as the first evidence of distant metastasis. Clinicians should therefore consider the possibility of gastrointestinal (GI) metastasis when patients with breast cancer present with GI symptoms.
February 2024: Curēus
https://read.qxmd.com/read/38465056/a-case-report-on-a-hybrid-approach-to-managing-acute-large-bowel-obstruction-secondary-to-spigelian-hernia
#24
Isabelle Huynh, Wei Mou Lim, Michelle Zhiyun Chen, Senthilkumar Rajavel Sundaramurthy, Yeng Kwang Tay
Spigelian hernias are an uncommon type of primary ventral hernia and are defined as a defect in the Spigelian aponeurosis (fascia). Herein, we present an uncommon case of Spigelian hernia to highlight the potential complications of these hernias and the need for surgical management. This is a case report of an 86-year-old gentleman presenting post-fall with an acute rib fracture and an incidental Spigelian hernia seen on a CT trauma pan scan. The Spigelian hernia surgical treatment was planned for elective management due to the anesthetic risks associated with an elderly patient and acute rib fractures...
February 2024: Curēus
https://read.qxmd.com/read/38464551/large-uterine-fibroids-causing-a-closed-loop-small-bowel-obstruction-following-uterine-fibroid-embolization
#25
Amanda C Antono, Julie Najar, Sunnie Y W Wong, Justin Junn, Lisa Marie Knowlton
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38463620/predictive-preventive-and-personalised-approach-as-a-conceptual-and-technological-innovation-in-primary-and-secondary-care-of-inflammatory-bowel-disease-benefiting-affected-individuals-and-populations
#26
REVIEW
Laura Arosa, Miguel Camba-Gómez, Olga Golubnitschaja, Javier Conde-Aranda
Inflammatory bowel disease (IBD) is a global health burden which carries lifelong morbidity affecting all age groups in populations with the disease-specific peak of the age groups ranging between 15 and 35 years, which are of great economic importance for the society. An accelerating incidence of IBD is reported for newly industrialised countries, whereas stabilising incidence but increasing prevalence is typical for countries with a Westernised lifestyle, such as the European area and the USA. Although the aetiology of IBD is largely unknown, the interplay between the genetic, environmental, immunological, and microbial components is decisive for the disease manifestation, course, severity and individual outcomes...
March 2024: EPMA Journal
https://read.qxmd.com/read/38462134/low-incidence-of-invasive-fungal-infections-in-a-large-observational-cohort-of-patients-initiating-il-17-or-il-23-inhibitor-therapy-united-states-2016-2022
#27
JOURNAL ARTICLE
Nathan C Bahr, Kaitlin Benedict, Mitsuru Toda, Jeremy A W Gold, Shari R Lipner
No abstract text is available yet for this article.
March 8, 2024: Journal of the American Academy of Dermatology
https://read.qxmd.com/read/38459719/algorithmic-identification-of-treatment-emergent-adverse-events-from-clinical-notes-using-large-language-models-a-pilot-study-in-inflammatory-bowel-disease
#28
JOURNAL ARTICLE
Anna L Silverman, Madhumita Sushil, Balu Bhasuran, Dana Ludwig, James Buchanan, Rebecca Racz, Mahalakshmi Parakala, Samer El-Kamary, Ohenewaa Ahima, Artur Belov, Lauren Choi, Monisha Billings, Yan Li, Nadia Habal, Qi Liu, Jawahar Tiwari, Atul J Butte, Vivek A Rudrapatna
Outpatient clinical notes are a rich source of information regarding drug safety. However, data in these notes are currently underutilized for pharmacovigilance due to methodological limitations in text mining. Large language models (LLMs) like Bidirectional Encoder Representations from Transformers (BERT) have shown progress in a range of natural language processing tasks but have not yet been evaluated on adverse event (AE) detection. We adapted a new clinical LLM, University of California - San Francisco (UCSF)-BERT, to identify serious AEs (SAEs) occurring after treatment with a non-steroid immunosuppressant for inflammatory bowel disease (IBD)...
March 8, 2024: Clinical Pharmacology and Therapeutics
https://read.qxmd.com/read/38458024/chylolymphatic-mesenteric-cyst-a-rare-differential-diagnosis-of-cystic-mass-in-abdomen-a-case-report
#29
Krishna Kumar Yadav, Kshitiz Acharya, Chitrasen Yadav, Rupesh Kumar Yadav, Dinesh Prasad Koirala, Geha Raj Dahal
INTRODUCTION: Mesenteric cysts are the rare benign intraperitoneal tumor, which are common in the mesentery of the terminal ileum. Though mesenteric cysts are frequently seen, chylolymphatic mesenteric cysts in children are rare entities. CASE PRESENTATION: Our case is a case of a 3-year-old female child presenting to our center with a complain of abdominal pain. Ultrasonography (USG) of the abdomen revealed a cystic lesion in the right upper abdomen, and computed tomography (CT) scan showed a large homogenous fluid density lesion in the right upper abdomen, giving a provisional diagnosis of mesenteric cyst...
March 6, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38455207/association-of-dietary-inflammatory-index-with-constipation-evidence-from-the-national-health-and-nutrition-examination-survey
#30
JOURNAL ARTICLE
Bo Wang, Chunxiang Liu, Zheng Guo, Rui Li, Yuchao Wang, Caixia Dong, Daqing Sun
The association of dietary inflammatory index (DII) with constipation has not been well studied in general population. Therefore, the aim of this cross-sectional study was to investigate whether DII is associated with constipation in a large representative sample of the US population. Data were obtained from the 2005-2010 National Health and Nutrition Examination Survey (NHANES). A total of 12,308 participants aged ≥20 years were included in the analysis. DII was calculated based on a single 24-h dietary recall, and constipation was defined as having fewer than three bowel movements per week by the questionnaire on bowel health...
March 2024: Food Science & Nutrition
https://read.qxmd.com/read/38452639/a-large-iliopsoas-abscess-due-to-colon-cancer-complicated-by-bowel-obstruction-a-case-report
#31
Shuya Nohmi, Shojirokazunori Ikenaga, Akiko Itaya, Kazuhiro Suzuki, Shinnosuke Yonaiyama, Taro Ogawa
INTRODUCTION: Iliopsoas abscesses (IPAs) associated with bowel obstruction due to colon cancer are rare, and there is no consensus regarding treatment strategies. PRESENTATION OF CASE: A 63-year-old man presented with swelling and pain in the right iliac region. Imaging studies revealed an IPA expanding from the psoas major muscle and retroperitoneal space subcutaneously around the right ilium. After percutaneous drainage, the patient developed bowel obstruction secondary to colon cancer...
February 24, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38450492/intestinal-cystic-lymphangioma
#32
JOURNAL ARTICLE
Arturo García Pavía, Alex Akana Ngatia, Jackson Lokili Ebune
A 7-year-old girl, coming from a rural area in Cameroon, presented to the emergency department with a 3-months history of abdominal pain. Her family also reported vomiting and minimal food intake for two weeks. Physical examination showed a palpable and mobile abdominal mass. An ultrasound showed a large intrabdominal multicystic lesion of about 10cm, close to the intestine and with no solid lesions in other organs. A laparotomy was scheduled and a mobile mass dependent on the jejunum was found. The mass caused an intestinal obstruction and was composed of several large cysts with whitish fluid...
March 7, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38444383/pleomorphic-carcinoma-of-the-lung-revealed-by-uncommon-colonic-metastasis-an-exceptional-case-report-with-literature-review
#33
JOURNAL ARTICLE
Mouna Zghal, Saadia Makni, Marwa Bouhamed, Nermine Ellouze, Rim Kallel, Naourez Gouiaa, Tahya Boudawara, Ons Boudawara
Lung pleomorphic carcinoma is a rare and aggressive cancer that uncommonly metastasizes to the colon and only a few case reports have been published thus far. We present an exceptional case of colon metastasis from lung pleomorphic carcinoma in a 68-year-old man which was revealed by large bowel perforation, and we review the previous three published cases. Metastasis to the bowel from primary lung malignancy often lacks specific symptoms which result in delayed diagnosis. Bowel metastasis is a poor prognostic factor in patients with lung pleomorphic carcinoma, regardless of management strategy...
March 6, 2024: Asian Cardiovascular & Thoracic Annals
https://read.qxmd.com/read/38443102/got-the-munchies-for-an-egg-sandwich-the-effects-of-cannabis-on-bowel-motility-and-beyond
#34
JOURNAL ARTICLE
Rutger S Gunther, Mary B Farrell, Kevin P Banks
The use of medicinal cannabis has a long history dating back thousands of years. Recent discoveries have shed light on its mechanism of action with the identification of cannabinoid receptors and endocannabinoids, which make up the body's endocannabinoid system. Cannabinoid receptors, particularly the cannabinoid 1 and 2 receptors, play a crucial role in modulating the gut-brain axis and serve as potential therapeutic targets for gastrointestinal motility and inflammatory disorders. With increasing legalization of cannabis and a rising number of users, understanding the effects of cannabis on gut motility is essential for nuclear medicine providers...
March 5, 2024: Journal of Nuclear Medicine Technology
https://read.qxmd.com/read/38442972/simpson-golabi-behmel-syndrome-type-1-with-normal-birth-parameters
#35
JOURNAL ARTICLE
Brian Hon Yin Chung, Shu-Ling Sophie Yeow, Joshua Chun Ki Chan, Mianne Lee
A newborn baby born at 34 weeks and 5 days gestation was admitted for prematurity, dysmorphic features and congenital heart defects. Antenatal scan at 21 weeks showed a large-for-gestational-age foetus with a large abdominal circumference and liver, ventricular septal defect, right prominent renal pelvis and echogenic bowel. Antenatal genetic tests for overgrowth syndromes were negative. The mother had early onset pre-eclampsia. After birth, an overgrowth syndrome was still suspected despite the baby having normal birth parameters...
March 4, 2024: BMJ Case Reports
https://read.qxmd.com/read/38441000/a-human-milk-oligosaccharide-prevents-intestinal-inflammation-in-adulthood-via-modulating-gut-microbial-metabolism
#36
JOURNAL ARTICLE
Kasey M Schalich, Matthew A Buendia, Harpreet Kaur, Yash A Choksi, M Kay Washington, Gabriela S Codreanu, Stacy D Sherrod, John A McLean, Richard M Peek, Sari A Acra, Steven D Townsend, Fang Yan
Observational evidence suggests that human milk oligosaccharides (HMOs) promote the growth of commensal bacteria in early life and adulthood. However, the mechanisms by which HMOs benefit health through modulation of gut microbial homeostasis remain largely unknown. 2'-fucosyllactose (2'-FL) is the most abundant oligosaccharide in human milk and contributes to the essential health benefits associated with human milk consumption. Here, we investigated how 2'-FL prevents colitis in adulthood through its effects on the gut microbial community...
March 5, 2024: MBio
https://read.qxmd.com/read/38439725/neutrophilic-dermatosis-of-the-hands-a-case-report
#37
JOURNAL ARTICLE
Reza Yaghoobi, Nooshin Bagherani, Bruce R Smoller, Nader Pazyar
Neutrophilic dermatosis of the hands (NDDH) is a localized variant of Sweet's syndrome which has been recently introduced. Strutton et al.in 1996 and then in Galaria et al. in 2000 reported cases with violaceous papulonodules on the dorsal surfaces of the hands with histopathological findings of a neutrophilic dermatosis in association with leukocytoclasia, but clinically and histologically without true vasculitis findings. Eventually, they proposed the term NDDH for these lesions (1,2). A 46-year-old man was referred to our outpatient dermatology clinic with a painful ulcerative lesion on the dorsal side of the left hand that had been present for one year...
December 2023: Acta Dermatovenerologica Croatica: ADC
https://read.qxmd.com/read/38438014/colitis-induced-small-intestinal-hypomotility-is-dependent-on-enteroendocrine-cell-loss-in-mice
#38
JOURNAL ARTICLE
Zachariah Raouf, Steve N Steinway, Daniel Scheese, Carla M Lopez, Johannes W Duess, Koichi Tsuboi, Maame Sampah, Daphne Klerk, Mahmoud El Baassiri, Hannah Moore, Cody Tragesser, Thomas Prindle, Sanxia Wang, Menghan Wang, Hee-Seong Jang, William B Fulton, Chhinder P Sodhi, David J Hackam
BACKGROUND & AIMS: The abdominal discomfort experienced by patients with colitis may be attributable in part to the presence of small intestinal dysmotility, yet mechanisms linking colonic inflammation with small bowel motility remain largely unexplored. We hypothesize that colitis results in small intestinal hypomotility due to a loss of enteroendocrine cells (EECs) within the small intestine that can be rescued using serotonergic-modulating agents. METHODS: Male C57BL/6J mice, as well as mice that over-express (EECOVER ) or lack (EECDEL ) NeuroD1+ enteroendocrine cells, were exposed to DSS-colitis (2...
March 2, 2024: Cellular and Molecular Gastroenterology and Hepatology
https://read.qxmd.com/read/38435144/atypical-clostridium-difficile-infection-in-a-pregnant-patient-a-case-study-on-non-diarrheal-presentation-and-syndrome-of-inappropriate-antidiuretic-hormone-siadh-complication
#39
Mohamed Ismail, Ritik Goyal, Menna-Allah A Elaskandrany, Michael Bebawy, Sahiba Singh, Claire Ruane, Weizheng Wang
Clostridium difficile ( C. difficile ) is a Gram-positive, spore-producing bacterium that often leads to pseudomembranous colitis, typically manifesting as watery diarrhea. The risk factors for C. difficile infection (CDI) include exposure to broad-spectrum antibiotics, immunocompromised states, advanced age, usage of proton pump inhibitors (PPI), and comorbid conditions such as chronic kidney disease (CKD). This report details a case involving a 23-year-old pregnant woman who presented with symptoms of abdominal pain and constipation...
February 2024: Curēus
https://read.qxmd.com/read/38432204/venous-thromboembolism-prophylaxis-in-inflammatory-bowel-disease-inpatients-systematic-review-and-meta-analysis
#40
Rotem McNeil, Danielle Fredman, Ofir Eldar, Anat Gafter-Gvili, Tomer Avni
INTRODUCTION: Inflammatory bowel disease (IBD) patients are three-times more likely to develop venous thromboembolism (VTE), and guidelines recommend prophylaxis during all hospitalizations. In this systematic review we sought to assess for the benefits and risks of VTE prophylaxis in hospitalized IBD patients. METHODS: We performed a systematic review and meta-analysis. We searched MEDLINE and others up to 2/2022, for studies on IBD inpatients treated with prophylactic anti-coagulation during hospitalization, compared to no prophylaxis...
March 1, 2024: Acta Haematologica
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