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small bowell obstruction

Katherine Etter, Nadia Sutton, David Wei, Andrew Yoo
Objective: The objective of this study was to explore adhesion-related complications (ARCs) within 1 year after colectomy. Methods: Using Truven MarketScan® Commercial and Medicare databases, the first inpatient colectomies during 2009-2013 (index) were identified: left, right, partial, transverse, or total. One-year continuous enrollment was required pre and postindex. Only the first inpatient rehospitalization event was analyzed. ARC was defined as the subset of rehospitalizations with a diagnosis of ileus, small bowel obstruction, or postindex adhesiolysis...
2018: ClinicoEconomics and Outcomes Research: CEOR
Brit Long, Jennifer Robertson, Alex Koyfman
BACKGROUND: Small bowel obstruction (SBO) is a commonly diagnosed disease in the emergency department (ED). Recent literature has evaluated the ED investigation and management of SBO. OBJECTIVE: This review evaluates the ED investigation and management of adult SBO based on the current literature. DISCUSSION: SBO is most commonly due to occlusion of the small intestine, resulting in fluid and gas accumulation. This may progress to mucosal ischemia, necrosis, and perforation...
December 6, 2018: Journal of Emergency Medicine
Woon Kee Lee, Yeon Ho Park, Sangtae Choi, Won-Suk Lee
OBJECTIVE: We performed a prospective randomized study to assess whether the use of sodium hyaluronate-based bioresorbable membrane (Seprafilm® ) and liquid-based hyaluronic acid and carboxymethyl cellulose solution (Guardix) to reduce postoperative small bowel small bowel obstruction in patients undergoing colorectal surgery. This study aimed to compare the incidence of postoperative bowel obstruction. METHODS: One hundred seven patients were assigned to the Seprafilm® group and 155 were assigned to the Guardix® group during the study period...
October 24, 2018: Asian Journal of Surgery
Manphool Singhal, Satheesh Krishna, Anupam Lal, Sabarish Narayanasamy, Amanjit Bal, Thakur D Yadav, Rakesh Kochhar, Saroj K Sinha, Niranjan Khandelwal, Adnan M Sheikh
Encapsulating peritoneal sclerosis (EPS) is a rare but serious condition that results in (a) encapsulation of bowel within a thickened fibrocollagenous peritoneal membrane and (b) recurrent episodes of bowel obstruction. Although described by various names in the literature, the preferred term is encapsulating peritoneal sclerosis because it best describes the morphologic and histologic changes in this disorder. The etiology of EPS is multifactorial, with a wide variety of implicated predisposing factors that disrupt the normal physiologic function of the peritoneal membrane-prime among these factors being long-term peritoneal dialysis and bacterial peritoneal infections, especially tuberculosis...
December 7, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Martín Adrián Bolívar-Rodríguez, Rodolfo Fierro-López, Adrián Pamanes-Lozano, Marcel Antonio Cazarez-Aguilar, Benny Alonso Osuna-Wong, José Cándido Ortiz-Bojórquez
BACKGROUND: Adult intestinal intussusception is a rare condition caused by the mechanical disruption of bowel motility. A bezoar is defined as indigestible material inside the gastrointestinal tract that develops into a trapped mass; the most frequent bezoar is a trichobezoar. When a trichobezoar extends into the small intestine it is defined as Rapunzel's syndrome. Literature describing complications related to this pathology remains scarce. CASE PRESENTATION: A 16-year-old Mexican girl presented to our emergency room with acute abdomen and a presumptive diagnosis of intestinal obstruction...
December 7, 2018: Journal of Medical Case Reports
E C Abboud, B Babic
Bezoars represent a rare cause of small bowel obstruction (SBO). Nonoperative management of bezoars includes use of endoscopy with mechanical or chemical dissolution methods. When obstruction persists, surgical intervention becomes necessary. Here, we present the case of an Asian woman with a SBO secondary to a phytobezoar masquerading as a malignancy. She presented with two days of acute-on-chronic abdominal pain that started after eating seaweed. Initial computed tomography (CT) scan showed a SBO with a jejunal transition point and ill-defined liver lesions, worrisome for a malignant obstruction with liver metastases...
2018: Case Reports in Surgery
Sunny Dhadlie, Daniel Mehanna
Introduction: Acute appendicitis in older adults is relatively uncommon and could be the first presentation of an underlying colorectal carcinoma. Colonoscopy in these individuals affords the opportunity for earlier diagnosis and treatment. The finding of increased rates of colorectal cancer (CRC) with older patients who have had appendicitis was supported by a number of small studies and case reports in the early 1980s.With the advent of CT scanning and laparoscopic appendicectomy, increased ability to visualize the caecum has been achieved...
December 2018: Annals of Medicine and Surgery
Kentaro Matsuo, Masaya Inoue, Yasutsugu Shirai, Tatsuki Kataoka, Shuji Kagota, Kohei Taniguchi, Sang-Woong Lee, Kazuhisa Uchiyama
RATIONALE: Liposarcoma (LPS) is a rare malignant soft-tissue tumor. Management of LPS is relatively difficult, because there are no characteristic symptoms, or biomarkers, nor any established effective treatment. Hence, the report of the accumulation of each LPS case is necessary. We experienced an extremely rare case of torsion caused by a primary small bowel mesentery LPS. PATIENT'S CONCERN: A 70-year-old male consulted our hospital with the complaints of abdominal pain and sudden vomiting...
November 2018: Medicine (Baltimore)
Andreas Skoglar, Ulf Gunnarsson, Peter Falk
Background: Postoperative intra-abdominal adhesion formation is a common cause of small bowel obstruction (SBO). Adhesions causing SBO are classed as either matted adhesions or solitary band adhesions. The aim of this study was to investigate the prevalence of previous abdominal surgery in a cohort of patients operated for bowel obstruction and to analyze the causes of obstruction discovered at surgery. Materials and methods: The study was performed at a county hospital with a catchment population of 120 000 inhabitants...
December 2018: Annals of Medicine and Surgery
Michelle B Mulder, Matthew Hernandez, Mohamed D Ray-Zack, Daniel C Cullinane, David Turay, Salina Wydo, Martin Zielinski, Daniel Dante Yeh
BACKGROUND: Gastrografin (GG)-based nonoperative approach is both diagnostic and therapeutic for partial small bowel obstruction (SBO). Absence of X-ray evidence of GG in the colon after 8 h is predictive of the need for operation, and a recent trial used 48 h to prompt operation. We hypothesize that a significant number of patients receiving the GG challenge require >48 h before an effect is seen. METHODS: A post hoc analysis of an Eastern Association for the Surgery of Trauma multi-institutional SBO database was performed including only those receiving GG challenge...
January 2019: Journal of Surgical Research
Erin Chang, Paul J Chung, Michael C Smith, Michael J Lee, Daniel J Gross, Elizabeth Kao, Gainosuke Sugiyama
BACKGROUND: With the population of octogenarians projected to increase fourfold by 2050, we sought to compare outcomes of laparoscopic versus open approach in octogenarians requiring surgery for adhesive small bowel obstruction (SBO). METHODS/MATERIALS AND METHODS: Using 2006-2015 American College of Surgeons National Surgical Quality Improvement Project, we identified patients aged ≥80 y who underwent emergency surgery within 1 d of admission for SBO. Risk variables of interest included age, sex, race, body mass index, preoperative sepsis, and American Society of Anesthesiologists (ASA) classification...
January 2019: Journal of Surgical Research
Lisa Hartmann, Xue Zhao, Till Macheroux, Michael S Kasparek, Martin E Kreis, Mario H Mueller
BACKGROUND: Small bowel obstruction (SBO) is one of the most common disorders in surgical emergency departments. Without resolution of the obstructed bowel segments, patients may develop multiorgan failure. The aim of this study was to investigate whether morphological damage of the intestinal wall during SBO may lead to molecular translocation and how this may impair intestinal motility. METHODS: C57Bl6 mice were laparotomized, and the small intestine was ligated 5 cm oral to the coecum for SBO...
January 2019: Journal of Surgical Research
Brooks V Udelsman, David C Chang, Ralitza Parina, Mark A Talamini, Keith D Lillemoe, Elan R Witkowski
OBJECTIVE: The objective of this study was to determine the effects of open versus laparoscopic surgery on the development of adhesive small bowel obstruction (aSBO). SUMMARY BACKGROUND DATA: aSBO is a significant contributor to short and long-term postoperative morbidity. Laparoscopy has demonstrated a protective effect in colorectal surgery, but these effects have not been generalized to other abdominal procedures. METHODS: Population level California state data (1995-2010) was analyzed...
November 29, 2018: Annals of Surgery
Francis Zheng Yi Yee, Lionel Tim-Ee Cheng, Ting Hway Wong
No abstract text is available yet for this article.
November 29, 2018: ANZ Journal of Surgery
Kazuhide Matsushima, Andrew Sabour, Caroline Park, Aaron Strumwasser, Kenji Inaba, Demetrios Demetriades
BACKGROUND: Recent studies show that early operative intervention in patients who fail non-operative management of adhesive small bowel obstruction (ASBO) is associated with improved outcomes. The purpose of this study was to determine the trend in practice pattern and outcomes of patients with ASBO in the United States. METHODS: Data from the National Inpatient Sample data (2003-2013) were extracted for analysis, and included patients (age ≥18 years) who were discharged with primary diagnosis codes consistent with ASBO...
November 27, 2018: Journal of Trauma and Acute Care Surgery
Yuchen Cao, Jun Isogaki, Atsushi Kohga, Takuya Okumura, Kimihiro Yamashita, Kenji Suzuki, Akihiro Kawabe
Transmesenteric hernia is a rare cause of small bowel strangulation in adults and, to our knowledge, no one has reported the existence of two mesenteric defects in an adult. Our patient was a 73-year-old Japanese woman who presented to our emergency department complaining of abdominal pain and nausea. Computed tomography with contrast enhancement revealed a closed loop obstruction in the pelvis, suggesting small bowel strangulation due to an internal hernia. The emergency exploratory laparotomy indicated a small bowel strangulation caused by a transmesenteric hernia...
November 2018: Journal of Surgical Case Reports
Huifang Liang, Baoguo Jiang, Sudhakar Manne, Trevor Lissoos, Dimitri Bennett, Paul Dolin
Background and Aim: Postoperative infection (POI) is a major source of morbidity and prolongation of hospitalization in inflammatory bowel disease (IBD) patients. This large observational study was conducted to further describe risk factors and to quantify the proportion of POIs that are preventable. Methods: We conducted a retrospective cohort analysis of the Optum US health insurance claims database. The study population included adults with ulcerative colitis (UC) or Crohn's disease (CD) who underwent lower gastrointestinal (GI) surgery of small intestine, colon, rectum, or anus during September 2014 to September 2016...
October 2018: JGH open: an open access journal of gastroenterology and hepatology
Nicolas Michot, Jérémy Pasco, Urs Giger-Pabst, Guillaume Piessen, Jean Jacques Duron, Ephrem Salamé, Leslie Grammatico-Guillon, Mehdi Ouaïssi
PURPOSE: Adhesions following major colorectal surgery can be responsible for bowel obstruction, mostly occurring in the small intestine. Published data for long-term survival following major colorectal surgery complicated with intestinal obstruction are limited. The aim of this study was to identify the mortality rates and mortality risk factors in patients with primary colorectal surgery (PMCS) complicated with surgical small bowel obstruction (SBO). METHODS: This was a retrospective analysis of a prospective national registry of patients who underwent PMCS in 2008...
November 26, 2018: International Journal of Colorectal Disease
Phillip M Cheng, Khoa N Tran, Gilbert Whang, Tapas K Tejura
OBJECTIVE: The purpose of this study was to evaluate improvement of convolutional neural network detection of high-grade small-bowel obstruction on conventional radiographs with increased training set size. MATERIALS AND METHODS: A set of 2210 abdominal radiographs from one institution (image set 1) had been previously classified into obstructive and nonobstructive categories by consensus judgments of three abdominal radiologists. The images were used to fine-tune an initial convolutional neural network classifier (stage 1)...
November 26, 2018: AJR. American Journal of Roentgenology
David Sheyn, C Emi Bretschneider, Sangeeta T Mahajan, Beri Ridgeway, Abigail Davenport, Robert Pollard
BACKGROUND: Small bowel obstruction (SBO) is a major cause of postoperative mortality and morbidity following abdominal and pelvic surgery with 225,000 to 345,000 annual admissions. SBO may be classified based on onset from day of surgery. Early SBO occurs within the first 30 days following surgery, while late SBO, occurs after the initial 30-day postoperative window; the majority of either type of bowel obstruction is believed to be secondary to intra-abdominal adhesions. Early SBO warrants special attention due to the difficulty in distinguishing between mechanical and non-mechanical obstruction during this period...
November 21, 2018: American Journal of Obstetrics and Gynecology
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