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Internal intussusception

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https://www.readbyqxmd.com/read/27599704/rectal-prolapse-traumatizes-rectal-neuromuscular-microstructure-explaining-persistent-rectal-dysfunction
#1
Matthias Kraemer, Werner Paulus, David Kara, Saskia Mankewitz, Stephanie Rozsnoki
PURPOSE: Internal rectal prolapse is common and correlates with age. It causes a plug-like physical obstruction and is a major cause of defecation disorder. The progressive distortion of the prolapsing rectum likely causes secondary defects in the rectal wall, which may exacerbate rectal dysfunction. We undertook a prospective observational study to detect and quantify the neurologic and histopathologic changes in the rectal wall. METHODS: We examined dorsal and ventral rectal wall specimens from consecutive patients with internal rectal prolapse undergoing stapled transanal rectal resection (STARR)...
December 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27561369/small-bowel-obstruction-in-the-virgin-abdomen-time-to-challenge-surgical-dogma-with-evidence
#2
Yvonne Ying-Ru Ng, James Chi-Yong Ngu, Andrew Siang-Yih Wong
BACKGROUND: Although adhesions account for more than 70% of small bowel obstruction (SBO), they are thought to be less likely aetiologies in patients without previous abdominal surgery. Expedient surgery has historically been advocated as prudent management in these patients. Emerging evidence appears to challenge such a dogmatic approach. METHODS: A retrospective analysis was performed in all SBO patients with a virgin abdomen admitted between January 2012 and August 2014...
August 25, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27554828/acute-small-bowel-obstruction-due-to-a-large-intraluminal-blood-clot-after-laparoscopic-roux-en-y-gastric-bypass
#3
Jessica Green, Tomoko Ikuine, Shoshana Hacker, Hernan Urrego, Karleena Tuggle
Small bowel obstructions (SBOs) are a known perioperative complication of laparoscopic Roux-en-Y gastric bypass and common etiologies include internal hernia, port site hernia, jejunojejunostomy stricture, ileus and adhesions. Less commonly, SBO can be caused by superior mesenteric artery syndrome, intussusception and intraluminal blood clot. We present a case of SBO caused by intraluminal blood clot from jejunojejunostomy staple line bleeding in a patient with a normal coagulation profile. Computed tomography was used to elucidate the cause of perioperative SBO, and diagnostic laparoscopy was used to both diagnose and treat the complication...
August 23, 2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27370308/evaluating-the-surgeons-perception-of-difficulties-of-two-techniques-to-perform-starr-for-obstructed-defecation-syndrome-a-multicenter-randomized-trial
#4
Adolfo Renzi, Antonio Brillantino, Giandomenico Di Sarno, Francesco D'Aniello, Giuseppe Ferulano Md, Armando Falato
BACKGROUND: After initial enthusiasm in the use of a dedicated curved stapler (CCS-30 Contour Transtar) to perform stapled transanal rectal resection (STARR) for obstructed defecation syndrome (ODS), difficulties have emerged in this surgical technique. OBJECTIVE: First, to compare surgeons' perception of difficulties of STARR performed with only Transtar versus STARR performed with the combined use of linear staplers and Transtar to cure ODS associated with large internal prolapse and rectocele; second, to compare the postoperative incidence of the urge to defecate between the 2 STARR procedures...
July 1, 2016: Surgical Innovation
https://www.readbyqxmd.com/read/27215528/-efficacy-observation-of-partial-stapled-transanal-rectal-resection-combined-with-bresler-procedure-in-the-treatment-of-rectocele-and-internal-rectal-intussusception
#5
Zhiyong Liu, Guangen Yang, Qun Deng, Qingyan Yang
OBJECTIVE: To evaluate the efficacy of partial stapled transanal rectal resection (part-STARR) combined with Bresler procedure in the treatment of obstructed defecation syndrome (ODS) associated with rectocele and internal rectal intussusception(IRI), and compare with STARR. METHODS: A randomized controlled study from January 2013 to December 2014 was undertaken. Sixty female patients with ODS caused by rectocele and IRI were prospectively enrolled and randomly divided into trial group (29 cases) receiving part-STARR combined with Bresler procedure, and control group (31 cases) undergoing STARR only...
May 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27061976/bowel-obstruction-without-history-of-laparotomy-clinical-analysis-of-70-patients
#6
Koichiro Yoshimaru, Yoshiaki Kinoshita, Toshiharu Matsuura, Genshiro Esumi, Momoko Wada, Yoshiaki Takahashi, Yusuke Yanagi, Makoto Hayashida, Satoshi Ieiri, Tomoaki Taguchi
BACKGROUND: Determining the cause of bowel obstruction without a history of laparotomy (BO without HL) is difficult and can result in delay of treatment and development of a potentially life-threatening situation. We herein investigated the clinical characteristics of pediatric patients who underwent laparotomy due to BO without HL. METHODS: All surgical pediatric patients aged <16 age who were diagnosed with BO without HL between January 2004 and September 2014 were included...
April 6, 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27011472/two-etiological-reasons-of-constipation-anterior-rectocele-and-internal-mucosal-intussusception
#7
Mehmet Abdussamet Bozkurt, Ali Kocataş, Mehmet Karabulut, Hakan Yırgın, Mustafa Uygar Kalaycı, Halil Alış
Chronic constipation is a common problem in the general population. Rome III criteria can be used for the diagnosis of chronic constipation. The aim of this study is to emphasize the importance of anterior rectocele and mucosal intussusception as two etiological factors for chronic constipation. One hundred patients were included in this study after excluding other causes of the constipation by medical history, physical examination, and laboratory and radiological studies in 108 total patients who were admitted consecutively to the outpatient clinic of the general surgery department of Dr...
December 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26919191/robot-assisted-vs-laparoscopic-ventral-rectopexy-for-external-or-internal-rectal-prolapse-and-enterocele-a-randomized-controlled-trial
#8
J Mäkelä-Kaikkonen, T Rautio, E Pääkkö, F Biancari, P Ohtonen, J Mäkelä
AIM: The purpose of this prospective randomized study was to compare robot-assisted and laparoscopic ventral rectopexy procedures for posterior compartment procidentia in terms of restoration of the anatomy using magnetic resonance (MR) defaecography. METHOD: Sixteen female patients (four with total prolapse, twelve with intussusception) underwent robot-assisted ventral mesh rectopexy (RVMR) and 14 female patients (two with prolapse, twelve with intussusception) laparoscopic ventral mesh rectopexy (LVMR)...
October 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/26830623/multidetector-ct-imaging-of-bariatric-surgical-complications-a-pictorial-review
#9
REVIEW
Rehan M Riaz, Daniel T Myers, Todd R Williams
The prevalence of obesity is increasing, along with the number of bariatric surgical procedures performed to treat obesity. Laparoscopic sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and laparoscopic gastric banding (GB) comprise the vast majority of procedures with SG now the dominant procedure in the USA. Although multidetector computed tomography (MDCT) is not always the examination of choice for a particular suspected complication, many of these patients present with non-specific abdominal symptoms and undergo MDCT evaluation as an initial diagnostic test...
January 2016: Abdominal Radiology
https://www.readbyqxmd.com/read/26821898/factors-determining-clinical-outcomes-in-intussusception-in-the-developing-world-experience-from-johannesburg-south-africa
#10
C Carapinha, M Truter, A Bentley, A Welthagen, J Loveland
BACKGROUND: Rates of open reduction of intussusception were noted to be unacceptably high during an institutional internal audit. OBJECTIVES: To determine the impact of revised protocols to better select patients for pneumatic reduction (PR), and document associated morbidity and mortality, and the factors that affect the above. METHODS: Medical records of patients between 3 months and 3 years of age presenting to the Department of Paediatric Surgery at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa, from 2007 to 2010 were reviewed...
February 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/26746223/mesenteric-torsion-as-a-cause-of-late-abdominal-pain-after-gastric-bypass-surgery
#11
Sven G Frederiksen, Mikael Ekelund
Gastric bypass (GBP) has been the most common surgical way to treat obesity and its comorbidities. Late abdominal pain may occur by gastro-jejunal ulcers, gallstones, internal herniation or, rarely, intussusception. In an area with more than 1000 GBPs performed yearly, three patients with primary small bowel volvulus causing abdominal pain and requiring emergency or semi-urgent surgery were identified. Patients' histories, radiology, and surgery performed are presented. Weight loss followed by mesenteric narrowing of the root and thus relative elongation may make rotation of the small bowel mesentery possible...
April 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26651113/impact-of-rising-grades-of-internal-rectal-intussusception-on-fecal-continence-and-symptoms-of-constipation
#12
Alexander T Hawkins, Adriana G Olariu, Lieba R Savitt, Shalini Gingipally, May M Wakamatsu, Samantha Pulliam, Milena M Weinstein, Liliana Bordeianou
BACKGROUND: A theory of rectal intussusception has been advanced that intrarectal intussusception, intra-anal intussusception, and external rectal prolapse are points on a continuum and are a cause of fecal incontinence and constipation. OBJECTIVE: This study evaluates the association among rectal intussusception, constipation, fecal incontinence, and anorectal manometry. DESIGN: Patients undergoing defecography were studied from a prospectively maintained database and classified according to the Oxford Rectal Prolapse Grade as normal or having intra-rectal, intra-anal, or external intussusception...
January 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/26318429/laparoscopic-roux-en-y-gastric-bypass-patients-have-an-increased-lifetime-risk-of-repeat-operations-when-compared-to-laparoscopic-sleeve-gastrectomy-patients
#13
Yulia Zak, Emil Petrusa, Denise W Gee
BACKGROUND: Although long-term data have been published on the complications after laparoscopic Roux-en-Y gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LSG) is a relatively new procedure without a well-established long-term procedure-related morbidity profile. Our aim was to compare the 6-year data on re-operations occurring after and related to LRYGB versus LSG at a large academic bariatric center. METHODS: Retrospective review of all the bariatric procedures at the Massachusetts General Hospital between 2009 and 2014...
May 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26232152/analysis-of-hospitalizations-due-to-intussusception-in-sicily-in-the-pre-rotavirus-vaccination-era-2003-2012
#14
Claudio Costantino, Vincenzo Restivo, Mario Cuccia, Roberto Furnari, Emanuele Amodio, Francesco Vitale
BACKGROUND: Intussusception is the most common cause of bowel obstruction in infants with an incidence ranging from 9-328 cases per 100,000 infants aged 0-11 months. Causes underlining this clinical manifestation are still unknown. Possible relationship with a withdrawn tetravalent rotavirus vaccine was not confirmed by post-licensure studies and actually no increased risk of intussusception was found between infants vaccinated with both the recently licensed rotavirus vaccines. Aim of this study is to analyze the intussusception hospitalizations in Sicily from 2003 to 2012 before the introduction of rotavirus universal vaccination and its possible relation with rotavirus gastroenteritis trend...
2015: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/26070377/complications-of-bariatric-surgery-the-acute-care-surgeon-s-experience
#15
Joel F Bradley, Samuel W Ross, Ashley Britton Christmas, Peter E Fischer, Gaurav Sachdev, Brant Todd Heniford, Ronald F Sing
BACKGROUND: Complications of bariatric surgeries are common, can occur throughout the patient's lifetime, and can be life-threatening. We examined bariatric surgical complications presenting to our acute care surgery service. METHODS: Records were reviewed from January 2007 to June 2013 for patients presenting with a complication after bariatric surgery. RESULTS: Laparoscopic Roux-en-Y gastric bypass was the most common index operation (n = 20), followed by open Roux-en-Y gastric bypass (n = 6), laparoscopic gastric band (n = 4), and vertical banded gastroplasty (n = 3)...
September 2015: American Journal of Surgery
https://www.readbyqxmd.com/read/26002988/-digestive-surgical-complications-during-pregnancy-following-bariatric-surgery-experience-of-a-center-for-perinatology-and-obesity
#16
A Chevrot, N Lesage, S Msika, L Mandelbrot
OBJECTIVE: To describe severe complications during pregnancy requiring surgery in patients with a history of obesity surgery. MATERIEL AND METHODS: A retrospective study in a hospital with tertiary care perinatology and an obesity reference center, on all pregnancies following bariatric surgery over a 10-year period, analyzing all cases of surgical complications. RESULTS: There were 8 major complications related to the procedure in 141 pregnancies with bariatric surgery...
April 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/25821092/gastrointestinal-and-nutritional-issues-in-joint-hypermobility-syndrome-ehlers-danlos-syndrome-hypermobility-type
#17
REVIEW
Marco Castori, Silvia Morlino, Giulia Pascolini, Carlo Blundo, Paola Grammatico
Gastrointestinal involvement is a well known complication of Ehlers-Danlos syndromes (EDSs), mainly in form of abdominal emergencies due to intestinal/abdominal vessels rupture in vascular EDS. In the last decade, a growing number of works investigated the relationship between a wide spectrum of chronic gastrointestinal complaints and various EDS forms, among which the hypermobility type (a.k.a. joint hypermobility syndrome; JHS/EDS-HT) was the most studied. The emerging findings depict a major role for gastrointestinal involvement in the health status and, consequently, management of JHS/EDS-HT patients...
March 2015: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
https://www.readbyqxmd.com/read/25803750/association-between-medication-and-intestinal-intussusception-in-children-a-case-crossover-study
#18
MULTICENTER STUDY
Lourdes Vega García, Virginia Fuentes-Leonarte, José María Tenías, Patricia Correcher Medina, Ángel Arias Arias, Carmen Román Ortiz
OBJECTIVES: This study aimed to assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days). METHODS: A case-crossover design was used. We selected cases of children admitted with a diagnosis of intussusception (International Classification of Diseases, Ninth Revision, 860) to the major hospitals in the city of Valencia, Spain, from 2006 to 2009. We then estimated the association between the episode of intussusception and the intake of prescription medication during the preceding 2, 7, and 15 days (case period) and for the same time window 1, 2, 3, and 4 months prior (control period)...
April 2015: Pediatric Emergency Care
https://www.readbyqxmd.com/read/25790912/meckel-s-diverticulum-mesentery-along-with-its-band-forming-a-hernial-sac-a-rare-case-of-internal-herniation
#19
Paras K Pandove, Ashish Moudgil, Megha Pandove, Chandrashekhar, Divya Sharda, Vijay K Sharda
INTRODUCTION: Meckel's diverticulum is the most common congenital gastrointestinal anomaly. However, only 2% of cases are symptomatic. It can cause intestinal obstruction by various mechanisms as volvulus, adhesions, Littre's hernia, intussusception. CASE PRESENTATION: An unusual case of internal herniation of small bowel loops into complete hernia sac formed by unusual mesentery of Meckel's diverticulum which was present upto the adhesive band, extending from tip of the Meckel's diverticulum to the adjacent mesentery of small intestine leading to small bowel obstruction (SBO)...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25632177/management-of-obstructed-defecation
#20
REVIEW
Vlasta Podzemny, Lorenzo Carlo Pescatori, Mario Pescatori
The management of obstructed defecation syndrome (ODS) is mainly conservative and mainly consists of fiber diet, bulking laxatives, rectal irrigation or hydrocolontherapy, biofeedback, transanal electrostimulation, yoga and psychotherapy. According to our experience, nearly 20% of the patients need surgical treatment. If we consider ODS an "iceberg syndrome", with "emerging rocks", rectocele and rectal internal mucosal prolapse, that may benefit from surgery, at least two out of ten patients also has "underwater rocks" or occult disorders, such as anismus, rectal hyposensation and anxiety/depression, which mostly require conservative treatment...
January 28, 2015: World Journal of Gastroenterology: WJG
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