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Internal intussusception

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https://www.readbyqxmd.com/read/28900777/an-exploration-of-genotype-phenotype-link-between-peutz-jeghers-syndrome-and-stk11-a-review
#1
REVIEW
Julian Daniell, John-Paul Plazzer, Anuradha Perera, Finlay Macrae
Peutz-Jeghers Syndrome (PJS) is an autosomal dominant hereditary polyposis syndrome. Clinical features include hamartomatous polyps, mucocutaneous pigmentation and an increased predisposition towards developing malignancy. Variants in STK11, a tumour suppressor gene, located on Chromosome 19, predispose to PJS. Peutz-Jeghers Syndrome is associated with increased rates of malignancy, particularly gastrointestinal. However, PJS is also associated with increased gynaecological, testicular and thyroid papillary malignancy...
September 12, 2017: Familial Cancer
https://www.readbyqxmd.com/read/28709556/intussusception-among-children-less-than-2years-of-age-findings-from-pre-vaccine-introduction-surveillance-in-pakistan
#2
Mohammad Tahir Yousafzai, Rozina Thobani, Saqib Hamid Qazi, Nasir Saddal, Catherine Yen, Negar Aliabadi, Syed Asad Ali
BACKGROUND: Rotavirus vaccination introduction in routine immunization is under consideration in Pakistan. Data on the baseline epidemiology of intussusception will inform surveillance strategies for intussusception after rotavirus vaccine introduction in Pakistan. We describe the epidemiology of intussusception-associated hospitalizations among children <2years of age in Karachi, Pakistan. METHODS: We conducted a retrospective chart review for July 01, 2012 through June 30, 2015 at the National Institute of Child Health (NICH) and Aga Khan University Hospital (AKUH) Karachi...
July 11, 2017: Vaccine
https://www.readbyqxmd.com/read/28674947/rectal-axis-and-enterocele-on-proctogram-may-predict-laparoscopic-ventral-mesh-rectopexy-outcomes-for-rectal-intussusception
#3
F Ris, K J Gorissen, J Ragg, M P Gosselink, N C Buchs, R Hompes, C Cunningham, O Jones, A Slater, I Lindsey
BACKGROUND: Laparoscopic ventral mesh rectopexy (LVMR) has become a well-established treatment for symptomatic high-grade internal rectal prolapse. The aim of this study was to identify proctographic criteria predictive of a successful outcome. METHODS: One hundred and twenty consecutive patients were evaluated from a prospectively maintained pelvic floor database. Pre- and post-operative functional results were assessed with the Wexner constipation score (WCS) and Fecal Incontinence Severity Index (FISI)...
July 3, 2017: Techniques in Coloproctology
https://www.readbyqxmd.com/read/28649718/anal-sphincters-evaluation-by-endoanal-ultrasound-in-obstructed-defecation
#4
Andreia Albuquerque, Guilherme Macedo
OBJECTIVES: To evaluate anal sphincter abnormalities detected by endoanal ultrasound in obstructed defecation due to rectocele and rectal intussusception. METHODS: The retrospective analysis includes 45 patients with obstructed defecation syndrome due to rectocele and/or rectal intussusception with or without fecal incontinence, and submitted to endoanal ultrasound. RESULTS: Ninety-three percent (n = 42) were women (mean age of 63 ± 12 years), and 47% (n = 21) of the patients had fecal incontinence...
June 26, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28648544/risk-of-intussusception-following-rotavirus-vaccination-an-evidence-based-meta-analysis-of-cohort-and-case-control-studies
#5
Priya Kassim, Guy D Eslick
BACKGROUND: International post-licensure studies on rotavirus vaccines have identified an increased risk of intussusception in infants after administration. The first developed rotavirus vaccine (Rotashield (RRV-TV)) was suspended post-licensure in 1999 after an association with intussusception was found. The currently available second-generation rotavirus vaccines (Rotateq (RV5) and Rotarix (RV1)), are recommended as a routine vaccine by the World Health Organisation (WHO). Post-licensure studies of these vaccines have shown a smaller but temporal increased risk for developing intussusception...
June 22, 2017: Vaccine
https://www.readbyqxmd.com/read/28588977/determinants-of-morbidity-and-mortality-following-emergency-abdominal-surgery-in-children-in-low-income-and-middle-income-countries
#6
(no author information available yet)
BACKGROUND: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally. METHODS: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28567798/management-for-intussusception-in-children
#7
REVIEW
Steven Gluckman, Jonathan Karpelowsky, Angela C Webster, Richard G McGee
BACKGROUND: Intussusception is a common abdominal emergency in children with significant morbidity. Prompt diagnosis and management reduces associated risks and the need for surgical intervention. Despite widespread agreement on the use of contrast enema as opposed to surgery for initial management in most cases, debate persists on the appropriate contrast medium, imaging modality, pharmacological adjuvant, and protocol for delayed repeat enema, and on the best approach for surgical management for intussusception in children...
June 1, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28419712/comparison-of-safety-and-efficacy-of-image-guided-enema-reduction-techniques-for-paediatric-intussusception-a-review-of-the-literature
#8
REVIEW
Renny Chew, Michael Ditchfield, Eldho Paul, Stacy K Goergen
There is variable international practice regarding the technique used for image-guided enema reduction in paediatric intussusception. A recent meta-analysis found pneumatic reduction to be more effective than hydrostatic techniques. Clinical practice variation may impact on perforation rates, ionizing radiation exposure and requirement for surgery. The aim of this study was to review the literature regarding the efficacy and safety of fluoroscopically guided pneumatic reduction (FGPR) compared to ultrasound (US) guided intussusception reduction (USGIR) techniques for paediatric intussusception treatment...
April 17, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28316328/reoperation-after-cyst-excision-with-hepaticojejunostomy-for-choledochal-cysts-our-experience-in-18-cases
#9
Qingfeng Sheng, Zhibao Lv, Weijue Xu, Xianmin Xiao, Jiangbin Liu, Yibo Wu
BACKGROUND Complete cyst excision with biliary reconstruction is the treatment of choice for choledochal cyst (CC). The aim of this article is to review our experience in patients who underwent reoperation between January 1995 and December 2014. MATERIAL AND METHODS The records of 18 patients (female/male, 15/3) were retrospectively analyzed including age, sex, cyst type, initial procedure, lab and imaging findings, indications for reoperation, intraoperative findings, and results of reoperation. The median follow-up period was 6 years...
March 20, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27599704/rectal-prolapse-traumatizes-rectal-neuromuscular-microstructure-explaining-persistent-rectal-dysfunction
#10
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
#11
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
#12
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
#13
RANDOMIZED CONTROLLED TRIAL
Adolfo Renzi, Antonio Brillantino, Giandomenico Di Sarno, Francesco D'Aniello, Giuseppe Ferulano, 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...
December 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
#14
RANDOMIZED CONTROLLED TRIAL
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
#15
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...
November 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
#16
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
#17
RANDOMIZED CONTROLLED TRIAL
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
#18
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
#19
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
#20
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
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