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Bowel obstruction

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https://www.readbyqxmd.com/read/29932372/fibrin-patch-influences-the-expression-of-hypoxia-inducible-factor-1%C3%AE-and-nuclear-factor-%C3%AE%C2%BAbp65-factors-on-ischemic-intestinal-anastomosis
#1
Carlos García-Vásquez, María J Fernández-Aceñero, Soledad García Gómez-Heras, Carlos Pastor
The intestinal anastomotic failure is one of the most severe complications in gastrointestinal surgery. Despite the great surgical improvements during the last decade, anastomotic leak rates remain practically the same, with a dramatically high grade of morbidity for patients. Leakages are usually the final consequence of ischemia in the anastomosis, leading to tissue hypoxia. In response to hypoxia, the cell orchestrates a variety of coordinated responses in order to restore oxygen homeostasis. The molecular mechanism of hypoxia sensitivity involves oxygen sensing hydroxylases, prolyl-hydroxylases, orchestrating two main transcription factors related to induction of inflammation and angiogenesis, namely nuclear factor-κB and hypoxia-inducible factors...
June 2018: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/29929923/thirty-day-unplanned-hospital-readmission-in-ovarian-cancer-patients-undergoing-primary-or-interval-cytoreductive-surgery-systematic-literature-review
#2
REVIEW
Rachel M Clark, Laurel W Rice, Marcela G Del Carmen
OBJECTIVES: Thirty-day readmission rate has been proposed as metric of quality and remains an ongoing clinical concern in the primary treatment of patients with advanced-stage ovarian epithelial ovarian cancer. We conducted a review of the literature to identify rates, risk factors, and predictors for 30-day readmission in this population. METHODS: A 10-year period MEDLINE (PubMed) search of English literature studies published between January 01, 2008-January 01, 2018 was performed to identify appropriate studies for review...
June 18, 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29927334/journal-club-primary-anorectal-melanoma-mri-findings-and-clinicopathologic-correlations
#3
Hyo Jung Park, Hyun Jin Kim, Seong Ho Park, Jong Seok Lee, Ah Young Kim, So-Woon Kim, Seung-Mo Hong
OBJECTIVE: The purpose of this study is to evaluate the MRI features of primary anorectal malignant melanoma and to correlate these features with its clinical and pathologic characteristics. MATERIALS AND METHODS: The medical records of 12 patients (five men and seven women; mean age [± SD], 60.8 ± 10.0 years) with pathologically proven primary anorectal melanoma were retrospectively reviewed. MRI findings were analyzed to determine the shape, size, distance from the anal verge, presence of perirectal or anal infiltration, signal intensity on T1- and T2-weighted images, presence of diffusion restriction, contrast enhancement pattern of the lesion, presence of lymphadenopathy, and occurrence of bowel obstruction...
June 21, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29924005/abdominal-cocoon-with-early-postoperative-small-bowel-obstruction-a-case-report-and-review-of-literature-in-china
#4
Jie Xia, WeiJia Xie, Li Chen, Daren Liu
RATIONALE: Abdominal cocoon is a condition in which intestinal obstruction results from the encasement of part or whole of the small bowel by a thick fibrous membrane, giving the appearance of a cocoon. The preoperative diagnosis is difficult to be made and the treatment is still controversial. PATIENT CONCERNS: Here we describe the case of a 62-year-old male presented with a 24-h history of continual colicky abdominal pain, which was accompanied with nausea and vomiting...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923490/small-bowel-intussusception-due-to-malignant-melanoma-primary-lesion-or-metastases-a-case-report
#5
M De Monti, L Pacchiarini, G Cestaro, G Peloni, F Fasoli
Intussusception is a rare condition in the adult population: it is responsible for 1% of all bowel obstructions. In most of intussusceptions a malignant tumor is involved; a lot of studies show that approximately 50% of malignant metastases causing small bowel intussusception are metastatic melanomas. In present paper a case of a small bowel intussusception probably due to metastases of an occult melanoma, in a 69-year-old patient, is presented. Surgery resection, careful research of possible primitive neoplasms and an accurate follow-up program has been the treatment of choice...
May 2018: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29922464/gallstone-ileus-of-the-sigmoid-colon-caused-by-cholecystocolonic-fistula-a-case-report
#6
González-Urquijo Mauricio, Hinojosa-Gonzalez David Eugenio, Quevedo-Fernandez Enrique
Introduction: A cholecystocolonic fistula (CCF) is a late complication following repeated episodes of chronic inflammation of the gallbladder in contact with the hepatic flexure, and it might cause a biliary ileus in the colon, causing an intestinal obstruction, and if left untreated, a life threatening disease. Presentation of case: a 49-year-old female patient presented with abdominal pain and bowel obstruction due to a gallstone impaction on the sigmoid colon as consequence of a cholecystocolonic fistula...
July 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29915635/-diphyllobothrium-latum-mimicking-subacute-appendicitis
#7
Konika Sharma, Karn Wijarnpreecha, Nancy Merrell
Diphyllobothrium latum ( D. latum ) infection in humans is uncommon in the United States. Although there has been a drastic decline in the report of D. latum infection in this region, physicians should be aware of an uncommon presentation and its clinical relevance. We report a case of 55-year-old female of Ecuadorian/Peruvian origin who presented with an unknown cause of chronic right lower quadrant abdominal pain for 2 months without other particular symptoms. Initial workup revealed evidence of iron deficiency anemia, and stool occult blood test was positive...
June 2018: Gastroenterology Research
https://www.readbyqxmd.com/read/29909395/closed-loop-small-bowel-obstruction-from-lateral-trocar-site-hernia-following-robotic-sigmoid-resection
#8
Shinban Liu, Nicholas Morin, George Ferzli
No abstract text is available yet for this article.
June 15, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29907140/undiagnosed-maternal-diaphragmatic-hernia-a-management-dilemma
#9
Maya Reddy, Annie Kroushev, Kirsten Palmer
BACKGROUND: Maternal diaphragmatic hernias identified during pregnancy are rare and pose significant management challenges with regards to timing and mode of both delivery and hernia repair. CASE PRESENTATION: We describe a case of a maternal diaphragmatic hernia diagnosed at 31 weeks gestation in the setting of acute upper abdominal pain. Due to no evidence of visceral compromise and a stable maternal condition, the patient was conservatively managed, allowing for further foetal maturation...
June 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29906630/a-rare-occurrence-of-viability-of-both-small-and-large-bowel-in-ileosigmoid-knotting-a-case-report
#10
Simbarashe Gift Mungazi, Brightson Mutseyekwa, Mordecai Sachikonye
INTRODUCTION: Ileosigmoid knot is an uncommon cause of acute intestinal obstruction where the ileum wraps around the base of a redundant sigmoid colon. CASE PRESENTATION: We present an unusual case of a 45-year-old male patient who presented with signs and symptoms of intestinal obstruction. Exploratory laparotomy revealed an ileosigmoid knot. Both the small and large bowels were viable. The sigmoid colon was resected an end to end anastomosis was done. His post-operative period was uneventful...
June 8, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29906215/infectious-complications-after-laparoscopic-appendectomy-in-pediatric-patients-with-perforated-appendicitis-is-there-a-difference-in-the-outcome-using-irrigation-and-suction-versus-suction-only-results-of-a-multicentric-international-retrospective-study
#11
Maria Escolino, Francois Becmeur, Amulya Saxena, Holger Till, Lorenzo Masieri, Giuseppe Cortese, George W Holcomb, Ciro Esposito
BACKGROUND: Analyzing the recent literature, it seems that the use of irrigation increases the incidence of intra-abdominal abscesses (IAAs) and infectious complications in perforated appendicitis. The aim of this study was to compare peritoneal irrigation and suction versus suction only during laparoscopic appendectomy (LA) for perforated appendicitis in children. MATERIALS AND METHODS: We retrospectively reviewed the records of 699 patients (460 boys and 239 girls, average age 9...
June 15, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29904287/prognostic-value-of-serum-lipase-levels-in-patients-with-small-bowel-obstruction
#12
Fathima Z Kamil Faiz, Sasha Mehrabian, Mahak Saad, Gabriel M Aisenberg
Elevated serum pancreatic enzymes have been described among patients with small bowel obstruction (SBO) initially misdiagnosed as having pancreatitis. We studied whether serum lipase elevation carries prognostic value in patients with SBO. Patients with SBO and at least one serum lipase level measured were included. Demographic, laboratory, and imaging information, as well as need for surgery or intensive care unit and mortality, were evaluated. Of 344 patients, 38 (11%) had elevated serum lipase levels. Patients with radiographic diagnosis of pancreatitis were excluded...
July 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29901596/multiple-gastrointestinal-metastases-of-squamous-cell-lung-cancer-a-case-report
#13
Xinyu Li, Songhe Li, Zhiming Ma, Shutao Zhao, Xudong Wang, Dacheng Wen
RATIONALE: Gastrointestinal multiple metastases of lung cancer are extremely rare. The majority of gastrointestinal metastasis cases are diagnosed at a late stage and the prognosis is extremely poor. This report describes the clinical characteristics and outcomes of a patient with gastrointestinal multiple metastases from squamous-cell lung cancer, with special emphasis on the diagnosis and treatment of metastatic lung cancer. PATIENT CONCERNS: A 61-year-old man who presented with progressive abdominal distention was admitted to our hospital...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901457/cystic-intestinal-pneumatosis-of-the-small-gut-etiopathogenesis-and-review-of-literature
#14
Luca Napolitano, Mathew Waku, Gustavo Maggi, Franco Ciarelli
Cystic intestinal pneumatosis (CIP) is the presence of gas bubbles inside the wall of the intestine. In literature it has been reported to be associated with a variety of clinical conditions such as: superior mesenteric ischemia, intestinal perforation, bowel necrosis, infections which can cause mucosal alterations and therefore increasing its permeability, necrotizing enterocolitis in babies, trauma, intestinal obstruction, autoimmune and pulmonary pathologies. Its presence is usually documented by radiological techniques such as abdominal X-ray, CT scan and endoscopy and are usually characterized by the typical pattern of gas bubbles in the wall of the intestine...
March 19, 2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29900822/is-mesenteric-defect-closure-needed-in-urologic-surgery-using-ileum
#15
Michael A Avallone, Peter N Dietrich, Shanta T Shepherd, Mona Lalehzari, R Corey O'Connor, Michael L Guralnick
INTRODUCTION: Classic surgical teaching advocates for closure of the mesenteric defect (MD) after bowel anastomosis but the necessity is controversial. We sought to evaluate the necessity of MD closure at the time of harvest of ileum for genitourinary reconstructive surgery (GURS) by analyzing the incidence of early and late gastrointestinal adverse events (GIAE) in patients with and without MD closure. MATERIALS AND METHODS: A retrospective review was conducted on patients undergoing urologic reconstruction with ileum to identify incidence of ileus, small bowel obstruction (SBO), gastrointestinal (GI) fistula and stoma complications...
June 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29896400/carcinoma-in-the-residual-rectum-of-a-long-standing-crohn-s-disease-patient-following-subtotal-colectomy-a-case-report
#16
Kazuaki Shibuya, Shigenori Homma, Tadashi Yoshida, Yosuke Ohno, Nobuki Ichikawa, Hideki Kawamura, Teppei Imamoto, Yoshihiro Matsuno, Akinobu Taketomi
The development of colorectal cancer in long-standing Crohn's disease (CD) patients has become a major complication. Therapeutic guidelines for CD-associated cancer (CDAC) have already been established in Western countries; however, specific guidelines are not currently available in Japan. Surveillance of the residual intestine for cancer screening is important for long-standing CD patients. The present case report describes the occurrence of rectal carcinoma in a patient with a 25-year history of CD. A 37-year-old male with a 17-year history of CD underwent semi-emergent subtotal colectomy and ileostomy for bowel obstruction secondary to the transverse colon stenosis, and multiple severe stenosis and inflammation...
July 2018: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/29894558/interventions-for-preventing-distal-intestinal-obstruction-syndrome-dios-in-cystic-fibrosis
#17
REVIEW
Jessica Green, Francis J Gilchrist, Will Carroll
BACKGROUND: Cystic fibrosis (CF) is the most common, life-limiting, genetically inherited disease. It affects multiple organs, particularly the respiratory system. However, gastrointestinal problems such as constipation and distal intestinal obstruction syndrome (DIOS) are also important and well-recognised complications in CF. They share similar symptoms e.g. bloating, abdominal pain, but are distinct conditions. Constipation occurs when there is gradual faecal impaction of the colon, but DIOS occurs when there is an accumulation of faeces and sticky mucus, forming a mass in the distal part of the small intestine...
June 12, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29893034/the-microbiome-of-translocated-bacterial-populations-in-patients-with-and-without-inflammatory-bowel-disease
#18
Christopher John Kiely, Paul Pavli, Claire Louise O'Brien
BACKGROUND: Using culture-based methods, bacterial translocation from the gut to draining mesenteric lymph nodes (LNs) is seen in 5% of normal controls and up to 33% of patients with IBD. Many bacteria can't be cultured so these methods are unable to capture the full spectrum of bacteria present. AIMS: To detect viable bacteria in LNs of patients with IBD and non-IBD controls using bacterial RNA as a surrogate for viability and to compare them with the same patient's gut microbiome...
June 11, 2018: Internal Medicine Journal
https://www.readbyqxmd.com/read/29891860/microsomal-prostaglandin-e-synthase-1-plays-a-critical-role-in-long-term-motility-dysfunction-after-bowel-obstruction
#19
You-Min Lin, Yu Fu, Shrilakshmi Hegde, Yanbo Tang, Ravi Radhakrishnan, Xuan-Zheng Shi
Motility dysfunction is present not only during bowel obstruction (BO), but after obstruction is resolved. Previous studies found that lumen distension associated mechano-transcription of COX-2 and production of PGE2 in gut smooth muscle cells (SMC) account for motility dysfunction during obstruction. We hypothesized that PGE2 may exert autocrine effect in SMC to induce microsomal prostaglandin E synthase-1 (mPGES-1), which contributes to motility dysfunction after obstruction is resolved. Partial colon obstruction was induced in rats with an obstruction band, which was released 7 days later...
June 11, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29889691/optimal-interval-from-placement-of-a-self-expandable-metallic-stent-to-surgery-in-patients-with-malignant-large-bowel-obstruction-a-preliminary-study
#20
Akihisa Matsuda, Masao Miyashita, Satoshi Matsumoto, Nobuyuki Sakurazawa, Youichi Kawano, Takeshi Yamada, Takeshi Matsutani, Eiji Uchida
OBJECTIVES: The aim of this study was to investigate the risk factors for postoperative complications (POCs) and optimal interval between a self-expandable metallic stent (SEMS) placement and elective surgery, "bridge to surgery (BTS)" in patients with malignant large bowel obstruction. MATERIALS AND METHODS: BTS strategy was attempted in 49 patients with malignant large bowel obstruction from January 2013 to March 2017 in our institution. Two of these patients were excluded because they had undergone emergency surgery for SEMS migration...
June 8, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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