keyword
https://read.qxmd.com/read/38315046/prostaglandin-e-major-urinary-metabolites-as-a-new-biomarker-for-acute-mesenteric-ischemia
#21
JOURNAL ARTICLE
Keisuke Suzuki, Koji Morishita, Tomohiro Adachi, Akira Suekane, Keita Nakatsutsumi, Panu Teeratakulpisarn, Mitsuaki Kojima, Raul Coimbra, Yasuhiro Otomo
BACKGROUND: Acute mesenteric ischemia (AMI) is an emergent vascular disease caused by cessation of the blood supply to the small intestine. Despite advances in the diagnosis, intervention, and surgical procedures, AMI remains a life-threatening condition. Prostaglandin E2 Major Urinary Metabolite (PGE-MUM), the urinary metabolite of Prostaglandin E2, is known to be stable in urine and has been suggested to be a valuable biomarker for intestinal mucosal inflammation, such as ulcerative colitis...
February 5, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38306870/diagnosis-of-small-intestinal-microperforation-by-cell-morphology-detection-in-abdominal-puncture-fluid-a-case-report
#22
Yaqin Zheng, Zijun Li, Qinbing Zhou
INTRODUCTION AND IMPORTANCE: Although abdominal computed tomography angiography (CTA) may be a gold standard for early diagnosis of small intestinal microperforation, early missed and delayed diagnosis are often important factors leading to poor prognosis. The cellular morphology diagnosis of abdominal puncture fluid (DAPF) or diagnostic peritoneal lavage (DPL) may have unexpected clinical outcomes. CASE PRESENTATION: We report a case of small bowel microperforation which dues to BAT...
February 1, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38305661/a-case-of-seatbelt-induced-mesenteric-injury-and-delayed-colon-ischemia-after-a-car-accident
#23
Burak Çelik, Safa Toprak, Mesut Yeşilsoy, İbrahim Halil Özata
Trauma is the sixth leading cause of death globally and the leading cause of morbidity and mortality in young patients. Blunt bowel and mesenteric injuries are rare, occuring in only 1-5% of blunt abdominal traumas, and are associated with high morbidity and mortality. In this report, we present a case of a patient with sigmoid colon perforation due to ischemia caused by mesenteric injury, who was admitted to the hospital with abdominal pain two days after a car accident. A twenty-one-year-old man was admitted to the emergency department with abdominal pain and vomiting, having been involved in a car accident as a driver two days prior...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305658/is-tapp-the-right-alternative-for-patients-undergoing-emergency-surgery-for-incarcerated-inguinal-hernia
#24
JOURNAL ARTICLE
Levent Eminoğlu
BACKGROUND: Incarcerated inguinal hernia requires emergency intervention.The incarcerated segment should be thoroughly inspected in order to evaluate the degree of ischemia and decide whether resection is required.The aim of this study is to evaluate the applicability of TAPP for patients seen in the emergency department for incarcerated inguinal hernias. METHODS: The study was done retrospectively.Patients who presented to the emergency department and were operated with the TAPP technique were included...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38288191/a-case-of-idiopathic-colonic-intramural-hematoma-successful-expectant-management
#25
Taha Al-Mwald, Abdullah Mayas, Saif A Ghabisha, Saleh Al-Wageeh, Faisal Ahmed
Intramural gastrointestinal hematomas are commonly observed following abdominal trauma or are associated with coagulopathy disorders. In contrast, idiopathic gastrointestinal hematoma is rare, and colonic involvement is sporadic, with very few published reports. We report the case of a 29-year-old female who presented with right hypogastric pain over the last three days. Abdominal CT with contrast revealed an 8.5 × 6 × 7.5 cm pre-occlusive intramural hematoma of the ascending colon up to the hepatic flexure with diffuse edematous wall thickening, indicating colonic obstruction...
December 2023: Curēus
https://read.qxmd.com/read/38257141/metabolic-and-nutritional-issues-after-lower-digestive-tract-surgery-the-important-role-of-the-dietitian-in-a-multidisciplinary-setting
#26
REVIEW
Alejandra Utrilla Fornals, Cristian Costas-Batlle, Sophie Medlin, Elisa Menjón-Lajusticia, Julia Cisneros-González, Patricia Saura-Carmona, Miguel A Montoro-Huguet
Many patients undergo small bowel and colon surgery for reasons related to malignancy, inflammatory bowel disease (IBD), mesenteric ischemia, and other benign conditions, including post-operative adhesions, hernias, trauma, volvulus, or diverticula. Some patients arrive in the operating theatre severely malnourished due to an underlying disease, while others develop complications (e.g., anastomotic leaks, abscesses, or strictures) that induce a systemic inflammatory response that can increase their energy and protein requirements...
January 12, 2024: Nutrients
https://read.qxmd.com/read/38230353/a-case-of-multiple-organ-injury-resuscitated-by-collaboration-of-damage-control-surgery-and-interventional-radiology-in-hybrid-emergency-room
#27
Ryosuke Omoto, Yutaka Umemura, Masanari Kato, Yasutaka Nakahori, Satoshi Fujimi
BACKGROUND: Hybrid emergency room systems, namely hybrid ER (HER), enable us to perform computed tomography (CT), surgery, and interventional radiology (IVR) without patient transfer. HER significantly shortened the time to CT after arrival and allowed us to achieve early intervention, resulting in reduced mortality from exsanguination in patients with severe blunt trauma. CASE PRESENTATION: We encountered a patient diagnosed with left common iliac artery occlusion and dissection caused by blunt traumatic compressive abdominal injury with transection of the small intestine, kidney, and adrenal and pelvic ring fractures...
2024: Acute Medicine & Surgery
https://read.qxmd.com/read/38226574/evaluation-of-intestinal-necrosis-with-laser-doppler-in-experimental-mesenteric-ischemia-model
#28
JOURNAL ARTICLE
Nurullah Aksoy, Davut Sinan Kaplan, Mustafa Orkmez, Ömer Eronat
BACKGROUND: Acute mesenteric ischemia (AMI) is responsible for one in a thousand emergency hospital admissions in America and Europe and is associated with high morbidity and mortality rates. Current diagnostic and treatment methods fall short of desired outcomes, often resulting in delayed diagnoses and difficulties in detecting ischemic bowel tissue during treatment. This study evaluates the diagnostic value of commonly used biochemical markers in clinical practice-creatine kinase, C-reactive protein (CRP), and lactate dehydrogenase (LDH)-alongside blood flow measurements using laser Doppler in a rat model of experimental mesenteric ischemia...
January 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38221811/vaginal-reconstruction-by-collagen-scaffolds-loaded-with-vaginal-epithelial-and-smooth-muscle-cells-in-pigs
#29
JOURNAL ARTICLE
Guangfeng Zhao, Yishan Dong, Ziying Ye, Simin Yao, Limin Wang, Yannan Zhao, Bing Chen, Dan Liu, Jianwu Dai, Yali Hu
In women, a healthy and functional vagina is important for the maintenance of a good quality of life. Various factors, including congenital anomalies, cancer, trauma, infections, inflammation, or iatrogenic injuries, can lead to damage or loss of the vaginal structure, necessitating repair or replacement. Often, such reconstruction procedures involve the use of nonvaginal tissue substitutes, like segments of the large intestine or skin, which are less than ideal both anatomically and functionally. Therefore, there is an urgent need to develop new methods of vaginal reconstruction...
January 15, 2024: Biomaterials Science
https://read.qxmd.com/read/38217921/rare-case-report-of-intestinal-obstruction-due-to-incarcerated-small-bowel-in-omental-breach
#30
Mohamed Ali Chaouch, Ahmed Hadj Taieb, Maissa Jallali, Eya Chedly, Besma Gafsi, Faouzi Noomen
INTRODUCTION AND IMPORTANCE: Intestinal obstruction without a past surgical history of abdominal surgeries or trauma is a rare and challenging clinical situation. This case report describes the presentation, diagnosis, and management of intestinal obstruction in a patient with an uncommon aetiology of small bowel obstruction. CASE PRESENTATION: A 62-year-old female with a past medical history of hypertension, diabetes, and atrial fibrillation presented to the Emergency Department with symptoms of vomiting and abdominal distension for two days...
January 11, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38189659/ccr2-dependent-monocytes-exacerbate-intestinal-inflammation-and-modulate-gut-serotonergic-signaling-following-traumatic-brain-injury
#31
JOURNAL ARTICLE
Mahmoud G El Baassiri, Zachariah Raouf, Hee-Seong Jang, Daniel Scheese, Johannes W Duess, William B Fulton, Chhinder P Sodhi, David J Hackam, Isam W Nasr
BACKGROUND: Traumatic brain injury (TBI) leads to acute gastrointestinal dysfunction and mucosal damage, resulting in feeding intolerance. Ccr2+ monocytes are crucial immune cells that regulate the gut's inflammatory response via the brain-gut axis. Using CCR2KO mice, we investigated the intricate interplay between these cells to better elucidate the role of systemic inflammation after TBI. METHODS: A murine-controlled cortical impact model was utilized, and results were analyzed on post-injury days (PID) 1 and 3...
January 8, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38182535/efficacy-and-safety-of-endoscopic-retrograde-cholangiopancreatography-in-children-of-pancreaticobiliary-maljunction-without-obvious-biliary-dilatation
#32
JOURNAL ARTICLE
Manning Qian, Jiawei Wang, Song Sun, Zai Song, Shaobo Yang, Ying Wu, Liyuan Jiang, Qiuyan Wang, Kuiran Dong, Xianmin Xiao, Shan Zheng, Gong Chen
PURPOSE: There is no standard surgical approach for pancreaticobiliary maljunction (PBM) without congenital biliary dilatation (CBD). This study aimed to compare outcomes between therapeutic endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic hepaticojejunostomy (LH) for pediatric patients of PBM without obvious biliary dilatation (PBM-nonOBD). METHODS: We retrospectively reviewed demographic and clinical data of pediatric patients with PBM-nonOBD from 2015 to 2021...
December 14, 2023: Journal of Pediatric Surgery
https://read.qxmd.com/read/38161912/appendicitis-post-fall-in-the-pediatric-population-a-case-report
#33
Nouf Albalawi, Mishal Alhazmi, Abduallah ALqahtani, Abdullah Aloboudi, Alanoud Mesawa, Naif Alotaibi, Amel Babiker
The appendix is a small, finger-sized tubular pouch that extends from your large intestine. Regardless, the physiology of the appendix is still unclear. There are several factors that cause appendicitis, such as infection, underlying tumor, constipation, and trauma. Symptoms of right lower quadrant abdominal pain, nausea, anorexia, and fever, as well as physical signs such as rebound tenderness and McBurney point/sign, are typical of non-traumatic acute appendicitis. On the other hand, a thorough history and physical examination are paramount for an accurate diagnosis of acute traumatic appendicitis...
November 2023: Curēus
https://read.qxmd.com/read/38161555/an-incidental-case-of-morgagni-hernia-with-beaver-tail-liver-in-an-adult
#34
Ruthwik B Shankar, Adheep B Amberker, Vidyasagar Belgundi
Morgagni hernia is a rare congenital defect of the diaphragm, especially seen in children but rarely observed in adults. It occurs due to a congenital defect during the development of the diaphragm. Bochdalek hernia is a common congenital form of diaphragmatic hernia. Morgagni hernia is usually rare with a prevalence of approximately 2-3%. Beaver tail liver, which is also called sliver of liver, is a rare variant of liver morphology. Sometimes elongated left lobe of the liver can extend laterally across the midline to contact and often surround the spleen...
December 2023: Curēus
https://read.qxmd.com/read/38153806/intestinal-damage-and-immune-response-after-experimental-blunt-abdominal-trauma
#35
JOURNAL ARTICLE
Felix Haussner, Alexander Maitz, Volker Rasche, Andrea Hoffmann, Sonja Braumüller, Ludmila Lupu, Anita Ignatius, Thomas A Neff, Annette Palmer, Markus Huber-Lang
No abstract text is available yet for this article.
December 1, 2023: Shock
https://read.qxmd.com/read/38130728/the-impact-of-gut-microbiota-changes-on-the-intestinal-mucus-barrier-in-burned-mice-a-study-using-16s-rrna-and-metagenomic-sequencing
#36
JOURNAL ARTICLE
Xule Zha, Sen Su, Dan Wu, Panyang Zhang, Yan Wei, Shijun Fan, Qianying Huang, Xi Peng
BACKGROUND: The gut microbiota is a complex ecosystem that plays a critical role in human health and disease. However, the relationship between gut microbiota and intestinal damage caused by burns is not well understood. The intestinal mucus layer is crucial for maintaining intestinal homeostasis and providing a physiological barrier against bacterial invasion. This study aims to investigate the impact of gut microbiota on the synthesis and degradation of intestinal mucus after burns and explore potential therapeutic targets for burn injury...
2023: Burns and Trauma
https://read.qxmd.com/read/38125260/a-case-series-on-acute-mesenteric-ischemia-ami-leading-to-intestinal-gangrene-following-blunt-trauma-to-the-abdomen
#37
Aditya Sharma, Rahul Khanna, Ram Niwas Meena, Shashi Prakash Mishra, Seema Khanna
The term "acute mesenteric ischemia" (AMI) refers to a set of conditions where the blood supply to various segments of the small intestine is cut off, causing ischemia and subsequent inflammatory changes that might result in bowel gangrene. Estimates place the incidence between 0.09% and 0.2% of all acute surgical hospitalizations. Early diagnosis is essential, despite the entity being a rare cause of abdominal discomfort, because if left untreated, mortality is 50%. Herein, we present a case series of three patients with bowel ischemia following blunt abdominal trauma...
November 2023: Curēus
https://read.qxmd.com/read/38079251/analysis-of-lipid-metabolites-derived-from-gut-microbiota-in-ischemia-reperfusion-model
#38
JOURNAL ARTICLE
Keita Nakatsutsumi, Koji Morishita, Todd W Costantini, Tomohiro Adachi, Akira Suekane, Keisuke Suzuki, Mitsuaki Kojima, Makoto Arita, Yasuhiro Otomo
BACKGROUND: Disruption of intestinal barrier caused by intestinal ischemia due to hemorrhagic shock, is associated with the pathogenesis of multiple organ dysfunction (MOD) after severe trauma. Mesenteric lymph (ML) plays an important role as a route for transporting inflammatory mediators, including lipids. Post-biotics, such as 10-hydroxy-cis-12-octadecenoic acid (HYA), have received much attention as a treatment option. However, the relationship between post-biotics and MOD has yet to be clarified...
December 8, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38051514/comparative-study-of-the-immediate-postoperative-pain-for-the-classical-versus-laparoscopic-types-of-surgery-within-the-treatement-of-inguinal-hernias
#39
JOURNAL ARTICLE
Madalina Cambrea, Muresan Mircea, Giuseppe Cammalleri
BACKGROUND: The inguinal hernia is the protrusion of intra-abdominal contents through a defect of the abdominal wall. This content can be represented by omentum, most frequently intestine. Theoretically, any intraperitoneal organ can be located in the hernia sac.The inguinal hernia is distinguished by several features: it is the most common form of hernia, it can occur in any age category, the only treatment is the surgical treatment, in the absence of the treatment, severe complications can endanger the patient's life...
2023: Annali Italiani di Chirurgia
https://read.qxmd.com/read/38031915/clinical-analysis-of-renal-cell-carcinoma-with-intestinal-metastasis-resulting-in-small-bowel-and-colon-fistula
#40
JOURNAL ARTICLE
Qi Yu, Zhaokun Zhang, Yuhui Ma, Sihan E, Lugang Zhao
An enteric fistula is an abnormal connection between the intestine and other organs and is often caused by inflammation or trauma. Diagnosis and treatment involve imaging and endoscopy. Treatment may include medication and surgery. This report presents a rare case of severe enteric fistula caused by colonic metastasis of clear cell renal carcinoma. The objective of this report is to increase surgeons' awareness of atypical manifestations of intestinal metastatic cancer.
November 30, 2023: Revista Española de Enfermedades Digestivas
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