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https://www.readbyqxmd.com/read/29049340/pressurized-intra-peritoneal-aerosol-chemotherapy-in-patients-suffering-from-peritoneal-carcinomatosis-of-pancreatic-adenocarcinoma
#1
Tanja Khosrawipour, Veria Khosrawipour, Urs Giger-Pabst
BACKGROUND: Patients suffering from peritoneal carcinomatosis of pancreatic adenocarcinoma were treated with Pressurized Intra Peritoneal Aerosol Chemotherapy (PIPAC), initial clinical findings are presented. METHODS: Single institution, tertiary referral center certified for therapy of peritoneal disease. Prospective data collection of PIPAC therapy with doxorubicin 1.5 mg/m2 and cisplatin 7.5 mg/m2 of body surface delivered at intervals of six weeks. The outcome criteria were microscopic pathological response, survival and adverse events (v4...
2017: PloS One
https://www.readbyqxmd.com/read/29045179/clinical-relevance-of-the-feces-sign-in-small-bowel-obstruction-due-to-adhesions-depends-on-its-location
#2
Wassef Khaled, Ingrid Millet, Lucie Corno, Isabelle Bouley-Coletta, Mohamed Amine Benadjaoud, Patrice Taourel, Marc Zins
OBJECTIVE: The objective of our study was to evaluate if the feces sign can be used to predict successful nonoperative treatment or progression to ischemia in patients with small-bowel obstruction (SBO) due to adhesions. MATERIALS AND METHODS: For this single-center retrospective observational study involving a blinded independent review by two radiologists of 237 consecutive CT examinations of 216 patients with SBO due to adhesions (age: mean, 70.9 years; median, 74 years; interquartile range, 62-84 years), the location of the transition zone (TZ), number of TZs, and presence and location of the feces sign relative to the TZ were recorded...
October 18, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29035773/first-irish-and-tenth-case-of-small-bowel-obstruction-secondary-to-suprapubic-catheterisation-in-the-world-case-report-and-case-review-of-a-rare-complication-of-suprapubic-catheterisation
#3
Yasir Bashir, Quart Ul Ain, Muhammad Jouda, Osama Al Sahaf
INTRODUCTION: Percutaneous Suprapubic urinary bladder catheterisation (SPC) is a common procedure performed in cases of urinary retention where attempt to pass urethral catheter has failed. However, the procedure requires meticulous precision, vigilance and sound knowledge of anatomy, to avoid grave complications. We are reporting a very rare complication of Suprapubic catheterisation that is small bowel obstruction. Our case is first Irish and 10th global case of small bowel obstruction secondary to SPC...
October 10, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29033757/gallstone-ileus-an-unlikely-cause-of-mechanical-small-bowel-obstruction
#4
Estela Abich, Daniel Glotzer, Edward Murphy
Gallstone ileus is a rare disease that accounts for 1-4% of intestinal obstructions. Almost exclusively a condition in the older female population, it is a difficult diagnosis to make. We report the case of gallstone ileus in a 94-year-old Caucasian female, who presented to the emergency department with acute-onset nausea, coffee-ground emesis, lack of bowel movement, and abdominal distension. On CT scan, the diagnosis of gallstone ileus was made by the presence of a cholecystoduodenal fistula, pneumobilia, and small bowel obstruction...
May 2017: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/29030779/recurrence-after-operative-treatment-of-adhesive-small-bowel-obstruction
#5
Lea Lorentzen, Mari N Øines, Erling Oma, Kristian K Jensen, Lars N Jorgensen
BACKGROUND: Postoperative adhesions are a common cause of small-bowel obstruction, and up to 53% of patients operated on for adhesive small-bowel obstruction (ASBO) experience recurrence. The primary aim of this study was to identify predictors for recurrence of ASBO. METHODS: We reviewed medical records including operation descriptions from patients who underwent emergency surgery due to ASBO at our institution between 2004 and 2013. Information on the peri- and postoperative periods, including conservatively and surgically treated recurrent ASBO, were obtained from medical records...
October 13, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29024840/a-case-report-of-endometriosis-presenting-as-an-acute-small-bowel-obstruction
#6
Daniel L Chan, Dorothy Chua, Praveen Ravindran, Marisol Perez Cerdeira, Isabella Mor
INTRODUCTION: Endometriosis is a common and benign condition that causes significant morbidity to women of childbearing age. It uncommonly affects the gastrointestinal tract and rarely manifests as an acute small bowel obstruction. PRESENTATION OF CASE: A 46-year old female presented to the emergency department with signs and symptoms consistent with an acute small bowel obstruction. She had a paucity of background surgical history, having only had a laparoscopic cholecystectomy...
October 5, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29019151/bariatric-surgery-is-acceptably-safe-in-obese-inflammatory-bowel-disease-patients-analysis-of-the-nationwide-inpatient-sample
#7
Fateh Bazerbachi, Tarek Sawas, Eric J Vargas, Samir Haffar, Parakkal Deepak, John B Kisiel, Edward V Loftus, Barham K Abu Dayyeh
BACKGROUND: The prevalence of obesity in patients with inflammatory bowel disease (IBD) has increased over the past decades. Data to support the safety of bariatric surgery (BAR) in IBD remain scarce. Our aim was to evaluate the safety and early postoperative complications of BAR in IBD patients. METHODS: We used the Nationwide Inpatient Sample (NIS) 2011, 2012, and 2013 to perform a cohort study. The study group was all hospitalized patients between ages 18-90 years who underwent BAR with a discharge diagnosis of IBD as per the Ninth International Classification of Diseases codes (ICD-9)...
October 10, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29018940/laparoscopy-or-laparotomy-for-adhesive-bowel-obstruction-in-children-a-systematic-review-and-meta-analysis
#8
Hiromu Miyake, Shogo Seo, Agostino Pierro
PURPOSE: Adhesive small bowel obstruction (ASBO) is one of the most important cause of postoperative morbidity in children who underwent abdominal surgery. Laparoscopic management for ASBO in pediatric patients has been reported. However, its safety and efficacy has not been evaluated in details. The aim of this study is to compare the outcomes of laparoscopy and laparotomy for the treatment of ASBO in children. METHODS: A systematic review and meta-analysis were performed following the Cochrane Handbook for systematic reviews of intervention and the preferred reporting item for systematic reviews and meta-analysis (PRISMA) and a protocol registered in PROSPERO (CRD42017067914)...
October 10, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28994125/propionibacterium-acnes-as-an-emerging-pathogen-in-skull-base-osteomyelitis-a-case-series
#9
Heather K Schopper, Jonathan L Hatch, Ted A Meyer
Skull base osteomyelitis (SBO) is recognized as a potentially life-threatening infection that has been classically attributed to Pseudomonas aeruginosa. However, growing data shows that the bacteriology of SBO is changing. Traditionally thought of as commensal bacterium, P. acnes has been implicated as a serious pathogen in other specialties. Building on a previous case report from our institution, we have identified three patients with SBO who are culture-positive for Propionibacterium acnes as a single isolate...
October 10, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28985880/trends-in-parastomal-hernia-repair-in-the-united-states-a-14-y-review
#10
Thomas Gavigan, Nigel Rozario, Brent Matthews, Caroline Reinke
BACKGROUND: Parastomal hernia is the most common complication after stoma creation. Parastomal hernias can create significant morbidity, including patient discomfort, small bowel obstruction, and need for emergency surgery. We examined national trends in parastomal hernia repair (PHR) including annual frequency of procedure, patient characteristics, and same-admission complications. MATERIALS AND METHODS: The 1998-2011 Nationwide Inpatient Sample was used to identify patients who underwent a PHR (International Classification of Disease, Ninth Edition, Procedure Code [ICD-9 PR] 46...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28982819/uk-based-multisite-prospective-cohort-study-of-small-bowel-obstruction-in-acute-surgical-services-national-audit-of-small-bowel-obstruction-nasbo-protocol
#11
Matthew J Lee, Adele E Sayers, Thomas M Drake, Marianne Hollyman, Mike Bradburn, Daniel Hind, Timothy R Wilson, Nicola S Fearnhead
INTRODUCTION: Small bowel obstruction (SBO) is a common indication for emergency laparotomy in the UK, which is associated with a 90-day mortality rate of 13%. There are currently no UK clinical guidelines for the management of this condition. The aim of this multicentre prospective cohort study is to describe the burden, variation in management and associated outcomes of SBO in the UK adult population. METHODS AND ANALYSIS: UK hospitals providing emergency general surgery are eligible to participate...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28978602/small-bowel-obstruction-due-to-a-jejunal-enterolith-an-unusual-complication-of-jejunal-diverticulitis
#12
Lalita Malghan, Ashley Uttley, David Scullion
A 91-year-old woman presented with symptoms of acute bowel obstruction supported by clinical findings. A CT of the abdomen was performed which demonstrated jejunal diverticulosis with a single inflamed, wide necked diverticulum. A large enterolith was found to be impacted in the jejunum just distal to the area of inflammation resulting in small bowel obstruction. The patient underwent emergency laparotomy, which confirmed the CT findings. Small bowel resection was performed. The patient had an uneventful postoperative recovery...
October 4, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28976024/effective-insertion-method-of-transnasal-ileus-tube-for-adhesive-small-bowel-obstruction
#13
Daisuke Yamaguchi, Tomohito Morisaki, Seiji Tsunada
Small bowel obstruction (SBO) is usually caused by postoperative adhesions that develop in about 95% of adult patients after abdominal surgery.(1)) Some recent studies have shown that long transnasal tube decompression achieves favorable outcomes.(2,3)) We herein report a new effective transnasal ileus tube insertion method called the anterior balloon method to achieve decompression for adhesive SBO(4)) . This article is protected by copyright. All rights reserved.
October 4, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28962621/the-anti-adiposity-effect-of-bitter-melon-seed-oil-is-solely-attributed-to-its-fatty-acid-components
#14
Gou-Chun Chen, Wen-Hung Chen, Kuo-Tang Tseng, Pei-Min Chao
BACKGROUND: Obesity is the leading chronic disease affecting people of all ages. The objective of this study was to optimize composition of a bitter melon seed oil (BMSO) product to maximize its anti-adiposity effect. METHODS: Bleaching oil, saponifiables and non-saponifiables were prepared from BMSO, with α-eleostearic acid (α-ESA) content in BMSO maintained in bleaching oil and saponifiables. C57BL/6 J mice were allocated into five groups (n = 10/group) to receive diet C [30% soybean oil (SBO)], BM [25% SBO + 5% BMSO], BMS, BMNS or BMD...
September 29, 2017: Lipids in Health and Disease
https://www.readbyqxmd.com/read/28960923/surgery-for-constipation-systematic-review-and-practice-recommendations-results-i-colonic-resection
#15
REVIEW
C H Knowles, U Grossi, M Chapman, J Mason
AIM: To assess the outcomes of colectomy in adults with chronic constipation (CC). METHOD: Standardised methods and reporting of benefits and harms were used for all CapaCiTY reviews that closely adhered to PRISMA 2016 guidance. Main conclusions were presented as summary evidence statements (SES) with a summative Oxford Centre for Evidence-Based Medicine (2009) level. RESULTS: Forty articles were identified, providing data on outcomes in 2045 patients...
September 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28956144/does-diverting-ileostomy-improve-the-outcome-in-children-with-tuberculous-small-bowel-obstruction-requiring-surgical-intervention
#16
Rizwan Ahmad Khan, Shagufta Wahab, Imran Ghani
INTRODUCTION: Abdominal tuberculosis is fairly common in children. The most common clinical presentation is bowel obstruction. Depending upon the presentation, the intestinal obstruction can be either managed conservatively or by operative intervention. There are various options in patients who undergo operative treatment. This study was undertaken to analyze the results of operative intervention with and without ileostomy. MATERIALS AND METHODS: This is a retrospective study carried out over a period of 10 years on 32 children who were operated for small bowel obstruction due to abdominal tuberculosis...
September 27, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28946102/hyperirritable-stomach-as-a-cause-of-obstructive-symptoms-after-sleeve-gastrectomy-clinical-and-radiographic-findings
#17
Amelia M Wnorowski, Marc S Levine, Stephen E Rubesin, Noel N Williams, Kristoffel R Dumon
PURPOSE: To characterize clinical and radiographic features of a hyperirritable stomach after sleeve gastrectomy. MATERIALS/METHODS: Radiology reports revealed that 10/76 patients (13%) with obstructive symptoms after sleeve gastrectomy had a hyperirritable stomach. RESULTS: All 10 patients presented with nausea, vomiting, and/or regurgitation. All 10 had emesis on barium studies in the absence of gastric outlet obstruction, gastroparesis, or small bowel obstruction/ileus...
September 10, 2017: Clinical Imaging
https://www.readbyqxmd.com/read/28943577/obstructive-bezoars-of-the-small-bowel-treated-with-coca-cola-zero-through-a-long-intestinal-tube-and-endoscopic-manipulation
#18
Kei Endo, Keisuke Kakisaka, Yuji Suzuki, Takayuki Matsumoto, Yasuhiro Takikawa
An 82-year-old Japanese man visited our hospital with abdominal fullness accompanied by lower abdominal pain. He presented with small bowel obstruction due to multiple diospyrobezoars. The bezoars were successfully removed without any surgical intervention by the administration of Coca-Cola Zero through a long intestinal tube and subsequent endoscopic manipulation. Such a combination may be the treatment of choice for small bowel obstruction due to bezoars.
September 25, 2017: Internal Medicine
https://www.readbyqxmd.com/read/28939400/hiatal-hernia-containing-the-alimentary-limb-and-the-gastric-pouch-a-rare-cause-of-small-bowel-obstruction-after-roux-en-y-gastric-bypass
#19
Miguel Bouzas Cardaci, Robert De Keuleneer, Fadi Massaarani
No abstract text is available yet for this article.
August 24, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28937467/does-the-prevalence-of-spondylolysis-and-spina-bifida-occulta-observed-in-pediatric-patients-remain-stable-in-adults
#20
Julio Urrutia, Tomas Zamora, Jorge Cuellar
STUDY DESIGN: Cross-sectional study. OBJECTIVE: To compare the prevalence of lumbar spondylolysis and spina bifida occulta (SBO) in pediatric and adult populations. SUMMARY OF BACKGROUND DATA: The prevalence of spondylolysis reported from radiograph-based studies in children had been questioned in computed tomography (CT)-based studies in adults; however, a recent CT-based study in pediatric patients has confirmed the previously reported data in pediatric populations...
October 2017: Clinical Spine Surgery
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