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Gas abdominal distension

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https://www.readbyqxmd.com/read/27746233/colon-hypersensitivity-to-distension-rather-than-excessive-gas-production-produces-carbohydrate-related-symptoms-in-individuals-with-irritable-bowel-syndrome
#1
Giles Major, Sue Pritchard, Kathryn Murray, Jan Paul Alappadan, Caroline Hoad, Luca Marciani, Penny Gowland, Robin Spiller
BACKGROUND & AIMS: Poorly digested, fermentable carbohydrates may induce symptoms of irritable bowel syndrome (IBS) via unclear mechanisms. We performed a randomized trial with magnetic resonance imaging (MRI) analysis to investigate correlations between symptoms and changes in small- and large-bowel contents after oral challenge. METHODS: We performed a 3-period, cross-over study of 29 adult patients with IBS (based on Rome III criteria, with symptoms of abdominal pain or discomfort for at least 2 days/wk) and reported bloating...
October 14, 2016: Gastroenterology
https://www.readbyqxmd.com/read/27635272/congenital-chloride-diarrhea-diagnosis-by-easy-accessible-chloride-measurement-in-feces
#2
C Gils, M-C Eckhardt, P E Nielsen, M Nybo
Background. Congenital chloride diarrhea (CCD) is an autosomal recessive disorder caused by mutations in the genes encoding the intestinal Cl(-)/HCO3 (-) exchanger and is clinically characterized by watery, profound diarrhea, electrolyte disturbances, and metabolic alkalosis. The CCD diagnosis is based on the clinical symptoms and measurement of high chloride concentration in feces (>90 mmol/L) and is confirmed by DNA testing. Untreated CCD is lethal, while long-term clinical outcome improves when treated correctly...
2016: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/27532522/pneumatosis-intestinalis-after-etoposide-based-chemotherapy-in-a-patient-with-metastatic-small-cell-lung-cancer-successful-conservative-management-of-a-rare-condition
#3
Luiza Dib Batista Bugiato Faria, Carlos Henrique Dos Anjos, Gustavo Dos Santos Fernandes, Igor Fernando da Silva Carvalho
A 69-year-old male patient, smoker, was diagnosed with small cell lung cancer metastatic to lung, liver and central nervous system. He received chemotherapy with carboplatin AUC 5 on day 1 and etoposide 100mg/m2 on days 1, 2 and 3. During the first cycle, the patient presented with febrile neutropenia and abdominal distension. Chest, abdomen and pelvis computed tomography scan was performed and detected gas dissecting the wall of sigmoid colon extending to the mesosigmoid. Patient had no abdominal pain, nausea, vomiting, and on physical examination he had no peritoneal irritation, tachycardia or hemodynamic instability compatible with perforation or acute abdomen...
July 2016: Einstein
https://www.readbyqxmd.com/read/27495256/pneumatosis-intestinalis-after-gefitinib-therapy-for-pulmonary-adenocarcinoma-a-case-report
#4
Ai Maeda, Masao Nakata, Katsuhiko Shimizu, Takuro Yukawa, Shinsuke Saisho, Riki Okita
BACKGROUND: Pneumatosis intestinalis (PI) is defined as the presence of gas in the bowel wall and is a relatively rare finding. PI has been associated with various pathological conditions and medications. Although several chemotherapeutic agents and molecular targeted therapy agents are reported to be associated with PI, there have been few reports describing the association between the anti-epidermal growth factor receptor agent gefitinib, a tyrosine kinase inhibitor (TKI), and PI. The present report describes a case of PI secondary to gefitinib therapy...
2016: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27490679/a-case-of-abdominal-compartment-syndrome-derived-from-simple-elongated-sigmoid-colon-in-an-elderly-man
#5
Masaaki Shida, Yoshihiko Kitajima, Masayuki Tanaka, Hiroharu Tsuji
INTRODUCTION: Abdominal compartment syndrome or intra-abdominal hypertension may occur after intra-abdominal events, but their etiology and clinical signs remain unclear. We report a case of abdominal compartment syndrome in an elderly patient without other risk factors. PRESENTATION OF CASE: An 86-year-old man had been admitted to our hospital several times for a dilated sigmoid colon with elongation, and had complained about abdominal pain and abdominal fullness...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27385295/neonatal-gastric-outlet-obstruction-by-isolated-pyloric-atresia-an-often-forgotten-diagnosis
#6
Antoine Mboyo, Pauline Clermidi, Guillaume Podevin, Dariusz Patkowski, Maciej Baglaj, Sylwester Gerus, Abdelfetah Lalioui, Stéphan de Napoli-Cocci, Michel Robert
BACKGROUND: Pyloric atresia (PA) is a rare condition, and may be misdiagnosed and especially confused for duodenal atresia pre-operatively. We looked for clues to avoiding pre-operative misdiagnosis and hence allow the best neonatal medical and surgical management. METHODS: A retrospective case-note review was carried out of the five patients managed in four centres with the diagnosis of isolated PA. We focused on antenatal ultrasound findings, postnatal clinical and radiological features, operative findings, surgical procedures and outcomes...
April 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27376775/a-rare-case-of-ischaemic-pneumatosis-intestinalis-and-hepatic-portal-venous-gas-in-an-elderly-patient-with-good-outcome-following-conservative-management
#7
E J Nevins, P Moori, C S J Ward, K Murphy, C E Elmes, J V Taylor
INTRODUCTION: Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are typically associated and are likely to represent a spectrum of the same disease. The causes of both entities range from benign to life-threatening conditions. Ischaemic causes are known to be fatal without emergency surgical intervention. PRESENTATION OF CASE: In this case a 93year old male experienced acute abdominal pain radiating to his back, with nausea and vomiting and a 2-week history of altered bowel habit...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27221130/acute-gastric-volvulus-associated-with-wandering-spleen-in-an-adult-treated-laparoscopically-after-endoscopic-reduction-a-case-report
#8
Jiro Omata, Katsuyuki Utsunomiya, Yoshiki Kajiwara, Risa Takahata, Nobuo Miyasaka, Hidekazu Sugasawa, Naoko Sakamoto, Yoji Yamagishi, Makiko Fukumura, Daiki Kitagawa, Mitsuhiko Konno, Yasushi Okusa, Michinori Murayama
A 43-year-old female was referred to our hospital for sudden onset of abdominal pain, fullness, and vomiting. Physical examination revealed abdominal distension with mild epigastric tenderness. Abdominal radiography showed massive gastric distension and plain computed tomography (CT) a markedly enlarged stomach filled with gas and fluid. A large volume of gastric contents was suctioned out via a nasogastric (NG) tube. Contrast-enhanced CT showed a grossly distended stomach with displacement of the antrum above the gastroesophageal junction, and the spleen was dislocated inferiorly...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27218049/recurrence-in-a-laparoscopically-repaired-traumatic-diaphragmatic-hernia-case-report-and-literature-review
#9
Nikita R Bhatt, Morgan McMonagle
INTRODUCTION: Traumatic diaphragmatic hernia (TDH) develops infrequently following a traumatic diaphragmatic rupture (TDR). As TDR is frequently missed due to lack of sensitive and specific imaging modalities, a high index of suspicion for such injuries is essential, whether immediately posttraumatic, or even decades after the trauma. We describe a rare case of recurrence in a laparoscopically repaired TDH and review the current literature on the same. CASE PRESENTATION: A 23-year-old male with a history of primary laparoscopic repair of left-sided TDR two years ago presented with symptoms of acute large bowel obstruction...
February 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27112479/-investigation-of-diagnostic-method-and-treatment-on-acute-appendicitis-with-acute-intestinal-obstruction-as-presenting-manifestation
#10
Xiaohu Zhang, Zhixia Li, Dali An, Jing Liu, Wei Li
OBJECTIVE: Prevention of the misdiagnosis of acute appendicitis when it first manifested as acute intestinal obstruction, and to search proper way of diagnosis and treatment for such event to provide the reference. METHODS: Clinical data of 33 acute appendicitis cases presented with acute intestinal obstruction in Beijing Tong Ren Hospital during January 2000 and December 2015 were analyzed retrospectively. RESULTS: All 33 patients were admitted to the Emergency Department with symptoms of various degrees abdominal pain and abdominal distension...
April 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27022387/inflammatory-myofibroblastic-tumor-a-rare-cause-of-invagination-in-adults
#11
Remzi Kiziltan, Ozkan Yilmaz, Necat Almali, Caghan Peksen
Inflammatory myofibroblastic tumor (IMT) is a distinct pseudosarcomatous lesion arising in the soft tissues and interior organs of children and young adults. It is rarely seen in adults. It was first described in lungs. IMT can occur in any location in the body. However, it is seen most commonly in lungs, intestinal mesentery and liver. Non-mesenteric alimentary tract IMT's are quite rare. The presented case is an ileal IMT that caused small bowel invagination. A 38 year-old male patient presented to the emergency department with the complaint of diffuse abdominal pain, distension and no passage of gas or stools for two days...
January 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/26871593/colonic-content-in-health-and-its-relation-to-functional-gut-symptoms
#12
R A Bendezú, E Barba, E Burri, D Cisternas, A Accarino, S Quiroga, E Monclus, I Navazo, J-R Malagelada, F Azpiroz
BACKGROUND: Gut content may be determinant in the generation of digestive symptoms, particularly in patients with impaired gut function and hypersensitivity. Since the relation of intraluminal gas to symptoms is only partial, we hypothesized that non-gaseous component may play a decisive role. METHODS: Abdominal computed tomography scans were evaluated in healthy subjects during fasting and after a meal (n = 15) and in patients with functional gut disorders during basal conditions (when they were feeling well) and during an episode of abdominal distension (n = 15)...
June 2016: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/26781403/-apllication-of-nasal-synchronous-intermittent-mandatory-ventilation-in-premature-infants-with-severe-respiratory-distress-syndrome-after-extubation
#13
Hai-Feng Tao, Min Tao, Na Cai, Wei Liao
OBJECTIVE: To study the clinical efficacy of nasal synchronous intermittent mandatory ventilation (nSIMV) in premature infants with severe respiratory distress syndrome (RDS) after extubation. METHODS: A retrospective analysis on the clinical date of 126 premature infants with severe RDS who were hospitalized in the NICU between January 2013 and May 2015 was performed. Sixty-one premature infants who were hospitalized in the NICU between January 2013 and March 2014 received nasal continuous positive airway pressure (nCPAP) (nCPAP group) and 65 premature infants who were hospitalized in the NICU between April 2014 and May 2015 received nSIMV (nSIMV group)...
January 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/26601818/risk-factors-associated-with-prolonged-postoperative-ileus-after-elective-colon-resection
#14
M A Juárez-Parra, J Carmona-Cantú, J R González-Cano, S Arana-Garza, R J Trevino-Frutos
BACKGROUND: There is a coordinated inhibition of motility of the colon after its surgical manipulation that contributes to the accumulation of fluids and gas, in turn characterized by nausea,vomiting, pain, abdominal distension, and constipation. Motility is recovered in the majority of patients within the first 72 hours. A delay in its resolution is known as prolonged postoperative ileus. AIMS: To study the preoperative, intraoperative, and postoperative risk factors for developing prolonged ileus in patients that underwent elective colon resection...
October 2015: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/26559303/case-report-of-multimodality-imaging-in-omental-cake-plain-radiograph-computed-tomography-and-ultrasonography-a-care-compliant-article
#15
Yu-Hsiang Juan, Yun-Chung Cheung, Koon-Kwan Ng, Shu-Hang Ng, Jen-Seng Huang, Liang-Che Chang, Yu-Ching Lin
The imaging finding of omental cake has been demonstrated in other modalities, such as computed tomography, magnetic resonance imaging, and ultrasonography. However, to the best of our knowledge, the image presentation of omental cake on a routine kidney-ureter-bladder film has not been reported before in the literature. We presented a unique case of a 61-year-old woman, with known advanced cecal colon mucinous adenocarcinoma, presented to our institution with abdominal fullness, poor appetite, and decreased stool passage for 20 days...
November 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26393648/lactose-intolerance-in-adults-biological-mechanism-and-dietary-management
#16
REVIEW
Yanyong Deng, Benjamin Misselwitz, Ning Dai, Mark Fox
Lactose intolerance related to primary or secondary lactase deficiency is characterized by abdominal pain and distension, borborygmi, flatus, and diarrhea induced by lactose in dairy products. The biological mechanism and lactose malabsorption is established and several investigations are available, including genetic, endoscopic and physiological tests. Lactose intolerance depends not only on the expression of lactase but also on the dose of lactose, intestinal flora, gastrointestinal motility, small intestinal bacterial overgrowth and sensitivity of the gastrointestinal tract to the generation of gas and other fermentation products of lactose digestion...
September 2015: Nutrients
https://www.readbyqxmd.com/read/26366365/conservative-treatment-of-idiopathic-spontaneous-pneumoperitoneum-in-a-bedridden-patient-a-case-report
#17
Ryo Tanaka, Hitoshi Kameyama, Masayuki Nagahashi, Tatsuo Kanda, Hiroshi Ichikawa, Takaaki Hanyu, Takashi Ishikawa, Takashi Kobayashi, Jun Sakata, Shin-Ichi Kosugi, Toshifumi Wakai
Idiopathic spontaneous pneumoperitoneum is a rare condition that is characterized by intraperitoneal gas for which no clear etiology has been identified. We report here a case of idiopathic spontaneous pneumoperitoneum, which was successfully managed by conservative treatment. A 77-year-old woman who was bedridden with speech disability as a sequela of brain hemorrhage presented at our hospital with a 1-day history of abdominal distention. On physical examination, she had stable vital signs and slight epigastric tenderness on deep palpation without any other signs of peritonitis...
2015: Surgical Case Reports
https://www.readbyqxmd.com/read/26155273/pneumatosis-intestinalis-after-adult-living-donor-liver-transplantation-report-of-three-cases-and-collective-literature-review
#18
Cheon-Soo Park, Shin Hwang, Dong-Hwan Jung, Gi-Won Song, Deok-Bog Moon, Chul-Soo Ahn, Gil-Chun Park, Ki-Hun Kim, Tae-Yong Ha, Sung-Gyu Lee
BACKGROUNDS/AIMS: Pneumatosis intestinalis (PI) is a condition in which multiple gas-filled mural cysts develop in the gastrointestinal tract. Although its exact etiology remains obscure, PI is rarely observed in liver transplant (LT) recipients. METHODS: In 317 cases of adult living donor LT (LDLT) performed during 2011, PI developed in three patients during the 3 year follow-up. RESULTS: Of these three patients, the two who demonstrated PI at 6 weeks and 2 months after LT, respectively, were asymptomatic and showed no signs of secondary complications...
February 2015: Korean Journal of Hepato-biliary-pancreatic Surgery
https://www.readbyqxmd.com/read/26125807/impact-of-enteral-nutrition-on-postoperative-immune-function-and-nutritional-status
#19
RANDOMIZED CONTROLLED TRIAL
F Wang, M X Hou, X L Wu, L D Bao, P D Dong
We studied the effects of enteral nutrition (EN) support initiated 1 week before surgery on postoperative nutritional status, immune function, and inflammatory response in gastric cancer patients. A total of 200 gastric cancer patients were randomly divided into two groups: EN starting 1 week before surgery (study group) and EN starting early after surgery (control group). The two groups received EN support, following different therapeutic schedules, until the 9th day after operation. In the patients, body weight, skinfold thickness, upper-arm circumference, white blood cell count, albumin, prealbumin, C-reactive protein, peripheral immunoglobulins (IgA, IgG, and IgM), T lymphocyte subsets, interleukin-6, and tumor necrosis factor-α were measured 10 days before and after surgery and on the first day after surgery...
2015: Genetics and Molecular Research: GMR
https://www.readbyqxmd.com/read/26100594/-pathologic-aerophagia-a-rare-cause-of-chronic-abdominal-distension
#20
Lisieux Eyer de Jesus, Ana Beatriz C S S Cestari, Orli Carvalho da Silva Filho, Marcia Antunes Fernandes, Livia Honorato Firme
OBJECTIVE: To describe an adolescent with pathologic aerophagia, a rare condition caused by excessive and inappropriate swallowing of air and to review its treatment and differential diagnoses. CASE DESCRIPTION: An 11 year-old mentally impaired blind girl presenting serious behavior problems and severe developmental delay with abdominal distension from the last 8 months. Her past history included a Nissen fundoplication. Abdominal CT and abdominal radiographs showed diffuse gas distension of the small bowel and colon...
July 2015: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
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