25,176 results match your criteria Bowel Trauma


Application of a 3D-printed "fistula stent" in plugging enteroatmospheric fistula with open abdomen: A case report.

World J Gastroenterol 2019 Apr;25(14):1775-1782

Research Institute of General Surgery, Jinling Hospital, Nanjing 210002, Jiangsu Province, China.

Background: Open abdomen (OA) has been generally accepted for its magnificent superiority and effectiveness in patients with severe trauma, severe intra-abdominal infection, and abdominal compartment syndrome. In the meantime, OA calls for a mass of nursing and the subsequent enteroatomospheric fistula (EAF), which is one of the most common complications of OA therapy, remains a thorny challenge.

Case Summary: Our team applied thermoplastic polyurethane as a befitting material for producing a 3D-printed "fistula stent" in the management of an EAF patient, who was initially admitted to local hospital because of abdominal pain and distension and diagnosed with bowel obstruction. Read More

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http://dx.doi.org/10.3748/wjg.v25.i14.1775DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465945PMC

[Prophylactic hysterectomy in Lynch syndrome: feasibility and outcomes].

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Chirurgie Cancérologique Gynécologique et du Sein, Paris, France; Université Paris Descartes, INSERM UMR-S 747, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France. Electronic address:

Objectives: Lynch syndrome (LS) is a hereditary predisposition to cancers, first of all, colo-rectal and endometrial cancers in women. Although recommended, gynecologic screening has never proven its benefit. Prophylactic surgery can be consider once the parental project is completed. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.04.010DOI Listing

Left pulmonary artery bullet embolism following a penetrating cardiac gunshot injury.

Afr J Emerg Med 2019 26;9(Suppl):S61-S63. Epub 2018 Jul 26.

Trauma and Trauma Intensive Care Unit, Inkosi Albert Luthuli Central Hospital, 800 Vusi Mzimela Road, Cato Manor, Durban 4091, South Africa.

Introduction: Bullet emboli occur when bullets migrate from an entry point to an abnormal endpoint via blood vessels or bowel. Most result from low-velocity, small calibre civilian gunshots. Although rare, when it does occur, it commonly embolises to the arterial system. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2211419X183003
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http://dx.doi.org/10.1016/j.afjem.2018.07.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437298PMC
July 2018
2 Reads

The interaction between CSE/HS and the iNOS/NO-mediated resveratrol/poly(ethylene glycol)-poly(phenylalanine) complex alleviates intestinal ischemia/reperfusion injuries in diabetic rats.

Biomed Pharmacother 2019 Apr 28;112:108736. Epub 2019 Feb 28.

Department of Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, Fujian, China; Department of Pathology and Pathophysiology, Provincial Key Discipline of Pharmacology, Jiaxing University Medical College, Jiaxing, China. Electronic address:

Introduction: The purpose of the experiment was to survey the therapeutic function of resveratrol (RES)-loaded poly(ethylene glycol)-poly(phenylalanine) (PEG-PPhe) on intestinal ischemia/reperfusion injury (II/RI) via the interaction between CSE/HS and iNOS/NO compared to free RES in diabetic rats.

Methods: Diabetic rats were pretreated with 20 mg/kg of RES or the RES/PEG-PPhe complex and then subjected to 1 h of ischemia and 3 h of reperfusion. Blood and intestines were collected, intestinal pathological injury was estimated, and the contents of body weight, weights of different tissues, blood glucose, serum insulin, HOMA index, serum nitric oxide (NO) and serum sulfureted hydrogen (HS) were observed. Read More

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http://dx.doi.org/10.1016/j.biopha.2019.108736DOI Listing

Frailty Identification and Care Pathway: An Interdisciplinary Approach to Care for Older Trauma Patients.

J Am Coll Surg 2019 Apr 5. Epub 2019 Apr 5.

Division of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Boston, MA. Electronic address:

Background: Frailty is a well-established marker of poor outcomes in geriatric trauma patients. There are few interventions to improve outcomes in this growing population. Our goal was to determine if an interdisciplinary care pathway for frail trauma patients improved in-hospital mortality, complications, and 30-day readmissions. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2019.02.052DOI Listing
April 2019
2 Reads

A comparison of segmented abdominopelvic fluid volumes with conventional CT signs of abdominal compartment syndrome in a trauma population.

Abdom Radiol (NY) 2019 Apr 5. Epub 2019 Apr 5.

R. Adams Cowley Shock Trauma Center, 22 S. Greene Street, Baltimore, MD, 21201, USA.

Purpose: To compare the utility of abdominopelvic fluid volume measurements with established computed tomography signs for refractory post-traumatic abdominal compartment syndrome.

Methods: This retrospective observational cohort study included 64 consecutive adult trauma patients with preoperative CT and diagnosis of refractory abdominal compartment syndrome requiring decompressive laparotomy at a level I trauma referral center between 2004 and 2014. We hypothesized that abdominal fluid volume measurements would be more predictive of the need for early laparotomy than previously described conventional CT signs of refractory ACS. Read More

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http://link.springer.com/10.1007/s00261-019-02000-8
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http://dx.doi.org/10.1007/s00261-019-02000-8DOI Listing
April 2019
1 Read

Development of a Vaginal Immobilization Device: A Treatment-planning Study of Carbon-ion Radiotherapy and Intensity-modulated Radiation Therapy for Uterine Cervical Cancer.

Anticancer Res 2019 Apr;39(4):1915-1921

Gunma University Heavy Ion Medical Center, Maebashi, Japan.

Aim: We developed a vaginal immobilization device for external radiotherapy in gynaecological malignancies and evaluated its bowel dose-reduction effect during carbon-ion radiotherapy (CIRT) and intensity-modulated radiation therapy (IMRT) in patients with cervical cancer.

Patients And Methods: Computed tomographic images obtained with and without the device in seven patients with cervical cancer were assessed. Treatment plans for CIRT and IMRT were generated, and dose-volume parameters (V, V, V, and D) of the rectum, sigmoidal colon, and bladder were evaluated. Read More

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http://ar.iiarjournals.org/lookup/doi/10.21873/anticanres.13
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http://dx.doi.org/10.21873/anticanres.13300DOI Listing
April 2019
2 Reads

The effectiveness of preoperative colon cleansing on post-operative surgical site infection after hip hemiarthroplasty.

Eur J Trauma Emerg Surg 2019 Apr 4. Epub 2019 Apr 4.

Umraniye Education and Research Hospital, Department of Orthopedics and Trauma, SB University, Istanbul, Turkey.

Aim: This study aimed to evaluate the effectiveness of prophylactic mechanical bowel preparation in elderly patients undergoing hip hemiarthroplasty in a single training institution over a period of 2 years.

Patients And Methods: The study was conducted in a prospective-randomised manner. All patients, who underwent primary hip hemiarthroplasty for femoral neck fracture in our institution between 20 February 2015 and 29 December 2016, were included. Read More

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http://dx.doi.org/10.1007/s00068-019-01125-1DOI Listing
April 2019
1 Read

Early postoperative oral feeding shortens first time of bowel evacuation and prevents long term hospital stay in patients undergoing elective small intestine anastomosis.

Gastroenterol Hepatol Bed Bench 2019 ;12(1):25-30

Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Aim: This study was conducted to compare outcome of early oral feeding (EOF) versus traditional oral feeding (TOF) in patients undergoing elective small intestine anastomosis.

Background: Appropriate nutritional support after major surgeries is a real medical concern. As traditional surgical techniques have been replaced by novel methods, postoperative care should be revised as well. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441485PMC
January 2019

Intramural duodenal haematoma with mucosal prolapse causing intestinal obstruction.

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Department of Paediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

Intramural small bowel haematoma is a rare cause of intestinal obstruction in children. Coagulation disorders or anticoagulant therapy are the most common cause followed by blunt trauma. A one and half-year-old boy, with known case of gastro-oesophageal reflux disease had undergone upper gastrointestinal endoscopy and biopsy. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22827
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http://dx.doi.org/10.1136/bcr-2018-228276DOI Listing
April 2019
5 Reads

Absence of donor-site pathergy following fractional autologous full-thickness skin grafting in pyoderma gangrenosum.

Br J Dermatol 2019 Apr 4. Epub 2019 Apr 4.

Department of Dermatology& Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, U.S.A.

Pyoderma gangrenosum (PG) is an uncommon inflammatory skin disorder, often associated with arthritis, inflammatory bowel disease, and/or hematologic malignancies [1]. A classic feature of PG is the development or worsening of lesions at areas that experience trauma, also known as pathergy. Autologous skin grafting may be challenging in these patients due to the potential for pathergy at the donor site. Read More

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http://dx.doi.org/10.1111/bjd.17987DOI Listing
April 2019
3 Reads

Defining the Three Delays in Referral of Surgical Emergencies from District Hospitals to University Teaching Hospital of Kigali, Rwanda.

World J Surg 2019 Apr 3. Epub 2019 Apr 3.

University Teaching Hospital of Kigali, Kigali, Rwanda.

Background: Surgical conditions represent up to 30% of the global burden of diseases. The aim of this study was to assess the delays in patients transferred to a tertiary referral hospital from district hospitals (DHs) in Rwanda with emergency general surgery (EGS) conditions.

Methods: We performed a prospective review of all EGS patients referred from DH over a 3-month period to assess delays in transfer and accessing care. Read More

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http://dx.doi.org/10.1007/s00268-019-04991-3DOI Listing
April 2019
1 Read
2.642 Impact Factor

Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine.

BMC Gastroenterol 2019 Apr 3;19(1):49. Epub 2019 Apr 3.

Division of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Ren-Ji Hospital, Shanghai Jiao-Tong University School of Medicine, 145 Middle Shandong Road, Shanghai, 200001, China.

Background: CMUSE is a rare disease whose diagnosis remains difficult because the lesion is confined to the small bowel.

Case Presentation: Here, we present a case of 43-year-old female patient suffered chronic abdominal pain for 20 years, and finally diagnosed with CMUSE. Capsule endoscopy was performed when general endoscopic investigation failed to find the lesion, but the capsule was stranded in the small intestine. Read More

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http://dx.doi.org/10.1186/s12876-019-0962-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448319PMC
April 2019
4 Reads

Posterior cord syndrome: Demographics and rehabilitation outcomes.

J Spinal Cord Med 2019 Apr 2:1-6. Epub 2019 Apr 2.

b Department of Biostatistics , Virginia Commonwealth University Health Systems , Richmond , Virginia , USA.

Context/Objectives: To describe demographics, clinical characteristics, and functional outcomes of patients with incomplete spinal cord injuries and posterior cord syndrome (PCS).

Design: Five-year retrospective case series.

Setting: Spinal cord injury (SCI) rehabilitation unit at a Level 1 tertiary university medical center. Read More

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http://dx.doi.org/10.1080/10790268.2019.1585135DOI Listing
April 2019
3 Reads

Short-term outcomes of the over-the-scope clip proctology system for rectovaginal fistula repair: a prospective study.

Tech Coloproctol 2019 Apr 1. Epub 2019 Apr 1.

Colorectal Unit, Department of Surgery, Michallon University Hospital, CS 10 217, 38 043, Grenoble cedex, France.

Background: The over-the-scope clip proctology system is rather new and information regarding its use for the closure of anorectal fistulas is scarce. No study has been designed to focus exclusively on its application in the treatment of rectovaginal fistulas. The aim of the study was to evaluate the feasibility, safety, and effectiveness of the clip for rectovaginal fistula repair. Read More

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http://dx.doi.org/10.1007/s10151-019-01948-5DOI Listing
April 2019
2 Reads

Reconstructive operations for enteric and colonic fistulas: Low mortality and recurrence in a single-surgeon series with long follow-up.

Surgery 2019 Mar 28. Epub 2019 Mar 28.

Division of Biostatistics and Informatics, Mayo Clinic, Rochester, MN.

Background: The aim of the study was to evaluate the outcomes of 100 consecutive patients undergoing reconstructive operation for enteric and colonic fistulas. These fistulas cause dramatic morbidity and profoundly diminish quality of life. Fistula takedown has been associated with high rates of recurrence. Read More

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http://dx.doi.org/10.1016/j.surg.2019.01.020DOI Listing
March 2019
1 Read

[Spanish validation of the Autonomic Standards Assessment Form in spinal cord injuries].

Rehabilitacion (Madr) 2019 Jan - Mar;53(1):20-27. Epub 2018 Dec 7.

Unidad de Lesionados Medulares, Área de Rehabilitación, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España.

Introduction And Objectives: Autonomic nervous system (ANS) dysfunction in patients with spinal cord injury (SCI) severely impacts morbidity and mortality. However, research initiatives aiming to gain insight into the direct impact of ANS dysfunction on health outcomes in persons with SCI are still lacking. Thus, this study had 2main objectives: 1) to translate into Spanish the revised edition of the International Standards on documentation of remaining Autonomic Function after SCI (ISAFSCI), and 2) to describe the impact of ANS dysfunction in a sample of SCI patients. Read More

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http://dx.doi.org/10.1016/j.rh.2018.10.007DOI Listing
December 2018
2 Reads

Clinical Significance of the Seat Belt Sign as Evidence of a Compromised Occupant-Seat Belt Relationship.

J Emerg Med 2019 Mar 28. Epub 2019 Mar 28.

Biodynamic Research Corporation, San Antonio, Texas.

Background: Seat belt marks are seen frequently on occupants after motor vehicle accidents. Over the years, the clinical significance of these marks has changed as restraint systems have evolved. With modern restraint systems, signs of a compromised occupant-restraint relationship are an important and easily identified bedside finding. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.01.035DOI Listing
March 2019
1 Read

The Relationship Between Adverse Childhood Experiences and Health Care Use in the Manitoba IBD Cohort Study.

Inflamm Bowel Dis 2019 Mar 23. Epub 2019 Mar 23.

From the University of Manitoba IBD Clinical and Research Centre.

Background: We aimed to determine the prevalence of adverse childhood experiences (ACEs) in persons with inflammatory bowel disease (IBD) and whether having ACEs was associated with health care utilization post-IBD diagnosis.

Method: Three hundred forty-five participants from the population-based Manitoba IBD Cohort Study self-reported ACEs (ie, physical abuse, sexual abuse, death of a very close friend or family member, severe illness or injury, upheaval between parents, and any other experience thought to significantly impacts one's life or personality) at a median of 5.3 years following IBD diagnosis. Read More

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http://dx.doi.org/10.1093/ibd/izz054DOI Listing
March 2019
1 Read

Iatrogenic Intraspinal Epidermal Inclusion Cyst with Secondary Infection: A Cause for Acute Paraparesis.

J Orthop Case Rep 2018 Nov-Dec;8(6):96-99

Department of Spine Surgery, Baby Memorial Hospital, Calicut, Kerala, India.

Introduction: Lumbar puncture with unstyletted needle or any other spine trauma can cause implantation of skin fragments inside the dura and can cause acquired intraspinal epidermoid tumors. There is significant delay found between the episode of lumbar puncture and the presentation of the tumor. To the best of our knowledge, there is no reported case of intraspinal epidermoid tumor presenting as acute paraparesis secondary to infection of the tumor in the literature. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424307PMC
March 2019
1 Read

Mesenteric Ischemia Caused by Heparin-induced Thrombocytopenia: A Case Report.

Cureus 2019 Jan 16;11(1):e3900. Epub 2019 Jan 16.

Surgery, Riverside Community Hospital, Riverside, USA.

Deep venous thrombosis (DVT) prophylaxis is the current standard of care in trauma patients. While most of the anticoagulation complications are obvious and can be promptly identified, heparin-induced thrombocytopenia (HIT) requires a high index of suspicion for early diagnosis to prevent a potentially fatal outcome. A 39-year-old female presented to our emergency room after sustaining a gunshot wound to her left flank and pelvis requiring a sigmoid colon and left fallopian tube and ovary resection with colostomy diversion. Read More

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https://www.cureus.com/articles/16243-mesenteric-ischemia-ca
Publisher Site
http://dx.doi.org/10.7759/cureus.3900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424548PMC
January 2019
3 Reads

Outcomes in adhesive small bowel obstruction from a large statewide database: What to expect after nonoperative management.

J Trauma Acute Care Surg 2019 Apr;86(4):651-657

From the Trauma Service (L.E.W., R.Y.C., C.E.D., J.M.B., W.J.B., V.B., C.B.S., M.J.S.), Scripps Mercy Hospital, San Diego, California.

Background: Although adhesive small-bowel obstruction (ASBO) is frequently managed nonoperatively, little is known regarding outcomes on readmission following this approach. Using a large population-based dataset, we evaluated risk factors for operative intervention and mortality at readmission in patients with ASBO who were initially managed nonoperatively.

Methods: The ASBO patients were identified in the California Office of Statewide Health Planning and Development 2007 to 2014 patient discharge database. Read More

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http://dx.doi.org/10.1097/TA.0000000000002196DOI Listing
April 2019
2 Reads

Single-incision laparoscopic reversal of Hartmann's operation through the stoma site: comparative outcomes with conventional laparoscopic and open surgery.

Colorectal Dis 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgery, North Tees and Hartlepool NHS Foundation Trust, University Hospital of North Tees, Stockton-on-Tees, UK.

Aim: Restoration of bowel continuity after Hartmann's procedure (RoH) can be challenging and associated with considerable morbidity. A technique using single-incision laparoscopic surgery through the stoma site (SIL RoH) has been shown to be feasible and safe. In this study, we compared clinical outcomes of SIL RoH with conventional laparoscopic surgery (CL) and open surgery (OS). Read More

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http://dx.doi.org/10.1111/codi.14617DOI Listing

Sishen Wan Ameliorated Trinitrobenzene-Sulfonic-Acid-Induced Chronic Colitis NEMO/NLK Signaling Pathway.

Front Pharmacol 2019 6;10:170. Epub 2019 Mar 6.

Science and Technology College, Jiangxi University of Traditional Chinese Medicine, Nanchang, China.

The nuclear factor (NF)-κB signaling pathway plays an important role in the initialization and development phase of inflammatory injuries, including inflammatory bowel disease (IBD). Sishen Wan (SSW) is a classic Chinese patent medicine listed in the Chinese Pharmacopoeia, which is usually used to treat chronic colitis; however, it is unclear whether SSW can treat IBD the NF-κB signaling pathway. In the present study, the therapeutic effect of SSW was demonstrated by the decreased index of colonic weight, macroscopic and microscopic score, and pathological observation in chronic colitis induced by trinitrobenzene sulfonic acid. Read More

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http://dx.doi.org/10.3389/fphar.2019.00170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414459PMC
March 2019
2 Reads

Ectopic leiomyoma as a late complication of laparoscopic hysterectomy with power morcellation: a case report and review of the literature.

Acta Chir Belg 2019 Mar 20:1-5. Epub 2019 Mar 20.

a Department of Surgery , AZ Zeno , Knokke-Heist , Belgium.

Introduction: Electromechanical power morcellation is a widely used technique to extract uterine fibroids during laparoscopic hysterectomy. Although the complication rate of morcellators is low, ectopic leiomyoma can appear several years after their use.

Patients And Methods: We present a case of an ectopic leiomyoma and a literature review of power morcellation-induced complications and ectopic leiomyoma. Read More

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http://dx.doi.org/10.1080/00015458.2019.1586396DOI Listing
March 2019
1 Read

Observation on the curative effect of long intestinal tube in the treatment of phytobezoar intestinal obstruction.

Medicine (Baltimore) 2019 Mar;98(11):e14861

Department of Gastrointestinal Surgery.

The aim of the study was to observe the curative effect of long intestinal tube (LT) in the treatment of phytobezoar intestinal obstruction.We performed a retrospective study of patients with phytobezoar intestinal obstruction who underwent decompression with different tube insertion method. A total of 80 patients were collected and divided into nasogastric tube (NGT) group (n = 36) and LT group (n = 44) between August 2015 and August 2018 at our hospital. Read More

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http://dx.doi.org/10.1097/MD.0000000000014861DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426573PMC
March 2019
1 Read

Simultaneous small and large bowel obstruction as a consequence of internal hernia: A case report.

Int J Surg Case Rep 2019 Feb 27;57:28-32. Epub 2019 Feb 27.

Department of General Surgery, Jordanian Royal Medical Services (JRMS), Amman, Jordan. Electronic address:

Introduction: Intestinal obstruction ascribed to internal hernia is quite rare, especially in adults. There are no differentiating features in the presentation of intestinal obstruction due to internal hernia as compared to other causes. Delay in the diagnosis of this condition carries a considerable risk especially in a virgin abdomen. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423352PMC
February 2019
2 Reads

Multi-Institutional Outcomes of Minimally Invasive Harvest of Rectal Mucosa Graft for Anterior Urethral Reconstruction.

J Urol 2019 Jan 29:101097JU0000000000000087. Epub 2019 Jan 29.

Department of Urology, Lahey Hospital and Medical Center , Burlington , Massachusetts.

Purpose: We report multi-institutional outcomes in patients who underwent urethroplasty with a rectal mucosa graft.

Materials And Methods: We used the TURNS (Trauma and Urologic Reconstructive Network of Surgeons) database to identify patients who underwent urethral reconstruction with transanal harvest of a rectal mucosa graft. We reviewed preoperative demographics, stricture etiology, previous management and patient outcomes. Read More

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http://www.jurology.com/doi/10.1097/JU.0000000000000087
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http://dx.doi.org/10.1097/JU.0000000000000087DOI Listing
January 2019
4 Reads

Enteritis after Total Abdominal Colectomy for Ulcerative Colitis.

Case Rep Crit Care 2019 3;2019:2987682. Epub 2019 Feb 3.

Department of Surgery/Division of Trauma and Critical Care, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202, USA.

Introduction: Isolated small bowel enteritis is a rare condition with significant morbidity and mortality.

Presentation Of Case: An 83-year-old female with refractory ulcerative colitis underwent a total proctocolectomy and end ileostomy. Her postoperative course was complicated with return to the operating room for repair of an incarcerated port site hernia. Read More

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http://dx.doi.org/10.1155/2019/2987682DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378043PMC
February 2019
3 Reads

Transabdominal Functional Magnetic Stimulation for the Treatment of Constipation in Brain-Injured Patients: A Randomized Controlled Trial.

Ann Rehabil Med 2019 Feb 28;43(1):19-26. Epub 2019 Feb 28.

Department of Physical Medicine and Rehabilitation, Presbyterian Medical Center, Jeonju, Korea.

Objective: To investigate the effects of the transabdominal functional magnetic stimulation (A-FMS) for constipation in stroke or brain-injured patients.

Methods: Twenty-four brain-injured patients (11 males and 13 females; median age, 65 years; 22 cases of stroke and 2 cases of traumatic brain injury) with constipation, who were admitted to the rehabilitation department, were enrolled and randomly divided into magnetic stimulation (MS) group and sham stimulation (Sham) group. Several parameters related with constipation such as total and segmental colon transit time (CTT), defecation frequency, and Bristol Stool Scale (BSS) before and after 2 weeks of A-FMS (5 times per week, total 10 times of A-FMS) were evaluated. Read More

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http://dx.doi.org/10.5535/arm.2019.43.1.19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409655PMC
February 2019
1 Read

Three trocars laparoscopic right ileocolectomy for advanced small bowel neuroendocrine tumor.

Surg Oncol 2019 Mar 14;28:76-77. Epub 2018 Nov 14.

Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium.

Background: In the last decade Reduced Port Laparoscopy (RPL) has been introduced to reduce the risks related to the trocars and abdominal wall trauma, with enhanced cosmetic outcomes. The authors report a 59 year old man with a small bowel neuroendocrine tumor, submitted to three trocars right ileocolectomy.

Video: Preoperative work-up, including endoscopic ultrasound, octreo-PET-CT and FDG PET-CT, showed a 15 mm small bowel low grade well differentiated neuroendocrine tumor with mesenteric and transverse mesocolic extension, until the muscularis propria of the 3rd duodenum. Read More

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http://dx.doi.org/10.1016/j.suronc.2018.11.011DOI Listing

Surgical site infections after trauma laparotomy. An observational study from a major trauma center in Saudi Arabia.

Saudi Med J 2019 Mar;40(3):266-270

Department of Trauma Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.

Objectives: To determine the incidence of surgical site infection (SSI) after trauma laparotomy and evaluate variables on presentation to the emergency department (ED) associated with the development of SSI. Methods: A retrospective cohort study was undertaken of patients presenting directly from the scene who underwent trauma laparotomy between January 2016 and December 2017. The primary outcome variable was SSI, as defined by the Centers for Disease Control and Prevention guideline. Read More

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https://smj.org.sa/index.php/smj/article/view/smj.2019.3.240
Publisher Site
http://dx.doi.org/10.15537/smj.2019.3.24005DOI Listing
March 2019
8 Reads
0.554 Impact Factor

Improving Documentation of Obstetric Anal Sphincter Injuries (OASIS) Using a Standardized Electronic Template at Two University-Affiliated Institutions.

South Med J 2019 Mar;112(3):185-189

From the Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

Objectives: Adequate repair is vital to reduce the long-term sequelae of obstetric anal sphincter injuries (OASIS). Sufficient documentation is necessary to reflect the quality of care provided, to guide future management, and to reduce medicolegal liability. With the advent of electronic health records, proper methods of documentation can be more easily disseminated and applied for general use. Read More

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http://dx.doi.org/10.14423/SMJ.0000000000000945DOI Listing
March 2019
4 Reads

Sclerosing Mesenteritis.

Am J Gastroenterol 2019 Feb 26. Epub 2019 Feb 26.

Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

Sclerosing mesenteritis is a rare non-neoplastic disorder characterized by fat necrosis, chronic inflammation, and fibrosis typically of the small bowel mesentery. Our understanding of this disorder is limited by its rarity as well as inconsistent terminology used across the literature. While prior abdominal surgery or trauma, autoimmunity, infection, ischemia, and malignancy have been suggested to be involved in the pathogenesis of the disorder, it remains poorly understood. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000167DOI Listing
February 2019
5 Reads

Specific small bowel injuries due to prolapse through vaginal introitus after transvaginal instrumental gravid uterus perforation: a review.

J Obstet Gynaecol 2019 Mar 1:1-7. Epub 2019 Mar 1.

e Department of Urology , University Hospital Mostar , Mostar , Bosnia and Herzegovina.

A small bowel prolapse through the vaginal introitus after a transvaginal instrumental gravid uterus perforation is a surgical emergency. To define the mechanisms of an irreversible, small bowel ischaemia due to small bowel prolapse through a vaginal introitus, ClinicalTrials.gov, PubMed, PubMed Central, and Google Scholar were searched. Read More

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http://dx.doi.org/10.1080/01443615.2018.1540561DOI Listing
March 2019
2 Reads
0.604 Impact Factor

Cosmesis in Patients after Multiport Laparoscopic Colorectal Surgery: Does the Extraction Incision Matter?

Am Surg 2019 Feb;85(2):162-166

The ideal incision for specimen extraction during laparoscopic colorectal surgery is controversial. The objective of this study was to compare incision types (Pfannenstiel, periumbilical, lower midline, and right upper quadrant transverse) with regard to postoperative scar appearance, symptoms, preference, and satisfaction. This study is a retrospective survey review performed in an urban teaching hospital. Read More

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February 2019
1 Read

The Spectrum of Small Intestinal Lesions in Patients with Unexplained Iron Deficiency Anemia Detected by Video Capsule Endoscopy.

Medicina (Kaunas) 2019 Feb 27;55(3). Epub 2019 Feb 27.

Section of Gastroenterology, Department of Emergency and Organ Transplantation, University of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy.

: Video-capsule endoscopy (VCE) has shown a large range (38⁻83%) of diagnostic yield in unexplained iron deficiency anemia (IDA) and obscure-occult bleeding. Therefore, we retrospectively investigated the VCE-detected spectrum and the prevalence of small bowel injuries and associated risk factors in inpatients with both of the above reported conditions. : We selected inpatients with IDA (hemoglobin <12 g/dL in women, <13 g/dL in men) and obscure-occult bleeding. Read More

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http://dx.doi.org/10.3390/medicina55030059DOI Listing
February 2019
1 Read

Successful closure of ileostomy in a patient with intestinal Behçet's disease after therapy with adalimumab: A case report.

Medicine (Baltimore) 2019 Mar;98(9):e14624

Department of Rheumatology and Immunology.

Rationale: Behçet's disease (BD) is a chronic immune-mediated inflammatory disorder involving multiple organ systems. In BD, intestinal ulcers can present as a refractory lesion capable of perforation, which makes the choice of treatment difficult.

Patient Concerns: A 34-year-old male who was diagnosed with intestinal BD and suffered with an ileocecal perforation. Read More

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http://dx.doi.org/10.1097/MD.0000000000014624DOI Listing
March 2019
1 Read

Reduction of Gamma Radiation-Induced Damage by Hydro-Alcoholic Extract of Nardostachys jatamansi.

J Environ Pathol Toxicol Oncol 2019 ;38(1):83-96

Mar Athanasious College for Advanced Studies, Tiruvalla; St.Gregorios Dental College & Research Centre, Kothamangalam.

The search for a nontoxic radioprotector has not yielded any promising results. Many antioxidant compounds, though effective under in vitro conditions as radioprotectors, have failed under in vivo settings due to their toxicity. The Indian medical system of Ayurveda uses a variety of plants with antioxidant potential, and these may be harboring molecules with radioprotective properties. Read More

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http://dx.doi.org/10.1615/JEnvironPatholToxicolOncol.2019015395DOI Listing
March 2019
5 Reads

Traumatic Fracture of the Pediatric Cervical Spine: Etiology, Epidemiology, Concurrent Injuries, and an Analysis of Perioperative Outcomes Using the Kids' Inpatient Database.

Int J Spine Surg 2019 Jan 22;13(1):68-78. Epub 2019 Feb 22.

Division of Spinal Surgery, Departments of Orthopaedic and Neurological Surgery, Hospital for Joint Diseases at NYU Langone Medical Center, NYU School of Medicine, New York, New York.

Background: The study aimed to characterize trends in incidence, etiology, fracture types, surgical procedures, complications, and concurrent injuries associated with traumatic pediatric cervical fracture using a nationwide database.

Methods: The Kids' Inpatient Database (KID) was queried. Trauma cases from 2003 to 2012 were identified, and cervical fracture patients were isolated. Read More

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http://dx.doi.org/10.14444/6009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383458PMC
January 2019
7 Reads

Anti-muscarinic drugs increase rectal compliance and exacerbate constipation in chronic spinal cord injury : Anti-muscarinic drug effect on neurogenic bowel.

Spinal Cord 2019 Feb 25. Epub 2019 Feb 25.

Department of GI Physiology, University College London Hospital, 235 Euston Road, London, NW1 2BU, UK.

Study Design: Prospective cohort study OBJECTIVES: We hypothesized that anti-muscarinic agents alter rectal compliance in SCI patients and that altered rectal compliance relates to bowel symptomatology. Our primary aim was to compare rectal compliance before and after the institution of anti-muscarinics (solifenacin and tolterodine) and an adrenoceptor agonist (mirabegron) in these patients. Additionally, we wanted to evaluate if anorectal manometry differed before and after use of anti-muscarinic agents. Read More

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http://dx.doi.org/10.1038/s41393-019-0263-7DOI Listing
February 2019
2 Reads

International consensus on natural orifice specimen extraction surgery (NOSES) for colorectal cancer.

Gastroenterol Rep (Oxf) 2019 Feb 23;7(1):24-31. Epub 2019 Jan 23.

Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Bejing, China.

In recent years, natural orifice specimen extraction surgery (NOSES) in the treatment of colorectal cancer has attracted widespread attention. The potential benefits of NOSES including reduction in postoperative pain and wound complications, less use of postoperative analgesic, faster recovery of bowel function, shorter length of hospital stay, better cosmetic and psychological effect have been described in colorectal surgery. Despite significant decrease in surgical trauma of NOSES have been observed, the potential pitfalls of this technique have been demonstrated. Read More

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http://dx.doi.org/10.1093/gastro/goy055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375350PMC
February 2019
4 Reads

Non-occlusive mesenteric ischemia associated with enteral feeding after esophagectomy for esophageal cancer: report of two cases and review of the literature.

Surg Case Rep 2019 Feb 20;5(1):36. Epub 2019 Feb 20.

Division of Esophageal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

Background: Non-occlusive mesenteric ischemia (NOMI) is a rare but life-threatening complication of early postoperative enteral feeding. We herein report two patients who developed NOMI during enteral feeding after esophagectomy.

Case Presentation: In case 1, a 75-year-old man with no medical history was diagnosed with multiple primary cancers of the esophagus, stomach, and kidney. Read More

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http://dx.doi.org/10.1186/s40792-019-0580-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382915PMC
February 2019
2 Reads

Pathophysiology and management of opioid-induced constipation: European expert consensus statement.

United European Gastroenterol J 2019 Feb 14;7(1):7-20. Epub 2018 Dec 14.

Translational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Leuven, Belgium.

Background: Opioid-induced bowel dysfunction is a complication of opioid therapy, in which constipation is the most common and problematic symptom. However, it is frequently under-recognised and thus effective management is often not instituted despite a number of treatment options.

Objective: The central objective of this study is to provide a summary of the pathophysiology and clinical evaluation of opioid-induced constipation and to provide a pragmatic management algorithm for day-to-day clinical practice. Read More

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http://dx.doi.org/10.1177/2050640618818305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374852PMC
February 2019
1 Read

The role of PI3K/Akt signal pathway in the protective effects of propofol on intestinal and lung injury induced by intestinal ischemia/reperfusion1.

Acta Cir Bras 2019 Feb 14;34(1):e20190010000005. Epub 2019 Feb 14.

MD, Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Hubei, China. Critical revision.

Purpose: To investigate the role of PI3k/Akt signal pathway in the protective effects of propofol on intestinal and lung injury induced by intestinal ischemia/reperfusion(I/R).

Methods: Male Sprague-Dawley rats were subjected to 45 min of ischemia by occluding the superior mesenteric artery and to 2h of reperfusion to establish the model of I/R. Twenty four rats were randomly divided into four groups: Sham, intestinal I/R (II/R), propofol (P), wortmannin (W). Read More

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http://dx.doi.org/10.1590/s0102-865020190010000005DOI Listing
February 2019
2 Reads

Anal tear in a girl due to the penetration of a dog's penis. Unusual case report.

J Forensic Leg Med 2019 Feb 6;62:112-114. Epub 2019 Feb 6.

Facultad de Medicina, Universidad de la República, Uruguay.

We present the case of a six year and two months old girl who showed a large anal tear, attributed to the penetration of pet dog's penis. After several interviews with the child, as well as her parents, the paediatric psychiatrist assessed the account of events as authentic, understanding by that her narration of events approaches to the subject's truth. According with the guidelines the patient was discharged home with strict follow up by her paediatrician. Read More

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http://dx.doi.org/10.1016/j.jflm.2019.02.001DOI Listing
February 2019
8 Reads

Blunt Abdominal Trauma in a European Trauma Setting: Need for Complex or Non-Complex Skills in Emergency Laparotomy.

Scand J Surg 2019 Feb 20:1457496919828244. Epub 2019 Feb 20.

1 Department of Orthopedics and Traumatology, Trauma Unit, Töölö Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Background And Aims:: Blunt abdominal trauma can lead to substantial organ injury and hemorrhage necessitating open abdominal surgery. Currently, the trend in surgeon training is shifting away from general surgery and the surgical treatment of blunt abdominal trauma patients is often done by sub-specialized surgeons. The aim of this study was to identify what emergency procedures are needed after blunt abdominal trauma and whether they can be performed with the skill set of a general surgeon. Read More

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http://dx.doi.org/10.1177/1457496919828244DOI Listing
February 2019

Early Colostomy Formation Can Improve Independence Following Spinal Cord Injury and Increase Acceptability of Bowel Management.

Top Spinal Cord Inj Rehabil 2019 12;25(1):23-30. Epub 2018 Dec 12.

Salisbury District Hospital, Salisbury, Wiltshire, United Kingdom.

Colostomy formation can solve complications of bowel management following spinal cord injury (SCI). Newly injured patients at this spinal unit have chosen colostomy as a preferred option for bowel management. To discover the reasons patients choose colostomy formation early following SCI and make comparison with those choosing it later, and to establish whether early colostomy is safe and advisable. Read More

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http://dx.doi.org/10.1310/sci18-00026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368110PMC
April 2019
4 Reads