12,024 results match your criteria Colonic Obstruction


Intestinal intussusception related to colonic pedunculated lipoma: A case report and review of the literature.

Int J Surg Case Rep 2019 Feb 10;55:206-209. Epub 2019 Feb 10.

Departament of Surgery, Hospital Felicio Rocho, Av. do Contorno, 9530, Barro Preto, 30110-017, Belo Horizonte, MG, Brazil.

Introduction: Intestinal intussusception is a relatively common cause of bowel obstruction in children, however, it is a rare clinical entity in adults. When seen in adults, it is often caused by some underlying condition, usually of malignant origin. We present a case of intestinal intussusception caused by a benign and rare condition in the gastrointestinal tract. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.042DOI Listing
February 2019

Non-occlusive intestinal ischemia in the ascending colon and rectum: a pediatric case occurring during encephalitis treatment.

Surg Case Rep 2019 Feb 15;5(1):23. Epub 2019 Feb 15.

Department of Pediatrics, Yamanashi Prefectural Central Hospital, Kofu, Japan.

Background: Non-occlusive mesenteric ischemia (NOMI) is a rare and severe pathological condition that can cause intestinal necrosis without mechanical obstruction of the mesenteric artery. NOMI often develops during the treatment of severe disease in elderly patients and mostly occurs in the intestine supplied by the superior mesenteric artery (SMA). We experienced a 12-year-old patient with NOMI that was segmentally localized in the ascending colon and rectum during encephalitis treatment. Read More

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http://dx.doi.org/10.1186/s40792-019-0592-yDOI Listing
February 2019

Stent experiences in emergency conditions in acute mechanical intestinal obstruction caused by colorectal cancer.

Wideochir Inne Tech Maloinwazyjne 2019 Jan 30;14(1):46-51. Epub 2018 May 30.

Department of General Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey.

Introduction: Stent treatment can be applied to avoid surgery in surgically risky patients or to turn a high-risk emergency operation into a lower-risk elective operation and save time.

Aim: In this study, the techniques, clinical efficacy, safety and complications of endoscopic stents applied in emergency conditions were evaluated in patients with acute mechanical intestinal obstruction (AMIO) due to colorectal cancer.

Material And Methods: Between 2013 and 2015, 23 patients with an average age of 69. Read More

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http://dx.doi.org/10.5114/wiitm.2018.76072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372870PMC
January 2019

[A Case of Intussusception Due to Sigmoid Colon Cancer].

Gan To Kagaku Ryoho 2019 Jan;46(1):115-117

Dept. of Gastroenterology and Surgery, Sano City Hospital.

A 78-year-old man was referred to our hospital with diarrhea, melena, and weight loss. During a digital rectal examination, a protuberant mass located 7-8 cm above the anal verge was palpable. Computed tomography(CT)scans of his chest, abdomen, and pelvis revealed an intestinal obstruction with a target sign in the lower rectum, indicating intussusception due to a sigmoid colon mass. Read More

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January 2019

[Stent vs. stoma in malignant colon obstruction - long term results].

Chirurg 2019 Feb 13. Epub 2019 Feb 13.

Klinik für Allgemein‑, Viszeral- Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0853-0DOI Listing
February 2019

Acquired diverticular disease of the jejunum and ileum: imaging features and pitfalls.

Abdom Radiol (NY) 2019 Feb 13. Epub 2019 Feb 13.

Department of Radiology, Fondation Hôpital Saint-Joseph, 185 rue Raymond Losserand, 75674, Paris, France.

Purpose: To present radiological aspects of jejunoileal diverticulosis and its complications.

Results: Jejunoileal diverticulosis is a relatively rare and underestimated condition, which mostly affects the elderly. It is frequently asymptomatic but it can lead to significant complications requiring surgical treatment. Read More

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http://dx.doi.org/10.1007/s00261-019-01928-1DOI Listing
February 2019

Successful treatment of obstructing colonic cancer by combining self-expandable stent and neoadjuvant chemotherapy: A case report.

World J Clin Cases 2019 Feb;7(3):335-339

Department of General Surgery, Beijing Chaoyang Hospital affiliated to Capital Medical University, Beijing 100020, China.

Background: Surgery 5-10 d after stent insertion was recommended by the European Society of Gastrointestinal Endoscopy for obstructing colonic cancer. For some obstructive patients, this may be not a good choice. Here, we report the successful treatment of obstructing colonic cancer by combining self-expandable stent and neoadjuvant chemotherapy. Read More

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https://www.wjgnet.com/2307-8960/full/v7/i3/335.htm
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http://dx.doi.org/10.12998/wjcc.v7.i3.335DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369393PMC
February 2019
2 Reads

Gastrointestinal stromal tumor leading to acute abdomen and hypovolemic shock in a trauma patient.

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):83-85

Department of General Surgery, İstanbul Medicine Hospital, İstanbul-Turkey.

Gastrointestinal stromal tumors (GISTs) are among the rare tumors of gastrointestinal (GI) tract. GISTs occur respectively in the stomach, small intestines, colon and rectum, omentum and mesentery, esophagus, retroperitoneal space, and abdominal cavity. However, they may occur anywhere along the GI tract. Read More

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http://www.tjtes.org/eng/jvi.aspx?pdir=travma&plng=eng&a
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http://dx.doi.org/10.5505/tjtes.2018.35005DOI Listing
January 2019
3 Reads

Jejunal diverticulitis.

J Surg Case Rep 2019 Jan 31;2019(1):rjz005. Epub 2019 Jan 31.

Saint Vincent Hospital, Erie, PA, USA.

Cases of small bowel diverticulitis, excluding Meckel's diverticulitis, are rare. Small bowel diverticular disease has been reported in approximately 0.3-1. Read More

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http://dx.doi.org/10.1093/jscr/rjz005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354680PMC
January 2019
1 Read

Antibiotics in Uncomplicated Acute Diverticulitis: To Give or Not to Give?

Inflamm Intest Dis 2018 Dec 20;3(2):75-79. Epub 2018 Jul 20.

Alta Bates Summit Medical Center, East Bay Center for Digestive Health, Oakland, California, USA.

Acute uncomplicated diverticulitis (AUD) is generally felt to be caused by obstruction and inflammation of a colonic diverticulum and occurs in about 4-5% of patients with diverticulosis. The cornerstone of AUD treatment has conventionally been antibiotic therapy, but with a paradigm shift in the underlying pathogenesis of the disease from bacterial infection to more of an inflammatory process, as well as concerns about antibiotic overuse, this dogma has recently been questioned. We will review emerging data that supports more selective antibiotic use in this population, as well as newer guidelines that advocate this position as well. Read More

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http://dx.doi.org/10.1159/000489631DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361500PMC
December 2018
1 Read

[Acute colonic pseudo-obstruction after caesarean section; Ogilvie's syndrome].

Ned Tijdschr Geneeskd 2019 Feb 7;163. Epub 2019 Feb 7.

Ikazia Ziekenhuis, afd. Gynaecologie en Verloskunde, Rotterdam.

Background: Acute pseudo-obstruction of the colon - also known as Ogilvie's syndrome - is a rare clinical presentation in obstetrics. The syndrome is seen more often following caesarean section than vaginal delivery.

Case Description: We present a 38-year-old primigravida who developed Ogilvie's syndrome following secondary caesarean section. Read More

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February 2019
1 Read

Curative endoscopic treatment of intussusception due to a giant colonic lipoma using a wedged balloon and ligation with detachable snares.

Clin J Gastroenterol 2019 Feb 1. Epub 2019 Feb 1.

Division of Gastroenterology, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, 329-0498, Tochigi, Japan.

A 67-year-old woman presented with symptoms of bowel obstruction. Radiographic and ultrasonographic findings suggested colo-colonic intussusception caused by a colonic lipoma. Colonoscopy with an endoscope tip balloon was performed for reduction. Read More

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http://dx.doi.org/10.1007/s12328-019-00943-5DOI Listing
February 2019
1 Read

An Unusual Presentation of Endometriosis as an Ileocolic Intussusception with Cecal Mass: A Case Report.

J Reprod Infertil 2018 Oct-Dec;19(4):247-249

Department of Pathology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Background: Bowel endometriosis affects about 3.8-37% of women with endometriosis diagnosis. Most of the time endometriosis involves the recto-sigmoid. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328977PMC
February 2019
1 Read

Tertiary stent-in-stent for obstructing colorectal cancer: A case report and literature review.

World J Gastrointest Endosc 2019 Jan;11(1):61-67

Department of Digestive Endoscopy, Regina Elena National Cancer Institute, Rome 00144, Italy.

Background: Self-expandable metal stents (SEMSs) are frequently used in the setting of palliation for occluding, inoperable colorectal cancer (CRC). Among possible complications of SEMS positioning, re-obstruction is the most frequent. Its management is controversial, potentially involving secondary stent-in-stent placement, which has been poorly investigated. Read More

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http://dx.doi.org/10.4253/wjge.v11.i1.61DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354113PMC
January 2019
2 Reads

[Establishment and clinical application of modified endoscopic freka trelumina placement].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Jan;22(1):79-84

Department of Pathology, 920 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming 650032, China.Email:

Objective: To establish a modified endoscopic Freka Trelumina placement (mEFTP) for modifying or substituting the traditional endoscopic Freka Trelumina placement (EFTP) and to explore the safety and feasibility of mEFTP in patients requiring enteral nutrition and gastrointestinal decompression in general surgery.

Methods: A retrospective cohort study was conducted to analyze the clinical data of patients undergoing EFTP or mEFTP at General Surgery Department of 920 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from January 2016 to January 2018.

Inclusion Criteria: the function of lower digestive tract was normal; patients who could not eat through mouth or nasogastric tube needed to have enteral nutrition and gastrointestinal decompression; the retention time of Freka Trelumina (FT) was not expected to exceed 2 months. Read More

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January 2019
1 Read

Long-term survival of an elderly female with metastatic colon cancer after treated with capecitabine monotherapy: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14326

Department of Medical Oncology, First Affiliated Hospital, School of Medicine, Zhejiang University, 79# Qingchun Road.

Rationale: Colorectal cancer (CRC) is one of the most common cancers all over the world, and approximately 70% of the newly diagnosed patients are over 65 years old. Due to the aging of society, there will be more and more elderly patients of CRC in the future. Treatment of CRC in elderly patients is much more challenging thanks to multiple factors including disabling comorbidities as well as declines in organs function, especially in advanced or metastatic settings. Read More

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http://dx.doi.org/10.1097/MD.0000000000014326DOI Listing
February 2019
2 Reads

Gangrene of the Caecum as a Complication of Foreign Body Ingestion and Closed Loop Obstruction of the Colon.

J Coll Physicians Surg Pak 2019 Feb;29(2):193-194

Department of Surgery1 / Radiology2, Combined Military Hospital, Kohat, Pakistan.

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http://dx.doi.org/10.29271/jcpsp.2019.02.193DOI Listing
February 2019

Fatal Invasive Gastrointestinal Fungal Infection in Three Non-immunocompromised Patients.

J Coll Physicians Surg Pak 2019 Feb;29(2):181-184

Department of Pathology and Laboratory Medicine, The Aga Khan University Hospital, Karachi, Pakistan.

The importance and frequency of invasive fungal infections in different organs, including the gastrointestinal tract, has increased due to excessive use of aggressive immunosuppressive and immunomodulatory drugs in malignant diseases and organ transplantations as well as increased infections with the human immunodeficiency virus (HIV). Fungal infections in the small intestine or colon are usually part of a disseminated disease process and reach these organs through the bloodstream. Two of the patients were infants 10 and 15 days of age, while one was 23 years old. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.02.181DOI Listing
February 2019
1 Read

Idiopathic Dilatation of the Colon in a Nursing Home Resident, with a Suspected Acute Colonic Pseudo-Obstruction (Ogilvie Syndrome).

J Coll Physicians Surg Pak 2019 Feb;29(2):178-180

Department of Surgery, Fourth Military Teaching Hospital, 5 Weigla Street, 50-981 Wroclaw, Poland.

Ogilvie syndrome (acute colonic pseudo-obstruction) represents a clinical condition with symptoms of colonic obstruction without a distinct mechanical factor. The damage to the neural ganglia in the intestinal wall is the most likely etiology. A 62-year man was admitted to the Emergency Department due to acute dyspnea and vomiting. Read More

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https://www.jcpsp.pk/archive/2019/Feb2019/19.pdf
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http://dx.doi.org/10.29271/jcpsp.2019.02.178DOI Listing
February 2019
5 Reads

Very rare case of synchronous volvulus of the sigmoid colon and caecum causing large-bowel obstruction.

BMJ Case Rep 2019 Jan 28;12(1). Epub 2019 Jan 28.

Colorectal Surgery, Saint George Hospital, Kogarah, New South Wales, Australia.

Large-bowel obstruction caused by volvulus is potentially life threatening if not managed promptly. Sigmoid colon is the most common site of volvulus followed by caecum. Synchronous double colonic volvulus is an exceedingly rare entity, with only five cases published previously. Read More

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http://dx.doi.org/10.1136/bcr-2018-227375DOI Listing
January 2019

[A Case of Transverse Colon Cancer in Which Long-Term Chemotherapy Was Performed after Palliative Colonic Stent Placement].

Gan To Kagaku Ryoho 2018 Dec;45(13):1892-1894

Dept. of Gastroenterological Surgery, Higashiosaka City Medical Center.

We report a case involving a 76-year-old woman with transverse colon cancer undergoing long-term chemotherapy following palliative colonic stent placement. She visited our hospital with a diagnosis of colonic obstruction. Her abdomen was evidently distended and tender. Read More

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December 2018
6 Reads

[Laparoscopy-Assisted Surgery for Descending Colon Cancer in a Patient with Persistent Descending Mesocolon-A Case Report].

Gan To Kagaku Ryoho 2018 Dec;45(13):1833-1835

Dept. of Gastroenterological Surgery, Iseikai Hospital.

Persistent descending mesocolon(PDM)is caused by absence of fusion of the descending colon to the retroperitoneum. We report a case of laparoscopy-assisted surgery for descending colon cancer in a patient with PDM. An 88-year-oldfemale patient complaining of abdominal pain was diagnosed with bowel obstruction, and referred to our hospital. Read More

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December 2018

A rare case report of ascending colon perforation secondary to acute pancreatitis.

Int J Surg Case Rep 2019 Jan 21;55:62-65. Epub 2019 Jan 21.

Caboolture Hospital, 120 McKean Street, 4510 Queenland, Australia. Electronic address:

Introduction: Severe acute pancreatitis is associated with high morbidity and mortality. This is a result of the development of pancreatic and extra-pancreatic necrosis with subsequent infection which can lead to multiorgan failure. Complications include localized ileus, abscess formation, mechanical obstruction, rupture and perforation into the gastrointestinal tract and fistula formation (Aldridge et al. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.12.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351346PMC
January 2019
1 Read

Effect of acupressure on constipation in patients with advanced cancer.

Support Care Cancer 2019 Jan 24. Epub 2019 Jan 24.

Department of Family Medicine, Kaohsiung Chang Gung Memorial Hospital, 123 Dapi Road, Kaohsiung City, 83301, Taiwan.

Purpose: Constipation is a common and distressing symptom for patients with advanced cancer. Few reports have focused on the symptoms of constipation in patients with advanced cancer. The aim of this study was to investigate the effect of a short-term acupressure intervention on patients with advanced cancer. Read More

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http://dx.doi.org/10.1007/s00520-019-4655-1DOI Listing
January 2019

Colonic Stent Use in Patients With Malignant Flexure Tumors Presenting With Obstruction.

JSLS 2019 Jan-Mar;23(1)

Istanbul Aydin University, General Surgery Department, Turkey.

Background And Objective: Colonic stenting in left-sided tumor is being commonly used. However, placing a stent in the flexure tumors is rare because it is technically more difficult. In this study, we aimed to retrospectively screen patients with flexure tumors admitted to our clinic who were treated using a colonic stent and discuss our findings. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341513PMC
January 2019

Short- and Long-term Outcomes After Ileal Pouch Anal Anastomosis in Pediatric Patients: A Systematic Review.

Inflamm Bowel Dis 2019 Jan 18. Epub 2019 Jan 18.

Division ofPediatric Surgery, Mayo Clinic, Rochester Minnesota, USA.

Background: Restorative proctocolectomy and ileal pouch anal anastomosis (IPAA) has become the procedures of choice for restoration of intestinal continuity in ulcerative colitis or familial adenomatous polyposis. This systematic review aims to assess short-term postoperative and long-term functional outcomes in pediatric patients undergoing IPAA.

Methods: A literature search was performed for all publications of pediatric IPAA in which short- and long-term outcomes were reported. Read More

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http://dx.doi.org/10.1093/ibd/izy375DOI Listing
January 2019
1 Read
4.464 Impact Factor

The role of colonic stents in extracolonic malignant large-bowel obstruction.

Gastrointest Endosc 2019 02;89(2):441

Digestive Endoscopy Department, The First Affiliated Hospital of Nanjing, Medical University, Nanjing, China.

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http://dx.doi.org/10.1016/j.gie.2018.08.016DOI Listing
February 2019
3 Reads

Familial chronic megacolon presenting in childhood or adulthood: Seeking the presumed gene association.

Neurogastroenterol Motil 2019 Jan 20:e13550. Epub 2019 Jan 20.

Center for Individualized Medicine, Mayo Clinic, Rochester, Minnesota.

Objective: We identified a pedigree over five generations with 49 members, some of whom had chronic megacolon presenting in adolescence or adulthood. We aimed to assess the genetic cause of chronic megacolon through clinical and DNA studies.

Design: After ethical approval and informed consent, family members provided answers to standard bowel disease questionnaires, radiological or surgical records, and DNA (buccal mucosal scraping). Read More

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http://dx.doi.org/10.1111/nmo.13550DOI Listing
January 2019
1 Read

Capsule endoscopy for small-intestinal disorders: Current status.

Dig Endosc 2019 Jan 17. Epub 2019 Jan 17.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan.

Small-bowel capsule endoscopy (SBCE) is used widely because of its non-invasive and patient-friendly nature. SBCE can visualize entire small-intestinal mucosa and facilitate detection of small-intestinal abnormalities. In this review article, we focus on the current status of SBCE. Read More

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http://doi.wiley.com/10.1111/den.13346
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http://dx.doi.org/10.1111/den.13346DOI Listing
January 2019
6 Reads

Correlation between a continent ileocecal valve and CT signs of severity in patients presenting with obstructive colonic cancer.

Emerg Radiol 2019 Jan 18. Epub 2019 Jan 18.

Department of Radiology, Besançon University Hospital, 3 boulevard Fleming, 25030, Besançon, France.

Objective: To study the association of a continent ileocecal valve and the degree of severity of the CT signs in patients presenting with large bowel obstruction due to colonic cancer.

Patients And Methods: Sixty-six patients undergoing emergency surgery for confirmed obstructive colonic cancer were included. The CT examinations were analyzed without consultation of the surgical results. Read More

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http://link.springer.com/10.1007/s10140-018-01667-8
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http://dx.doi.org/10.1007/s10140-018-01667-8DOI Listing
January 2019
7 Reads

Monophasic synovial sarcoma as a cause of obstructive ileus: A case report.

Mol Clin Oncol 2019 Jan 16;10(1):185-187. Epub 2018 Nov 16.

Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Alexandra Hospital, 11528 Athens, Greece.

Synovial sarcoma is a high-grade soft tissue sarcoma, divided histologically into 3 types: Monophasic, biphasic and poorly differentiated. An extremely rare case of obstructive ileus due to monophasic synovial sarcoma in a 54-year-old male patient is reported in the present study. The patient presented to the emergency department with signs and symptoms of obstructive ileus. Read More

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http://www.spandidos-publications.com/10.3892/mco.2018.1768
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http://dx.doi.org/10.3892/mco.2018.1768DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313936PMC
January 2019
5 Reads

Solitary colonic metastasis from primary lung adenocarcinoma first presenting as intestinal obstruction: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14063

Department of Surgery.

Rationale: The brain, liver, adrenal glands, and bone are the most common sites of metastatic disease in patients with lung cancer. Symptomatic gastrointestinal metastases are rare. In the present report, we describe a rare case of a patient with intestinal obstruction due to solitary colonic metastasis from primary lung adenocarcinoma, wherein the intestinal obstruction was the first symptom of lung cancer. Read More

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http://dx.doi.org/10.1097/MD.0000000000014063DOI Listing
January 2019
1 Read

Colonic stenting as a bridge to surgery in malignant large bowel obstruction: oncological outcomes.

Int J Colorectal Dis 2019 Jan 16. Epub 2019 Jan 16.

Department of Colorectal Surgery, St James Hospital, Dublin 8, Ireland.

Introduction: Stenting of obstructing colorectal cancers obviates the need for emergency surgery, reducing initial morbidity and mortality rate associated with emergency surgery and facilitates full staging of the neoplastic process with an opportunity to optimize the patient for surgery. Some recent publications have suggested however that this approach may be associated with higher local recurrence rates. We examined our outcomes following colonic stenting as a bridge to resection. Read More

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http://dx.doi.org/10.1007/s00384-019-03239-9DOI Listing
January 2019
1 Read

Colon carcinoma with endobronchial metastasis masquerading as bronchial asthma causing ball valve effect.

Med J Malaysia 2018 Dec;73(6):403-404

Sarawak General Hospital, Department of Radiotherapy and Oncology, Kuching, Sarawak, Malaysia.

Malignant central airway obstruction (CAO) with ball valve effect (BVE) in the lung is rare. We discuss a case of metastatic colon cancer who presented with asthma like symptoms which thoracic computed tomography and bronchoscopy revealed an intraluminal tumour obstructing the left main bronchus in a ball valve manner. Airway patency was restored urgently with immediate alleviation of symptoms. Read More

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December 2018
1 Read

Colonic Pseudo-obstruction With Transition Zone: A Peculiar Eastern Severe Dysmotility.

J Neurogastroenterol Motil 2019 Jan;25(1):137-147

Departments of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Background/aims: Previous studies from Korea have described chronic intestinal pseudo-obstruction (CIPO) patients with transition zone (TZ) in the colon. In this study, we evaluated the pathological characteristics and their association with long-term outcomes in Korean colonic pseudo-obstruction (CPO) patients with TZ.

Methods: We enrolled 39 CPO patients who were refractory to medical treatment and underwent colectomy between November 1989 and April 2016 (median age at symptoms onset: 45 [interquartile range, 29-57] years, males 46. Read More

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http://www.jnmjournal.org/journal/view.html?doi=10.5056/jnm1
Publisher Site
http://dx.doi.org/10.5056/jnm18121DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326194PMC
January 2019
9 Reads

Colonic stenting for malignant large bowel obstruction is safe and effective: a single-surgeon experience.

Singapore Med J 2019 Jan 15. Epub 2019 Jan 15.

Department of Colorectal Surgery, Singapore General Hospital, Singapore.

Introduction: Self-expanding metal stents (SEMS) can be used as a bridge to surgery (BTS) or for palliation in the treatment of malignant large bowel obstruction. This case series evaluates the short-term outcomes of SEMS and success rates over time.

Methods: A total of 75 consecutive patients who underwent colonic stenting for malignant colonic obstruction over a period of six years were included. Read More

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http://dx.doi.org/10.11622/smedj.2019010DOI Listing
January 2019
1 Read

[A newborn with abdominal distention and bilious vomiting].

Ned Tijdschr Geneeskd 2019 Jan 9;163. Epub 2019 Jan 9.

Maastricht UMC+, afd. Neonatologie.

A newborn girl presented within the first 24 hours after birth with a distended abdomen and bilious vomiting. These symptoms resolved spontaneously after a contrast enema, which showed obstruction of the left colon. This finding and the fact that the mother had been diagnosed with gestational diabetes mellitus led to the diagnosis of neonatal small left colon syndrome. Read More

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January 2019
1 Read

Pneumatosis intestinalis and hepatic portal venous gas associated with gas-forming bacterial translocation due to postoperative paralytic ileus: A case report.

Medicine (Baltimore) 2019 Jan;98(2):e14079

Department of Diagnostic Pathology.

Rationale: Pneumatosis intestinalis (PI) and hepatic portal venous gas (HPVG) are rare but potentially lethal conditions in which gas pathologically accumulates in the portal vein and intestinal wall, respectively. Proposed mechanisms include flatus escaping through an injured intestinal mucosa into the submucosa and thence into the portal venous system, or bacterial translocation (BT) of gas-forming enteric microorganisms from the gut into and through the intestinal wall to other organs. However, there has been no clear histopathological evidence to support these hypotheses. Read More

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http://dx.doi.org/10.1097/MD.0000000000014079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336625PMC
January 2019
7 Reads

Laparoscopic subtotal colectomy for a patient with chronic idiopathic colonic pseudo-obstruction: Report of a case.

Asian J Endosc Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

A 47-year-old male patient without a documented past medical history was referred to Sanno Hospital because of constipation and abdominal pain, which he had had for more than 5 years. Abdominal X-ray and CT scan showed an enlarged ascending colon from the cecum to the transverse colon, without apparent mechanical obstruction. The patient was diagnosed with chronic idiopathic colonic pseudo-obstruction, and because his symptoms were resistant to medication, surgical treatment was required. Read More

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http://dx.doi.org/10.1111/ases.12682DOI Listing
January 2019
1 Read

[Immediate results of surgical treatment of complicated colorectal cancer in elderly and senile patients.]

Adv Gerontol 2018 ;31(4):574-580

I.I.Mechnikov Northwestern State Medical University, 41, Kirochnaya str., St. Petersburg, 191015, Russian Federation.

The work analyzes the results of surgical treatment of 545 elderly and senile patients with complicated forms of colon cancer. Among colon cancer complications frequently encountered acute intestinal obstruction (AIO) - 413 (75,8%), less likely to have been identified - perifocal inflammation (PPV) with abscess - 80 (14,7%), bleeding - 30 (5,5 %) and tumor perforation - 22 (4%). Operations on the colon were performed as a traditional method - 408 (74,9%) and with the use of endovideosurgical technologies - 137 (25,1%). Read More

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January 2018
1 Read

Analysis of over 2 decades of colon injuries identifies optimal method of diversion: Does an end justify the means?

J Trauma Acute Care Surg 2019 Feb;86(2):214-219

From the University of Tennessee Health Science Center, Department of Surgery, Division of Surgical Critical Care (N.R.M., J.P.S., R.H.L., M.S.I., R.C., T.C.F., M.A.C., L.J.M.).

Introduction: Conflicting evidence exists regarding the definitive management of destructive colon injuries. Although diversion with an end ostomy can theoretically decrease initial complications, it mandates a more extensive reversal procedure. Conversely, anastomosis with proximal loop ostomy diversion, while simplifying the reversal, increases the number of suture lines and potential initial morbidity. Read More

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http://dx.doi.org/10.1097/TA.0000000000002135DOI Listing
February 2019
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Splenic hematoma may present as large bowel obstruction: A case report.

Int J Surg Case Rep 2019 22;54:113-115. Epub 2018 Nov 22.

Division of Trauma, Bronx, NY, USA; School of Medicine, City University of New York, New York, NY, USA; College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY, USA. Electronic address:

Introduction: Large bowel obstruction (LBO) warrants prompt evaluation and management. Although causes of LBO are most commonly intrinsic to the colon (e.g. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312797PMC
November 2018

[A Case of a One-Stage Resection and Anastomosis Procedure for a Descending Colon Cancer Ileus after Decompression with a Trans-Nasal Ileus Tube].

Gan To Kagaku Ryoho 2018 Dec;45(12):1751-1753

Dept. of Surgery, Tokai Memorial Hospital.

A 72-year-old man presented to our hospital with a chief complaint of constipation and hiccup. Computed tomography revealed a colonic obstruction due to descending colon cancer, and a transnasal ileus tube was inserted. On the 2nd day of hospitalization, we attempted transanal drainage, but it was difficult to cannulate. Read More

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December 2018
1 Read

Same-day colon capsule endoscopy is a viable means to assess unexplored colonic segments after incomplete colonoscopy in selected patients.

United European Gastroenterol J 2018 Dec 15;6(10):1556-1562. Epub 2018 Sep 15.

Trinity Academic Gastroenterology Group, Trinity College Dublin & Tallaght University Hospital, Dublin, Ireland.

Background: Same-day colon capsule endoscopy (CCE) immediately following incomplete optical colonoscopy (OC) would have a number of advantages for patients, while also presenting unique procedural challenges including the effect of sedation on capsule propulsion and patient tolerance of protracted preparation and fasting.

Aim: The aim of this article is to prospectively assess the efficacy of same-day CCE after incomplete OC in an unselected patient cohort.

Methods: This was an observational, prospective, single-centre study of CCE post-incomplete colonoscopies. Read More

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http://dx.doi.org/10.1177/2050640618800629DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297922PMC
December 2018
3 Reads

[Gallstone ileus treated with shock-waves: ESWL as treatment for intestinal obstruction].

Ned Tijdschr Geneeskd 2018 Dec 5;163. Epub 2018 Dec 5.

Zuyderland Medisch Centrum, afd. Chirurgie, Sittard-Geleen/Heerlen.

Background: A gallstone ileus is a complication of cholelithiasis that is difficult to recognise. Morbidity and mortality are both high. Treatment often consists of surgical removal of the stone. Read More

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December 2018
8 Reads

Peroxidasin and eosinophil peroxidase, but not myeloperoxidase, contribute to renal fibrosis in the murine unilateral ureteral obstruction model.

Am J Physiol Renal Physiol 2019 Feb 19;316(2):F360-F371. Epub 2018 Dec 19.

Division of Nephrology, Department of Medicine, Vanderbilt University Medical Center , Nashville, Tennessee.

Renal fibrosis is the pathological hallmark of chronic kidney disease (CKD) and manifests as glomerulosclerosis and tubulointerstitial fibrosis. Reactive oxygen species contribute significantly to renal inflammation and fibrosis, but most research has focused on superoxide and hydrogen peroxide (HO). The animal heme peroxidases myeloperoxidase (MPO), eosinophil peroxidase (EPX), and peroxidasin (PXDN) uniquely metabolize HO into highly reactive and destructive hypohalous acids, such as hypobromous and hypochlorous acid. Read More

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http://dx.doi.org/10.1152/ajprenal.00291.2018DOI Listing
February 2019
3 Reads

[The optimal terms of the second stage of treatment of patients with malignant colonic obstruction].

Authors:
Z A Bagateliya

Khirurgiia (Mosk) 2018 (12):76-81

Chair of Surgery, Russian Medical Academy of Continuing Postgraduate Education of Healthcare Ministry of the Russia, Moscow, Russia; Botkin Municipal Clinical Hospital, Moscow, Russia.

Aim: To determine the optimal terms of the second stage of treatment of patients with malignant colonic obstruction.

Material And Methods: There were 110 patients with colorectal cancer stage TNM (groups I-III, n=69) and TNM (group IV, n=41). Everybody has been previously treated for colonic obstruction 0,5-6 months ago: stoma in 62 cases, stenting - in 48 cases. Read More

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http://dx.doi.org/10.17116/hirurgia201812176DOI Listing
January 2018

The role of Ataturk University in data and publication production for sigmoid volvulus and ileosigmoid knotting.

Pak J Med Sci 2018 Nov-Dec;34(6):1586-1588

Refik Selim Atamanalp, MD, English Medicine Program Faculty of Medicine, Ataturk University, Erzurum, Turkey.

Objective: Sigmoid Volvulus (SV) and Ileosigmoid Knotting (ISK) are rare intestinal obstruction forms, but Turkey is endemic for these diseases. The aim of this study was to evaluate the role of our publications in the world literature.

Methods: We electronically searched Web of Science database to evaluate the manuscripts published during June 1966 to July 2018. Read More

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http://dx.doi.org/10.12669/pjms.346.16113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290193PMC
December 2018
6 Reads

An Uncommon Presentation of Leiomyoma Cecum as a Subcutaneous Abscess of the Right Flank.

Cureus 2018 Oct 9;10(10):e3432. Epub 2018 Oct 9.

Otolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Cecal leiomyomas are rare benign tumors of smooth muscle arising from the colonic muscularis mucosa or muscularis propria. They are usually asymptomatic in nature and, if symptomatic, may present as pain in the abdomen, intestinal obstruction, or bleeding. In some cases, leiomyoma can cause free perforation leading to peritonitis. Read More

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https://www.cureus.com/articles/10120-an-uncommon-presentati
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http://dx.doi.org/10.7759/cureus.3432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289561PMC
October 2018
14 Reads

A Rare Pathological Couplet of Colocolic Intussusception Plus Cecal Bascule in a Young Adult: A Case Report.

Cureus 2018 Oct 9;10(10):e3430. Epub 2018 Oct 9.

Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, AUS.

This report is of a rare case involving a 27-year-old female who presented to the hospital with the pathological couplet of colocolic intussusception and cecal bascule causing bowel obstruction. Up to the time of presentation to the hospital, this patient had not undergone a full investigation for a known iron deficiency, anemia. Subsequently, during the emergency admission and after having an operative surgical procedure, the patient was found to have both a congenitally malpositioned cecum and a benign colonic polyp-forming condition. Read More

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http://dx.doi.org/10.7759/cureus.3430DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289586PMC
October 2018
1 Read