12,538 results match your criteria Colonic Obstruction


Fluoroscopy-Guided Gastrojejunostomy Creation with Lumen-Apposing Metal Stent in a Porcine Model.

Cardiovasc Intervent Radiol 2020 Jul 10. Epub 2020 Jul 10.

Department of Interventional Therapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, China.

Purpose: To evaluate the technical feasibility of fluoroscopy-guided gastrojejunostomy creation in a porcine model.

Methods: Eight domestic female pigs (median, 15.6 kg; range, 14. Read More

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http://dx.doi.org/10.1007/s00270-020-02589-0DOI Listing

Colon Involvement in Necrotizing Pancreatitis: Incidence, Risk Factors, and Outcomes.

Ann Surg 2020 Jul 7. Epub 2020 Jul 7.

Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.

Objective: To investigate the incidence, risk factors, and outcomes of colon involvement in patients with necrotizing pancreatitis.

Summary/background Data: Necrotizing pancreatitis is characterized by a profound inflammatory response with local and systemic implications. Mesocolic involvement can compromise colonic blood supply leading to ischemic complications; however, few data exist regarding this problem. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004149DOI Listing

Ileo-sigmoid knotting: the Parirenyatwa hospital experience.

S Afr J Surg 2020 Jun;58(2):70-73

Department of Surgery, College of Health Sciences, University of Zimbabwe, Zimbabwe.

Background: Ileo-sigmoid knotting is a rare cause of intestinal obstruction with a rapidly progressive course, for which expedient surgical intervention is required to prevent mortality. The aim of this study was to determine the characteristics, presentation, morbidity and mortality associated with ileo-sigmoid knotting at Parirenyatwa Group of Hospitals (PGH). To determine the preoperative diagnostic precision and management patterns of ileo-sigmoid knotting cases at PGH. Read More

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The Controlling Nutritional Status (CONUT) Score as a prognostic factor for obstructive colorectal cancer patients received stenting as a bridge to curative surgery.

Surg Today 2020 Jul 4. Epub 2020 Jul 4.

Departments of Gastroenterological Surgery, Sendai City Medical Center Sendai Open Hospital, 5-22-1 Tsurugaya, Miyagino-ku, Sendai, 983-0824, Japan.

Purpose: The Controlling Nutritional Status (CONUT) Score, originally developed as a nutritional screening tool, is a cumulative score calculated from the serum albumin level, total cholesterol level, and total lymphocyte count. Previous studies have demonstrated that the score has significant prognostic value in various malignancies. We investigated the relationship between the CONUT score and long-term survival in obstructive colorectal cancer (OCRC) patients who underwent self-expandable metallic colonic stent placement and subsequently received curative surgery. Read More

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http://dx.doi.org/10.1007/s00595-020-02066-8DOI Listing

Goblet Cell Carcinoid (GCC) of the Appendix presenting as a Small Bowel Obstruction.

Radiol Case Rep 2020 Aug 25;15(8):1339-1343. Epub 2020 Jun 25.

Department of General Surgery, Dandenong Hospital, Melbourne, Victoria, Australia.

A 68 year old male presented to our Emergency Department with a one-day history of right sided abdominal pain, distention and vomiting on a background of no previous abdominal surgery. Abdominal CT demonstrated a high grade, closed loop small bowel obstruction involving the terminal segment of the ileum. Also of significance was alow-density appendiceal nodule. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.05.065DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322488PMC

Acute Colonic Pseudoobstruction (Ogilvie Syndrome) - A Severe Complication in the Evolution of the Hospitalized or Institutionalized Patients.

Chirurgia (Bucur) 2020 May-Jun;115(3):357-364

Ogilvie syndrome, or acute colonic pseudo-obstruction (ACPO), represents a pathological entity, potentially with a severe outcome, due to the acute important dilation of the large bowel, in the absence of a mechanical luminal obstruction. Usually, it occurs in patients admitted in intensive care unit, that associate severe surgical or medical pathologies. The mechanism of the ACPO has not been completely explained, but it is assumed that the motor function of the colon may be affected, as a result of autonomic regulation disturbance. Read More

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http://dx.doi.org/10.21614/chirurgia.115.3.357DOI Listing

[Early experience of minimal invasive surgery for adolescent with pancreatic head tumor: a report of 15 cases].

Zhonghua Wai Ke Za Zhi 2020 Jul;58(7):512-515

Department of Gastroenterology and Pancreatic Surgery, Zhejiang Province People's Hospital, Key Laboratory of Gastroenterology of Zhejiang Province, Hangzhou 310014, China.

To summarize the characteristics and difficulties of minimal invasive surgery for adolescent with pancreatic head tumor. The data of adolescent younger than 28 years old with pancreatic head tumor treated at Department of Gastroenterology and Pancreatic Surgery, Zhejiang Province People's Hospital from January 2014 to December 2019 were analyzed retrospectively. Fifteen cases were enrolled, included 5 males and 10 females. Read More

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http://dx.doi.org/10.3760/cma.j.cn112139-20200211-00077DOI Listing

Acute Colonic Pseudo-Obstruction After Ventriculoperitoneal Shunt Placement for Normal Pressure Hydrocephalus.

Cureus 2020 May 26;12(5):e8295. Epub 2020 May 26.

Internal Medicine, University of Central Florida College of Medicine, Orlando, USA.

Ogilvie's syndrome is a rare postoperative condition commonly referred to as a "colonic pseudo-obstruction" due to the absence of mechanical obstruction. It should be a differential for patients over the age of 60 years who present with nausea, vomiting, and colonic dilatations on imaging. Ogilvie's syndrome following a ventriculoperitoneal (VP) shunt placement is an extremely rare entity with only one other adult patient reported in the English literature. Read More

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http://dx.doi.org/10.7759/cureus.8295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317140PMC

Colonic obstruction in a tetraplegic patient: a common symptom from an uncommon cause.

Spinal Cord Ser Cases 2020 Jun 29;6(1):53. Epub 2020 Jun 29.

Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Introduction: It is difficult to diagnose an acute abdomen condition in people with spinal cord injury due to abnormal sensation below the injured level and multiple co-morbidities. These issues can mislead the exact diagnosis and delay proper treatment.

Case Presentation: A 57-year-old male with C4 AIS C tetraplegia developed nausea and vomiting, abdominal distension and feeding intolerance. Read More

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http://dx.doi.org/10.1038/s41394-020-0305-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324610PMC

Ileocecal Valve Removal Reverses the Constipating Effects of Loperamide in Rats.

J Surg Res 2020 Jun 27;255:371-377. Epub 2020 Jun 27.

University Research Institute of Maternal & Child Health and Precision Medicine, National and Kapodistrian University of Athens, Athens, Greece. Electronic address:

Background: Previous evidence associating ileocecal valve removal (ICVR) with a reduced risk of fecal impaction of the ileocecum in cystic fibrosis indicated possible benefits from ileocecal valve loss in disorders with inhibited proximal colon transit caused by fecal dehydration and hypoperistalsis. We aimed to investigate the ability of ICVR in reversing fecal impaction in a loperamide-induced model of a similar pattern of inhibited proximal colon transit in rats.

Materials And Methods: Thirty pubertal Sprague-Dawley rats were rendered constipated with subcutaneous loperamide treatment (1 mg/kg/d) for 7 d. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.002DOI Listing

Giant Inflammatory Polyps in Diverticular Disease Mimicking a Colonic Mass: A Potential Malignant Masquerader.

Am J Case Rep 2020 Jun 29;21:e923242. Epub 2020 Jun 29.

Department of Pathology and Laboratory Medicine, University of Rochester, Rochester, NY, USA.

BACKGROUND Inflammatory pseudopolyps (IPPs) are a common manifestation in inflammatory bowel disease (IBD) with more cases reported with ulcerative colitis than Crohn's disease. IPPs can grow to form large polyps which are called giant inflammatory polyps (GIPs). These polyps may cause an obstruction and form a mass-like lesion and surgical resection may be warranted. Read More

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http://dx.doi.org/10.12659/AJCR.923242DOI Listing

Outcomes of Initial Subtotal Colectomy for Pediatric Inflammatory Bowel Disease.

J Surg Res 2020 Jun 25;255:319-324. Epub 2020 Jun 25.

Division of Pediatric Surgery, Cohen Children's Medical Center, Northwell Health System, New York, New York; Department of Surgery, Zucker School of Medicine at Hofstra/Northwell Health System, Manhasset, New York. Electronic address:

Background: Subtotal colectomy with end ileostomy (STC-I) has been well established in the adult literature as an initial surgical treatment for refractory inflammatory bowel disease (IBD)-related colitis. However, in the pediatric population, the efficacy of this approach has been less well characterized, likely because of concerns regarding the advisability of leaving a diseased rectum in situ. Our aim was to examine the outcomes after STC-I for refractory IBD at our pediatric tertiary care center. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.026DOI Listing

Obstructing Left-Sided Colonic Cancer: Is Endoscopic Stenting a Bridge to Surgery or a Bridge to Nowhere?

Dig Dis Sci 2020 Jun 25. Epub 2020 Jun 25.

Emergency Surgery Department, St. Orsola University Hospital, Bologna, Italy.

For the 8-29% colorectal cancers that initially manifest with obstruction, emergency surgery (ES) was traditionally considered the only available therapy, despite high morbidity and mortality rates and the need for colostomy creation. More recently, malignant obstruction of the left colon can be temporized by endoscopic placement of a self-expanding metallic stent (SEMS), used as bridge to surgery (BTS), facilitating a laparoscopic approach and increasing the likelihood that a primary anastomosis instead of stoma would be used. Despite these attractive outcomes, the superiority of the BTS approach is not clearly established. Read More

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http://dx.doi.org/10.1007/s10620-020-06403-2DOI Listing

A case of colon necrosis resulting from a delayed traumatic diaphragmatic hernia.

J Surg Case Rep 2020 Jun 17;2020(6):rjaa101. Epub 2020 Jun 17.

Department of Thoracic Surgery, Ambroise Pare, Mons, Belgium.

We present the case of a 71 years old woman who came at the emergency room for abdominal pain and symptoms of occlusion. The scanner demonstrated a colonic occlusion resulting from an incarceration, diagnosed as a hernia of Bochdalek. But two old rib fractures and a past history of a fall directed us to the diagnostic of delayed diaphragmatic rupture. Read More

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http://dx.doi.org/10.1093/jscr/rjaa101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299604PMC

Acetylcholinesterase staining for the pathological diagnosis of Hirschsprung's disease.

Surg Today 2020 Jun 23. Epub 2020 Jun 23.

Department of Pediatric Surgery, Graduate School of Medical Sciences, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Hirschsprung's disease (HD) is a congenital disease manifesting various degrees of functional bowel obstruction caused by the absence of enteric ganglion cells, which are usually absent in the colonic segment of the HD patient. Because the aganglionic segment of HD always includes the rectum, pathological diagnosis can be made using a rectal sample. HD should be diagnosed as early as possible because serious complications, such as acute enterocolitis or toxic megacolon, can develop without a definitive diagnosis and appropriate treatment. Read More

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http://dx.doi.org/10.1007/s00595-020-02055-xDOI Listing

Laparoscopic repair of Morgagni's hernia in an elderly female patient.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa182. Epub 2020 Jun 15.

General Surgery, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.

Morgagni's hernia is a very uncommon congenital diaphragmatic hernia. A few patients may remain asymptomatic until adulthood. Clinical presentation may include bowel obstruction, chest pain or dyspnoea. Read More

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http://dx.doi.org/10.1093/jscr/rjaa182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295565PMC

Short-term outcomes of laparoscopic approach to colonic obstruction for colon cancer.

Surg Endosc 2020 Jun 22. Epub 2020 Jun 22.

Department of Surgery, University of California, Irvine, USA.

Background: We speculated that a laparoscopic approach to emergent/urgent partial colectomy for colonic obstruction would be associated with less morbidity and shorter length of stay with similar mortality to open colectomy. We compared the outcomes of laparoscopic and open approaches to emergent/urgent partial colectomy for colonic obstruction from colonic cancer using data from the National Surgical Quality Improvement Program (NSQIP) database for the period of 2012-2017.

Methods: Multivariate analysis compared NSQIP data points following laparoscopic, laparoscopic converted to open, and open colectomy for emergent/urgent colectomy for colonic obstruction from colon cancer from 2012 to 2017. Read More

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http://dx.doi.org/10.1007/s00464-020-07743-wDOI Listing

Long-term outcomes of stent-related perforation in malignant colon obstruction: a systematic review and meta-analysis.

Int J Colorectal Dis 2020 Aug 22;35(8):1439-1451. Epub 2020 Jun 22.

Faculty of Medicine and Odontology, University of Valencia, Av. de Blasco Ibáñez, 13, 46010, Valencia, Valencia, Spain.

Purpose: The placement of self-expandable metallic stents as a bridge to surgery in malignant colon obstruction is concerning due to the long-term oncological results reported in recent published studies. The aim of this study was to evaluate the oncological consequences of stent-related perforations in patients with malignant colon obstruction and potentially curable disease.

Methods: MEDLINE, Cochrane Library, Ovid and ISRCTN Registry were searched, with no restrictions. Read More

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http://dx.doi.org/10.1007/s00384-020-03664-1DOI Listing

Enhanced recovery after surgery in emergency resection for obstructive colorectal cancer: a systematic review and meta-analysis.

Int J Colorectal Dis 2020 Aug 22;35(8):1453-1461. Epub 2020 Jun 22.

Clinical Epidemiology Unit, Department of Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Purpose: Enhanced recovery after surgery (ERAS) improves outcomes after elective colorectal operations. Whether it is beneficial for emergency colorectal surgery is unclear. This study aimed to systematically review and summarize evidence from all studies comparing ERAS versus conventional care in patients having emergency colectomy and/or proctectomy for obstructive colorectal cancer. Read More

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http://dx.doi.org/10.1007/s00384-020-03652-5DOI Listing

Diagnostic performance and role of the contrast enema for low intestinal obstruction in neonates.

Pediatr Surg Int 2020 Jun 23. Epub 2020 Jun 23.

Department of Radiology, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, 3401 Civic Center Blvd, 3NW13, Philadelphia, PA, 19104, USA.

Purpose: We aim to evaluate the diagnostic performance and relationship between clinical characteristics, imaging findings, and final diagnosis for the neonatal contrast enema (CE).

Methods: Retrospective 10-year review of all neonatal CEs including imaging findings, clinical information, indication, and final diagnosis from discharge summaries, surgical reports, and pathology (reference standard). Two blinded pediatric radiologists reinterpreted 366 CEs for obstruction, microcolon, rectosigmoid index (RSI), serrations, meconium, ileal cut-off, transition zone, diagnosis, and level of confidence. Read More

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http://dx.doi.org/10.1007/s00383-020-04701-4DOI Listing

Precision Lactobacillus reuteri therapy attenuates luminal distention-associated visceral hypersensitivity by inducing peripheral opioid receptors in the colon.

Pain 2020 Jun 19. Epub 2020 Jun 19.

Dept. of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.

Luminal distention and abdominal pain are major clinical hallmarks of obstructive bowel disorders and functional bowel disorders linked to gut dysbiosis. Our recent studies found that chronic lumen distention increased visceral sensitivity and decreased abundance of gut commensal Lactobacillus reuteri in a rodent model of partial colon obstruction (OB). To establish causation, we performed precision microbial therapy to assess whether recolonization of L. Read More

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http://dx.doi.org/10.1097/j.pain.0000000000001967DOI Listing

Fluoroscopic Stenting as a Bridge to Surgery Emergency Management for Malignant Obstruction of the Colon.

Emerg Med Int 2020 1;2020:4650780. Epub 2020 Jun 1.

Department of Gastrointestinal Surgery, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, Liaoning Province, China.

Aim: To investigate the feasibility of a SEMS (self-expandable metallic stent) as a bridge to surgery for malignant colonic obstruction.

Methods: We retrospectively reviewed 83 patients that were in accordance with inclusion criteria; of these, 33 patients that underwent fluoroscopy-guided SEMS placement followed by elective curative resection were classified as a SEMS group and 50 patients, who received emergency surgery (ES), were classified as an ES group. The clinicopathological characteristics, surgery-related parameters, complications, and three-year survival rate were compared between the two groups. Read More

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http://dx.doi.org/10.1155/2020/4650780DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284933PMC

Colorectal neuroendocrine tumors: A case series.

Int J Surg Case Rep 2020 Jun 12;72:411-417. Epub 2020 Jun 12.

Department of Surgery, Faculty of Medicine, Hasanuddin University Makassar, Indonesia. Electronic address:

Introduction: Neuroendocrine tumors (NET) of the colon and sigmoid colon are uncommon compared to colorectal adenocarcinoma. Few reports have been made of NET of the colon and sigmoid colon that presents with peritonitis and large bowel obstruction.

Case Presentation: Here, we report two cases of NET of the colon and sigmoid colon, which were diagnosed and treated at our institution. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306531PMC

Postprandial changes in gastrointestinal function and transit in cystic fibrosis assessed by Magnetic Resonance Imaging.

J Cyst Fibros 2020 Jun 16. Epub 2020 Jun 16.

Division of Child Health, Obstetrics and Gynaecology, University of Nottingham, UK; NIHR Nottingham Biomedical Research Centre (BRC), Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, UK. Electronic address:

Background: Cystic fibrosis (CF) is a multi-system genetic disorder affecting >72,000 people worldwide. Most CF patients experience gastrointestinal symptoms and can develop complications. However, the mechanisms of CF gut disease are not well understood. Read More

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http://dx.doi.org/10.1016/j.jcf.2020.06.004DOI Listing

Two Histologically Different Primary Malignancies: Synchronous Obstructive Descending Colon Adenocarcinoma and Appendicular Carcinoid Tumor.

Am J Case Rep 2020 Jun 19;21:e921810. Epub 2020 Jun 19.

Colorectal Research Chair, Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia.

BACKGROUND Synchronous primary tumors are defined as 2 or more different histological tumors discovered in one patient at the same time or within a period of 6 months. Colorectal cancer is one of the most common cancers in the United States. Inversely, synchronous colorectal cancer and carcinoid tumors are rare. Read More

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http://dx.doi.org/10.12659/AJCR.921810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322214PMC

Colonic intussusception caused by giant lipoma: a rare cause of bowel obstruction.

Int J Colorectal Dis 2020 Jun 15. Epub 2020 Jun 15.

General and Gastrointestinal Surgery Division, Virgen del Rocío University Hospital, Sevilla, Spain.

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http://dx.doi.org/10.1007/s00384-020-03629-4DOI Listing

Ileus caused by small bowel, ileocaecal and rectal endometriosis misdiagnosed as Crohn's disease and managed by synchronous ileocaecal and rectal resection.

Ann R Coll Surg Engl 2020 Jun 15:e1-e4. Epub 2020 Jun 15.

Military Medical Academy, Sofia, Bulgaria.

The reported incidence of intestinal endometriosis varies between 22% and 37%, with bowel obstruction in only 2.3% of cases, but few series report acute obstruction. We report a rare case of acute bowel obstruction due to multiple bilateral deep intestinal endometriosis lesions localised in the ileum, ileocaecal valve and upper rectum, requiring synchronous resection in an emergency setting. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0118DOI Listing

Primary colonic squamous cell carcinoma: a case report and review of the literature.

Ann R Coll Surg Engl 2020 Jun 15:e1-e7. Epub 2020 Jun 15.

Department of Colorectal Surgery, Barts Health NHS Trust, London UK.

Colonic squamous cell carcinoma is extremely rare, with no clear pathogenesis. It usually presents as an emergency. We present the surgical management of a descending colon squamous cell carcinoma, together with a review of the available cases of colonic squamous cell carcinoma in the literature. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0149DOI Listing

Evaluation of Fecal Sand Clearance in Horses With Naturally Acquired Colonic Sand Accumulation With a Product Containing Probiotics, Prebiotics, and Psyllium.

J Equine Vet Sci 2020 Jul 2;90:102970. Epub 2020 Mar 2.

Department of Environmental & Radiological Health Sciences, Colorado State University, Fort Collins, CO.

Consumption of sand and dirt in horses can cause chronic diarrhea and colic because of irritation and obstruction of the gastrointestinal tract of horses. Prevention has primarily focused on changes in management to reduce the intake of sand and feeding of psyllium products. The purpose of this study was to evaluate the efficacy of a product containing probiotics, prebiotics, and psyllium in the clearance of colonic sand in horses with naturally acquired sand accumulation using a randomized, placebo-controlled, blinded clinical trial format. Read More

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http://dx.doi.org/10.1016/j.jevs.2020.102970DOI Listing

Malignant Brenner tumour of the ovary manifesting as distal intestinal obstruction and perforation.

BMJ Case Rep 2020 Jun 11;13(6). Epub 2020 Jun 11.

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India

A rare case of malignant Brenner tumour of ovary manifesting with intestinal perforation due to colonic infiltration is elaborated in the present report. Brenner's tumour accounts for 1%-2% of all ovarian neoplasms and malignant Brenner tumour is even rarer and only about 5% of Brenner tumours are malignant. A 62-year-old woman came to surgical emergency with 1-month history of abdominal pain, vomiting and constipation with a palpable mass in right iliac fossa. Read More

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http://dx.doi.org/10.1136/bcr-2020-235394DOI Listing

Chilaiditi Sign and Chilaiditi Syndrome in Pregnancy.

J Emerg Med 2020 Jun 9. Epub 2020 Jun 9.

University Hospital Centre Zagreb, Zagreb, Croatia.

Background: Chilaiditi syndrome is a rare condition characterized by impaired fixation of the colon resulting in symptoms secondary to colonic interposition. It commonly presents with nonspecific abdominal pain and constipation, making clinical diagnosis difficult, especially in pregnancy.

Case Report: A 29-year-old afebrile woman in the week 28 of pregnancy presented with right-sided abdominal pain and constipation. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.04.055DOI Listing
June 2020
1.175 Impact Factor

Newly developed proximal release-type colonic stent placement for malignant lower rectal obstruction.

VideoGIE 2020 Jun 12;5(6):250-251. Epub 2020 Mar 12.

Department of Surgery, Toho University Ohashi Medical Center, Tokyo, Japan.

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http://dx.doi.org/10.1016/j.vgie.2020.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280147PMC

Complementary Use of Carbohydrate Antigens Lewis a, Lewis b, and Sialyl-Lewis a (CA19.9 Epitope) in Gastrointestinal Cancers: Biological Rationale Towards A Personalized Clinical Application.

Cancers (Basel) 2020 Jun 9;12(6). Epub 2020 Jun 9.

Department of Medicine and Surgery, University of Insubria, 21100 Varese, Italy.

Carbohydrate antigen 19.9 (CA19.9) is used as a tumor marker for clinical and research purposes assuming that it is abundantly produced by gastrointestinal cancer cells due to a cancer-associated aberrant glycosylation favoring its synthesis. Read More

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http://dx.doi.org/10.3390/cancers12061509DOI Listing

Idiopathic cocoon abdomen with congenital colon malrotation: a case report and review of the literature.

BMC Surg 2020 Jun 9;20(1):124. Epub 2020 Jun 9.

Department of General Surgery, Wuhan Third Hospital, Wuhan, 430060, People's Republic of China.

Background: Cocoon abdomen is a relatively rare abdominal disease characterized by the total or partial encasement of the small intestinal by a dense fibro-collagenous membrane.

Case Presentation: We reported an unusual case of idiopathic cocoon abdomen with congenital colon malrotation. Laparotomy and sac release were performed on the patient. Read More

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http://dx.doi.org/10.1186/s12893-020-00788-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282167PMC

Endoscopic Management of Sigmoid Volvulus in a Debilitated Population: What Relevance?

GE Port J Gastroenterol 2020 Apr 13;27(3):160-165. Epub 2019 Dec 13.

Gastroenterology Department, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.

Background: Colonic volvulus, mainly from the sigmoid, is a relatively common cause of intestinal obstruction, particularly in the elderly and in patients with debilitating conditions. The high morbi-mortality of emergency surgery places the endoscopic approach as the first-line treatment for the resolution of this acute obstructive condition.

Objectives: To assess the importance of endoscopic treatment for the resolution of colonic volvulus in a debilitated population. Read More

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http://dx.doi.org/10.1159/000504721DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250355PMC

Lower gastrointestinal bleeding due to colonic fistula caused by a gossypiboma: Case report and literature review.

Int J Surg Case Rep 2020 May 29;72:59-62. Epub 2020 May 29.

Department of General and Digestive Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain; Universitat Autonoma de Barcelona, Spain.

Introduction: Even in modern surgery, human mistakes cannot be totally avoided. Retained surgical items are among the most feared ones. Forgotten sponges inside patients can cause a wide range of complications due to the foreign body reaction, called gossypiboma. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283079PMC

Treatment of Stage IV Colon Cancer in the United States: A Patterns-of-Care Analysis.

J Natl Compr Canc Netw 2020 06;18(6):689-699

Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.

Background: National guidelines recommend chemotherapy as the mainstay of treatment for stage IV colon cancer, with primary tumor resection (PTR) reserved for patients with symptomatic primary or curable disease. The aims of this study were to characterize the treatment modalities received by patients with stage IV colon cancer and to determine the patient-, tumor-, and hospital-level factors associated with those treatments.

Methods: Patients diagnosed with stage IV colon cancer in 2014 were extracted from the SEER Patterns of Care initiative. Read More

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http://dx.doi.org/10.6004/jnccn.2020.7533DOI Listing

Incidence and Risk Factors for the Development of Acute Colonic Pseudo-Obstruction (Ogilvie Syndrome) in Total Joint Arthroplasty Patients.

J Am Acad Orthop Surg 2020 Jun 2. Epub 2020 Jun 2.

From the Department of Orthopaedic Surgery (Dr. Hsiue, Dr. Greig, Mr. Chen, Mr. Patel, Dr. Trikha, Dr. Stavrakis), David Geffen School of Medicine at UCLA, Los Angeles, CA, Department of Trauma and Orthopaedic Surgery (Dr. Rowan), University Hospital Waterford, Ireland, and the Division of Orthopaedic Surgery (Dr. Khoshbin), University of Toronto, Toronto, ON, Canada.

Background: Acute colonic pseudo-obstruction (Ogilvie syndrome [OS]) is a rare but devastating condition that can develop in orthopaedic patients postoperatively. The objective of this study was to identify the risk factors for developing OS after total hip arthroplasty (THA) or total knee arthroplasty (TKA) and to compare the outcomes between patients who did and did not develop OS postoperatively.

Methods: This was a retrospective review using the National Inpatient Sample, a national database incorporating inpatient hospitalization information. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00096DOI Listing

Internal hernia of the stomach associated with colostomy after laparoscopic surgery for rectal cancer: a case report.

Surg Case Rep 2020 Jun 3;6(1):127. Epub 2020 Jun 3.

Department of Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, 650-0047, Japan.

Background: Colostomy via the intraperitoneal route is often performed during laparoscopic Hartmann's operation or abdominoperineal resection. Internal hernia of the small intestine often occurs after colostomy. This report shows a rare case of internal hernia of the stomach associated with sigmoid colostomy after laparoscopic abdominoperineal resection for rectal cancer. Read More

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http://dx.doi.org/10.1186/s40792-020-00889-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270322PMC

Jejunal Diverticulosis Complicated by Diverticulitis and Small Bowel Obstruction.

Cureus 2020 May 28;12(5):e8347. Epub 2020 May 28.

Trauma and Surgical Critical Care, Warren Alpert Medical School of Brown University, Providence, USA.

Diverticular disease is common in the Western population and can cause considerable morbidity. The prevalence of colonic diverticulosis reaches 60% by the age of 60 years. Small bowel diverticulosis is much rarer and, when present, most commonly occurs in the duodenum. Read More

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http://dx.doi.org/10.7759/cureus.8347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263004PMC

Cecal Perforation by a Large Gallstone: An Unusual Diagnosis.

Cureus 2020 Apr 27;12(4):e7859. Epub 2020 Apr 27.

General Surgery, Hospital do Litoral Alentejano, Santiago do Cacém, PRT.

Cholecystocolic fistulas are uncommon, with rare cases of colonic obstruction described in the literature and even rarer cases of intestinal perforation due to gallstones. We describe a case of a 73-year-old man who presented to our ED with complaints of diffuse abdominal pain, vomiting, constipation, and fever for the past week. Abdomen CT showed signs of acute perforated appendicitis. Read More

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http://dx.doi.org/10.7759/cureus.7859DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255080PMC

Acute colonic pseudo-obstruction causing Acute Respiratory Failure in Duchenne Muscular Dystrophy.

Pulmonology 2020 May 28. Epub 2020 May 28.

Radiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy.

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http://dx.doi.org/10.1016/j.pulmoe.2020.04.018DOI Listing

Postrenal Acute Renal Failure Due to Giant Fecaloma-related Bilateral Hydronephrosis: A Case Report and Brief Literature Review.

Cureus 2020 Apr 24;12(4):e7815. Epub 2020 Apr 24.

Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TUR.

An 88-year-old woman presented to the emergency department with abdominal distention, fever, and constipation of about a week's duration. Laboratory tests showed impaired kidney function tests and fluid electrolyte values. Bilateral hydroureteronephrosis was observed on non-contrasted abdominal CT. Read More

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http://dx.doi.org/10.7759/cureus.7815DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249776PMC

Atypical Obstructive Pseudotumors in AIDS as the Initial Manifestation of Gastrointestinal Histoplasmosis.

Cureus 2020 Apr 22;12(4):e7775. Epub 2020 Apr 22.

Internal Medicine, Hospital de Especialidades Eugenio Espejo, Quito, ECU.

Histoplasma capsulatum is a dysmorphic fungus distributed worldwide commonly associated with pulmonary histoplasmosis. We report the case of an unusual presentation of gastrointestinal histoplasmosis leading to the obstruction of the intestinal lumen in a 30-year-old female, HIV positive, admitted to the hospital due to chronic abdominal pain and constipation. An initial abdominal CT revealed a mass in the sigmoid colon. Read More

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http://dx.doi.org/10.7759/cureus.7775DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243627PMC

Living donor liver retransplantation for primary non-function of liver graft following multivisceral transplantation in a pediatric patient.

Ann Hepatobiliary Pancreat Surg 2020 May;24(2):198-202

Division of Pediatric Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Multivisceral organ transplantation (MVOT) includes transplantation of three or more abdominal organs, generally including the small bowel, duodenum, stomach, liver, pancreas, and colon. We here presented the detailed procedures of repeat living donor liver transplantation for primary non-function of the first liver graft following MVOT in a pediatric patient. A 6-year-old girl with chronic intestinal pseudo-obstruction underwent MVOT with 5-year-old donor organs. Read More

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http://dx.doi.org/10.14701/ahbps.2020.24.2.198DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271102PMC

Obstructive left side colon cancer: time for a tailored operative approach?

Minerva Chir 2020 May 26. Epub 2020 May 26.

Emergency Surgery Unit, Department of Emergency, University Hospital of Careggi, Florence, Italy.

Background: Colorectal cancer (CRC) obstruction is frequent but doubts remain on the best treatment. The aim of this study is to analyze the different operative approach used for CRC treatment and evaluate the outcomes for the different cases.

Materials And Methods: Patients were collected from January 2014 to December 2019 and divided in four groups (PH = Hartmann's procedure, PA = primary anastomosis - P groups - SD = deviating stoma, SS = SEMS - S groups). Read More

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http://dx.doi.org/10.23736/S0026-4733.20.08299-1DOI Listing

Not Your Typical Mucocele: A Case Report of a Benign Sigmoidal Diverticular Mucocele.

Cureus 2020 Apr 20;12(4):e7743. Epub 2020 Apr 20.

Gastroenterology, Banner University Medical Center, Phoenix, USA.

In recent literature, mucoceles have been discovered to be in the appendix vermiformis or in the nasal sinuses. Although rare, colonic mucoceles, as well as rectal mucoceles, have also been encountered. Furthermore, colonic mucoceles arising from a diverticulum is an even more unusual occurrence, and to date, there has been only one reported case. Read More

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http://dx.doi.org/10.7759/cureus.7743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241229PMC

Time Trends in the Diagnosis of Colorectal Cancer With Obstruction, Perforation, and Emergency Admission After the Introduction of Population-Based Organized Screening.

JAMA Netw Open 2020 May 1;3(5):e205741. Epub 2020 May 1.

Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.

Importance: Up to 30% of patients with a diagnosis of colorectal cancer (CRC) present as an emergency (an intestinal obstruction, perforation, or emergency hospital admission) (OPE). There are limited data about the association of organized, population-based colorectal cancer screening with the rate of emergency presentations.

Objective: To examine the association of CRC screening with OPE at cancer diagnosis and time trends in the rate of OPE after the start of organized CRC screening using a highly sensitive fecal occult blood test. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2020.5741DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251446PMC

Mega-megacolon: a case report.

Int J Colorectal Dis 2020 Aug 24;35(8):1615-1617. Epub 2020 May 24.

1st Department of Propaedeutic Surgery, Athens Medical School, Hippocration General Athens Hospital, National and Kapodistrian University of Athens, 114 Vasilissis Sofias Avenue, 115 27, Athens, Greece.

Purpose: Large bowel obstruction and megacolon formation secondary to complicated diverticulitis is rare.

Methods: We present a case of an 84-year-old woman surviving large bowel obstruction and mega-megacolon formation secondary to complicated diverticulitis, with an impressive presentation of abdominal distention.

Results: The patient's symptoms, laboratory test results, and imaging were consistent with large bowel obstruction. Read More

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http://dx.doi.org/10.1007/s00384-020-03642-7DOI Listing