12,103 results match your criteria Colonic Obstruction


Obstruction is associated with perineural invasion in T3/T4 colon cancer.

Colorectal Dis 2019 Apr 24. Epub 2019 Apr 24.

Department of Surgical Oncology, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Aim: Perineural invasion (PNI) is a risk factor for recurrence and metastasis, and consequently leads to decreased survival in patients with various malignancy. Recent studies showed that stent placement in obstructive colon cancer increases the frequency of PNI. We hypothesized that mechanical stress including obstruction itself may be associated with PNI. Read More

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http://dx.doi.org/10.1111/codi.14655DOI Listing

Simultaneous small bowel and colon obstruction due to splenosis. A case report and review of literature.

Int J Surg Case Rep 2019 Mar 30;58:63-66. Epub 2019 Mar 30.

Department of General and Digestive Surgery, Maritime Hospital, Jbeil, Lebanon.

Introduction: Splenosis, an autotransplantation of splenic tissues in another compartment of the body, is only symptomatic when hematologic diseases have recurred or compression of other adjacent structures have occurred. Therefore, we report a clinical case of a patient with bowel obstruction due to splenosis.

Case Presentation: A patient with a history of splenectomy, presented to the emergency room for abdominal pain and obstipation, suggesting intestinal obstruction which is also seen on CT scan. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.040DOI Listing

Submucosal mucoid as a late complication after appendectomy-A case report.

Int J Surg Case Rep 2019 Apr 5;58:37-40. Epub 2019 Apr 5.

Radiological Department, Klatovy Hospital, Plzeňská 929, 339 01, Klatovy II, Czech Republic.

Introduction: Shortly after an operation infection, intraabdominal abscess, seroma, haemorrhage or development of paralytic ileus may occur. Postoperative adhesions, nonspecific abdominal pain without signs of obstruction, incisional hernia and appendicitis or mucocele in appendiceal stump present common late complications. We present a unique case of a late complication after appendectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612193017
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http://dx.doi.org/10.1016/j.ijscr.2019.03.051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475718PMC
April 2019
1 Read

[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

[Comparison of effectiveness and complications between two different methods of augmentation cystoplasty].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Apr;51(2):293-297

Department of Urology, Peking University People's Hospital, Beijing 100044, China.

Objective: To compare the effectiveness and complications between enterocystoplasty and small intestinal submucosa (SIS) cystoplasty through follow-ups of patients with augmentation cystoplasty in Peking University People's Hospital, offering alternative approach for future treatment.

Methods: In this study, retrospective analyses were carried out in 10 patients who underwent enterocystoplasty or SIS cystoplasty in Peking University People's Hospital from November 2011 to December 2016. Clinical data were collected including medical history, surgical procedures, laboratory examinations and complications. Read More

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April 2019
1 Read

Oncologic Outcomes of Self-Expandable Metallic Stent as a Bridge to Surgery and Safety and Feasibility of Minimally Invasive Surgery for Acute Malignant Colonic Obstruction.

Ann Surg Oncol 2019 Apr 15. Epub 2019 Apr 15.

Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Background: Although self-expandable metal stents (SEMS) are widely used as a bridge to surgery (BTS) in patients with malignant colorectal cancer obstruction, there has been some debate about their effect on long-term oncological outcomes. Furthermore, data on the safety and feasibility of minimally invasive surgery (MIS) combined with stent placement are scarce. We aimed to determine the long-term oncological outcomes of SEMS as a BTS, and the short-term outcomes of SEMS used with minimally invasive colorectal surgery. Read More

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http://dx.doi.org/10.1245/s10434-019-07346-3DOI Listing
April 2019
1 Read

[Physiologic type reconstruction in upper gastrointestinal caustic strictures].

Orv Hetil 2019 Apr;160(16):613-618

Mellkassebészet, Országos Korányi Tüdőgyógyászati Intézet Budapest.

The authors discuss their experience in the surgical treatment of caustic stenosis in the upper gastrointestinal tract. They present operative solutions using isoperistaltic transverse colonic segment in oesophageal stenosis caused by gastric outlet obstruction, or when these two presented together. Further indications for the above were bronchial or tracheo-oesophageal fistulas and oesophageal perforation. Read More

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http://dx.doi.org/10.1556/650.2019.31358DOI Listing

[Slow Transit Constipation].

Authors:
Marco Sailer

Zentralbl Chir 2019 Apr 12;144(2):179-189. Epub 2019 Apr 12.

Chirurgie, Bethesda KH Bergedorf, Hamburg, Deutschland.

Slow transit constipation is a rare condition that is almost exclusively encountered in middle-aged women. The pathophysiology and aetiology are poorly understood, but a multi-factorial pathogenesis seems likely. In the course of the differential diagnosis, mechanical, drug-induced, degenerative, metabolic, endocrinological, neurological and psychiatric causes of constipation must be excluded by an interdisciplinary approach. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0860-5960
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http://dx.doi.org/10.1055/a-0860-5960DOI Listing
April 2019
3 Reads

Heterotopy ("Error loci") of the spiral loop of the ascending colon in cattle.

PLoS One 2019 12;14(4):e0215402. Epub 2019 Apr 12.

Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy.

The term heterotopy of the spiral colon encompasses a dysmorphological condition in which the spiral loops of the ascending colon (SLACs) do not form an orderly spiraling mass adjacent to the left side of the mesojejunum. As a consequence, the spiral loops are spread over a larger surface, making them more or less movable. It has been hypothesized that the abnormal position of the spiral loops of the ascending colon might constitute a predisposing factor for an intestinal obstruction or an ileus condition. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215402PLOS
April 2019
5 Reads

Colonoscopic resection of giant colonic lipoma causing subacute large bowel obstruction.

ANZ J Surg 2019 Apr 11. Epub 2019 Apr 11.

Department of Colorectal Surgery, Logan Hospital, Logan City, Queensland, Australia.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ans.15082
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http://dx.doi.org/10.1111/ans.15082DOI Listing
April 2019
3 Reads

The efficacy of endoscopic stenting combined with laparoscopy in the treatment of left colon cancer with obstruction.

J Cancer Res Ther 2019 ;15(2):375-379

Department of Acute Abdominal Surgery, First Affiliated Hospital Dalian Medical University, Dalian, Liaoning, China.

Context: Endoscopic self-expandable metal stents (SEMSs) are the bridge of obstructive colorectal cancer surgery. The debate is still open on whether the procedure and effects can be the same between the SEMS combined obstructive colon cancer resection and nonobstructive colon cancer resection, both of which were under laparoscopic.

Aims: This retrospective study was designed to compare whether the same effects could be achieved in both resections. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_111_18DOI Listing
January 2019

Recurrent Intestinal Obstruction after Radiation Therapy: A Case Report and Review of the Literature.

Case Rep Surg 2019 6;2019:5198958. Epub 2019 Mar 6.

Department of Surgery, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, USA.

Introduction: In patients who have undergone resection for rectal cancer after neoadjuvant radiotherapy, loop ileostomy is commonly performed with few serious complications. In rare cases, if this irradiated small bowel is strictured, reversal of the affected ileostomy can have dire consequences. We present a case of a 62-year-old male with recurrent intestinal obstruction after closure of his loop ileostomy. Read More

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http://dx.doi.org/10.1155/2019/5198958DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431390PMC
March 2019
1 Read

A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature.

Ann Med Surg (Lond) 2019 Apr 12;40:18-21. Epub 2019 Mar 12.

Department of Surgery, University of Modena and Reggio Emilia, Policlinico of Modena, Via del Pozzo, 71 41100, Modena, Italy.

Introduction: Duplications of the gastrointestinal tract are rare congenital anomalies that can occur anywhere throughout the gastrointestinal tract. The reported incidence is 1/4500, and more than 80% occurs before the age of two as an acute abdomen or bowel obstruction. The most common site is Ileum (60%), while the colonic localisation is reported between 4 and 18%. Read More

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http://dx.doi.org/10.1016/j.amsu.2019.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426707PMC

Bowel obstruction caused by colonic metastasis of lung adenocarcinoma: a case report and literature review.

World J Surg Oncol 2019 Apr 8;17(1):63. Epub 2019 Apr 8.

Department of Anatomical and Clinical Pathology, Wesley Medical Center, 550 N. Hillside St, Wichita, KS, 67214, USA.

Introduction: Lung cancer is the most common cause of cancer-related deaths globally. Metastatic disease is often found at the time of initial diagnosis in the majority of lung cancer patients. However, colonic metastases are rare. Read More

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http://dx.doi.org/10.1186/s12957-019-1611-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454752PMC
April 2019
1 Read

Colonic stenting for a malignant large bowel obstruction with pneumatosis coli to reduce surgical risk.

Proc (Bayl Univ Med Cent) 2018 Oct 27;31(4):462-464. Epub 2018 Sep 27.

Texas Colon and Rectal Specialists, LLPFlower MoundTexas.

Patients with a malignant large bowel obstruction are often late in seeking medical attention and are usually in poor health by the time a complete blockage is apparent. Emergency surgery in this setting, particularly in a patient with significant comorbidities, often requires the creation of an ostomy and can result in postoperative complications that delay the administration of adjuvant chemotherapy. This recent case at our center illustrates how the use of a colon stent, as a bridge to surgery, can help patients avoid the need for a stoma and reduce surgical complications. Read More

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https://www.tandfonline.com/doi/full/10.1080/08998280.2018.1
Publisher Site
http://dx.doi.org/10.1080/08998280.2018.1490115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413968PMC
October 2018
2 Reads

Surgical management of obstructive left colon cancer at a national level: Results of a multicentre study of the French Surgical Association in 1500 patients.

J Visc Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Digestive Surgery, Médecine Sorbonne University, Pitié Salpêtrière University Hospital, Assistance publique des hôpitaux de Paris (AP-HP), 43-84, boulevard de l'Hôpital, 75013 Paris, France. Electronic address:

Purpose: Surgical management of obstructive left colon cancer (OLCC) is controversial. The objective is to report on postoperative and oncological outcomes of the different surgical options in patients operated on for OLCC.

Methods: From 2000-2015, 1500 patients were treated for OLCC in centers members of the French Surgical Association. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18787886183017
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http://dx.doi.org/10.1016/j.jviscsurg.2018.11.008DOI Listing
April 2019
2 Reads

Gallstone ileus of the sigmoid colon. A case repor.

Ann Ital Chir 2019 Mar 28;8. Epub 2019 Mar 28.

Gallstone ileus is a complication of cholelithiasis which is due to gallstone migration through a fistula between the gallbladder and the gastrointestinal tract followed by intraluminal impaction. This uncommon form of mechanical bowel obstruction occurs in <1% of patients with cholelithiasis. Gallstone ileus due to cholecystocolonic fistula is rare, and therefore appropriate surgical treatment is still a matter of debate. Read More

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March 2019
3 Reads

Florid Vascular Proliferation of the Small Bowel and Colon, a Potential Masquerader of Malignancy: Report of Three Cases.

Int J Surg Pathol 2019 Apr 3:1066896919837665. Epub 2019 Apr 3.

1 University of Rochester Medical Center, Rochester, NY, USA.

Vascular abnormalities and lesions of the small bowel and colon are rare. A florid vascular proliferation (FVP) associated with colon obstruction and intussusception has been described and can mimic malignant vascular tumors such as angiosarcoma. In this article, we report a case of colonic FVP associated with colon obstruction, a case of small bowel FVP associated with a Meckel's diverticulum, and a case of small bowel FVP with intussusception. Read More

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http://dx.doi.org/10.1177/1066896919837665DOI Listing
April 2019
4 Reads

Right-sided vs. left-sided obstructing colonic cancer: results of a multicenter study of the French Surgical Association in 2325 patients and literature review.

Int J Colorectal Dis 2019 Apr 2. Epub 2019 Apr 2.

Sorbonne Université, Assistance Publique Hôpitaux de Paris, Department of Digestive and Hepatopancreato-Biliary Surgery, Pitié Salpêtrière University Hospital, 47-83 Bd de l'Hôpital, 75651, Paris Cedex 13, France.

Purpose: Few studies compared management and outcomes of obstructing colonic cancer (OCC), according to the tumor site. Our aim was to compare patient and tumor characteristics, postoperative and pathological results, and oncological outcomes after emergency management of right-sided vs. left-sided OCC. Read More

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http://dx.doi.org/10.1007/s00384-019-03286-2DOI Listing
April 2019
3 Reads

30-Day Postoperative Morbidity of Emergency Surgery for Obstructive Right- and Left-Sided Colon Cancer in Obese Patients: A Multicenter Cohort Study of the French Surgical Association.

Dig Surg 2019 Apr 2:1-8. Epub 2019 Apr 2.

Department of Digestive Surgery, Medecine Sorbonne University, Assistance Publique Hôpitaux de Paris, Pitié Salpêtrière University Hospital, Paris, France,

Background: Emergency surgery impairs postoperative outcomes in colorectal cancer patients. No study has assessed the relationship between obesity and postoperative results in this setting.

Objective: To compare the results of emergency surgery for obstructive colon cancer (OCC) in an obese patient population with those in overweight and normal weight patient groups. Read More

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http://dx.doi.org/10.1159/000497450DOI Listing

Non-occlusive mesenteric ischemia induced by a polyethylene glycol with ascorbate-based colonic bowel preparation.

Clin J Gastroenterol 2019 Apr 1. Epub 2019 Apr 1.

Department of Gastroenterology, NTT Medical Center Tokyo, 5-9-22 Higashi-Gotanda, Shinagawa-ku, Tokyo, 141-8625, Japan.

Although conventional bowel preparation for colonoscopy rarely causes serious complications, such complications can be fatal and, therefore, require early recognition and prompt treatment. Herein, we report a case of non-occlusive mesenteric ischemia (NOMI) induced by polyethylene glycol with an ascorbate component (PEG + Asc) that was used as a colonic bowel preparation. An- 82-year-old woman with a medical history of hypertension, atrial fibrillation and mild chronic renal failure received a cancer screening colonoscopy. Read More

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http://dx.doi.org/10.1007/s12328-019-00970-2DOI Listing
April 2019
3 Reads

Complicated Disease Course in Initially Computed Tomography-Proven Uncomplicated Acute Diverticulitis.

Surg Infect (Larchmt) 2019 Mar 30. Epub 2019 Mar 30.

3 Department of Surgery, Amsterdam UMC, Amsterdam, The Netherlands.

Background: Although uncomplicated acute diverticulitis has a benign disease course, some patients are at increased risk for complications. Identification of these patients may aid the selection of treatment strategies such as outpatient treatment. This study aimed to assess the rate and timing of a complicated disease course in initially computed tomography (CT)-proven uncomplicated diverticulitis, and to identify risk factors for the development of these diverticular complications. Read More

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http://dx.doi.org/10.1089/sur.2018.289DOI Listing
March 2019
1 Read

Gastrocolic fistula, a rare complication.

BJR Case Rep 2018 Dec 31;4(4):20170121. Epub 2018 May 31.

Department of Radiology, Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, UK.

A 77-year-old male presented with diarrhoea, weight loss and faeculent vomiting. CT scan identified a stricturing lesion in the transverse colon. The man, however, had no features suggestive of large bowel obstruction. Read More

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http://dx.doi.org/10.1259/bjrcr.20170121DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438397PMC
December 2018
1 Read

Laparoscopy-Assisted Natural Orifice Specimen Extraction to Treat Tumors of the Sigmoid Colon and Rectum: The Short- and Long-Term Outcomes of a Retrospective Study.

J Laparoendosc Adv Surg Tech A 2019 Mar 29. Epub 2019 Mar 29.

1 Center for Difficult and Complicated Abdominal Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.

Background: Few studies have assessed the short- and long-term outcomes of laparoscopically assisted natural orifice specimen extraction (NOSE) in patients with sigmoid colon and rectal tumors. We investigated the short- and long-term outcomes of patients undergoing laparoscopic-assisted NOSE for tumors of the sigmoid colon and rectum.

Methods: Ninety-eight patients with sigmoid colon and rectal tumors undergoing laparoscopic-assisted NOSE were included. Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0601
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http://dx.doi.org/10.1089/lap.2018.0601DOI Listing
March 2019
4 Reads

Better Function With a Colonic J-Pouch or a Side-to-end Anastomosis?: A Randomized Controlled Trial to Compare the Complications, Functional Outcome, and Quality of Life in Patients With Low Rectal Cancer After a J-Pouch or a Side-to-end Anastomosis.

Ann Surg 2019 05;269(5):815-826

Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH.

Background Information: We aimed to compare prospectively the complications and functional outcome of patients undergoing a J-Pouch (JP) or a side-to-end anastomosis (SE) for treatment of low rectal cancer at a 2-year time point after resection for rectal cancer.

Methods: A multicenter study was conducted on patients with low rectal cancer who were randomized to receive either a JP or SE and were followed for 24 months utilizing SF-12 and FACT-C surveys to evaluate the quality of life (QOL). Fecal incontinence was evaluated using the Fecal Incontinence Severity Index (FISI). Read More

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http://dx.doi.org/10.1097/SLA.0000000000003249DOI Listing
May 2019
2 Reads

Complications of Congenital Hernia in Pregnancy: A Case Report.

A A Pract 2019 Mar 25. Epub 2019 Mar 25.

Anesthesia, Sanatorio Anchorena, City of Buenos Aires, Argentina.

Congenital hernias, frequently misdiagnosed during pregnancy, are potentially fatal and require prompt repair. A pregnant woman with medical history of repaired congenital hernia was admitted with misdiagnosis of preeclampsia. Physical examination and chest x-ray revealed a Bochdalek hernia. Read More

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http://dx.doi.org/10.1213/XAA.0000000000001004DOI Listing
March 2019
1 Read

[Short-term outcomes of robot-assisted transanal total mesorectal excision].

Zhonghua Wei Chang Wai Ke Za Zhi 2019 Mar;22(3):267-272

Department of General Surgery, Daping Hospital, Army Medical university, Chongqing 400042, China, Email:

Objective: To explore the feasibility and safety of Da Vinci robot-assisted transanal total mesorectal excision (taTME).

Methods: From May 2017 to July 2018, six rectal cancer patients underwent Da Vinci robot-assisted taTME at our hospital. The clinical data and short-term follow-up results were retrospectively analyzed. Read More

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March 2019
1 Read

Stent placement followed by preoperative chemotherapy and elective surgery for acute malignant colorectal obstruction: Six cases of report.

World J Gastrointest Oncol 2019 Mar;11(3):264-269

Department of Colorectal Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, Guangdong Province, China.

Background: The self-expandable metal stent is used as a bridge to surgery in the treatment of acute malignant colorectal obstruction (AMCO). However, recent studies have shown inferior long-term outcomes and increased risk of tumor dissemination after stent placement. In addition, the optimal interval between stent placement and surgery is not clear. Read More

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http://dx.doi.org/10.4251/wjgo.v11.i3.264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425326PMC
March 2019
3 Reads

Acute abdominal obstruction: Colon stent or emergency surgery? An evidence-based review.

World J Gastrointest Endosc 2019 Mar;11(3):193-208

Gastrointestinal Endoscopy Unit, Department of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-000, Brazil.

According to the American Cancer Society and Colorectal Cancer Statistics 2017, colorectal cancer (CRC) is one of the most common malignancies in the United States and the second leading cause of cancer death in the world in 2018. Previous studies demonstrated that 8%-29% of patients with primary CRC present malignant colonic obstruction (MCO). In the past, emergency surgery has been the primary treatment for MCO, although morbidity and surgical mortality rates are higher in these settings than in elective procedures. Read More

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http://dx.doi.org/10.4253/wjge.v11.i3.193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425283PMC

Unilateral ureteral obstruction causes gut microbial dysbiosis and metabolome disorders contributing to tubulointerstitial fibrosis.

Exp Mol Med 2019 Mar 27;51(3):38. Epub 2019 Mar 27.

School of Pharmacy, Faculty of Life Science and Medicine, Northwest University, No. 229 Taibai North Road, 710069, Xi'an, Shaanxi, China.

Chronic kidney disease (CKD) increases the risk and prevalence of cardiovascular disease (CVD) morbidity and mortality. Recent studies have revealed marked changes in the composition of the microbiome and the metabolome and their potential influence in renal disease and CVD via the accumulation of microbial-derived uremic toxins. However, the effect of unilateral ureteral obstruction (UUO) on the gut microbiome and circulating metabolites is unknown. Read More

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http://dx.doi.org/10.1038/s12276-019-0234-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437207PMC
March 2019
2 Reads
3.446 Impact Factor

Plastic bread clip impacted in gastrointestinal tract: a case report and review of the literature.

Clin J Gastroenterol 2019 Mar 26. Epub 2019 Mar 26.

Colorectal Surgery Unit, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.

A 79-year-old initially presented to her general practitioner for a 6-week history of nausea, intermittent abdominal pain and altered bowel habits. Colonoscopy was performed to investigate her symptoms and revealed a bread clip that was adherent to the sigmoid colon mucosa, unable to be retrieved. A CT scan was performed to exclude any associated complication, which showed no evidence of perforation or collection. Read More

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http://dx.doi.org/10.1007/s12328-019-00962-2DOI Listing

Nonocclusive Mesenteric Ischemia Rescued by Immediate Surgical Exploration in a Boy with Severe Neurodevelopmental Disability.

Case Rep Pediatr 2019 19;2019:5354074. Epub 2019 Feb 19.

Department of Pediatrics, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime 791-0295, Japan.

Background: Nonocclusive mesenteric ischemia (NOMI) defines acute mesenteric ischemia without occlusion of the mesenteric arteries. The most common cause of NOMI is vasoconstriction or vasospasm of a mesenteric artery. NOMI generally affects patients >50 years of age, and few cases have been reported in children. Read More

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http://dx.doi.org/10.1155/2019/5354074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399550PMC
February 2019
1 Read

[A Case of Conversion Surgery Following Combined Chemotherapy with Molecular Targeting Agent for Unresectable Colorectal Liver Metastases].

Gan To Kagaku Ryoho 2019 Mar;46(3):499-501

Dept. of Surgery, Osaka Rosai Hospital.

A 76-year-old woman complaining of constipation was diagnosed with advanced rectosigmoid colon cancer with unresectable liver metastases. We performed a laparoscopic high-anterior resection due to the obstruction. The patient then received a capecitabine plus oxaliplatin(CapeOX)plus cetuximab(Cmab)combination chemotherapy. Read More

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March 2019
1 Read

[A Study of the Usefulness of Decompression in Treating Bowel Obstruction Due to Colorectal Cancer].

Gan To Kagaku Ryoho 2019 Feb;46(2):318-320

Dept. of Surgery, Kyushu Central Hospital.

Objective: To determine whether to perform decompression prior to resection in cases of bowel obstruction due to colorectal cancer.

Subjects: There were 83 patients who underwent resection to treat a bowel obstruction due to colorectal cancer from January 2006 to August 2016. Clinical aspects and the prognosis for colorectal cancer were examined in patients who underwent decompression prior to resection and those who did not. Read More

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February 2019

A Case Presentation of a Patient with Microsatellite Instability and BRAF Mutant Metastatic Colon Cancer and Bibliography Update.

Case Rep Oncol Med 2019 17;2019:4767019. Epub 2019 Feb 17.

Department of Medical Oncology, University General Hospital of Heraklion, Heraklion, Greece.

This is a case of a patient who presented to the emergency department with acute abdominal pain due to bowel obstruction. An extended right hemicolectomy with ileosigmoid anastomosis due to an obstructing mass on the splenic flexure was urgently performed. During operation, liver and peritoneal lesions were detected and samples were also sent for histological analysis. Read More

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https://www.hindawi.com/journals/crionm/2019/4767019/
Publisher Site
http://dx.doi.org/10.1155/2019/4767019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398041PMC
February 2019
4 Reads

Obstruction reduction: Use of water-soluble contrast challenge to differentiate between partial and complete small bowel obstruction.

Am J Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

Differentiating SBO that will resolve conservatively from those requiring surgery remains challenging. Water-soluble contrast administration may be diagnostic and therapeutic. Our study evaluated use of a WSC challenge protocol. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.02.034DOI Listing
February 2019
2 Reads

Clinical application of fluoroscopic guided percutaneous antegrade ureteral stents placement for the treatment of malignant ureteral obstruction.

J Xray Sci Technol 2019 Mar 21. Epub 2019 Mar 21.

Department of Radiology, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Objective: To investigate the clinical efficacy and safety of fluoroscopic guided percutaneous antegrade ureteral stents placement used for treatment of malignant ureteral obstruction.

Methods: Between April 2016 and March 2018, fluoroscopic guided percutaneous ureteral stents was performed in 25 patients, including 7 patients (28%) with bilateral obstruction. The most common cancer diagnoses were cervical cancer (28%), rectal cancer (24%) and colon cancer (16%) among these patients. Read More

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http://dx.doi.org/10.3233/XST-180466DOI Listing
March 2019
1 Read

[Intermittent abdominal pain and abdominal distension with fatigue and massive ascites in a 13-year-old boy].

Zhongguo Dang Dai Er Ke Za Zhi 2019 Mar;21(3):277-281

Department of Pediatrics, First Affiliated Hospital of University of Science and Technology of China/Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei 230001, China.

A 13-year-old boy was admitted due to intermittent abdominal pain for one year with massive ascites. The purified protein derivative (PPD) test after admission yielded positive results (3+), and ascites examination revealed a yellow color. There were 634×10 nucleated cells/L in the ascites, among which 82. Read More

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March 2019
1 Read

Transmesocolic hernia with sigmoid colon strangulation without surgical history: a series of two case reports.

J Surg Case Rep 2019 Mar 20;2019(3):rjz073. Epub 2019 Mar 20.

Surgery, Hospital Professor Doutor Fernando da Fonseca, Amadora, Portugal.

The incidence of internal hernias is rare (0.2-0.9%). Read More

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http://dx.doi.org/10.1093/jscr/rjz073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425156PMC
March 2019
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[Ogilvie syndrome - case report].

Wiad Lek 2019 ;72(2):302-304

Oddział Chirurgii Ogólnej, Szpital Miejski w Siemianowicach Śląskich, Siemianowice Śląskie, Polska.

Ogilvie syndrome is a clinical condition in which there is a colorectal distention in the absence of mechanical obstacles. Early diagnosis and appropriate therapy significantly reduce mortality. The incidence of this is not known. Read More

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January 2019
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Immunomodulator-associated Epstein-Barr virus-positive mucocutaneous ulcer in a patient with refractory Crohn's disease.

Clin J Gastroenterol 2019 Mar 22. Epub 2019 Mar 22.

Department of Gastroenterology, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chiba, Chiba, 260-8670, Japan.

Epstein-Barr virus (EBV)-positive mucocutaneous ulcer is a B-cell lymphoproliferative disorder occurring in elderly or iatrogenic immunocompromised patients. We report a 27-year-old male patient with Crohn's disease (CD) who developed immunomodulator-associated lymphoproliferative disorder. The patient was diagnosed with CD at the age of 17 and was treated with maintenance therapy including high-dose infliximab and azathioprine. Read More

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http://dx.doi.org/10.1007/s12328-019-00952-4DOI Listing
March 2019
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Primary Tumor Resection in Patients with Incurable Localized or Metastatic Colorectal Cancer: A Systematic Review and Meta-analysis.

World J Surg 2019 Mar 22. Epub 2019 Mar 22.

Department of Colorectal Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, West Middlesex University Hospital, Twickenham Road, Isleworth, London, TW7 6AF, UK.

Background: To assess the impact of primary tumor resection (PTR) on survival and morbidity in incurable colorectal cancer.

Methods: Systematic literature review and meta-analysis to compare PTR versus primary tumor intact (PTI).

Results: Seventy-seven studies were included, reporting on 159,991 participants (94,745 PTR; 65,246 PTI). Read More

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http://dx.doi.org/10.1007/s00268-019-04984-2DOI Listing
March 2019
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Ogilvie syndrome in a 8 year old girl after laparoscopic appendectomy.

BMC Pediatr 2019 Mar 20;19(1):82. Epub 2019 Mar 20.

Pediatrics, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.

Background: Ogilvie's syndrome is described in the adult population, but rarely seen in children.

Case Presentation: We present a case of a girl who suffered acute colonic pseudo-obstruction after laparoscopic appendectomy.

Conclusions: Ogilvie's syndrome, although rare in the pediatric population, should be considered as possible diagnosis after a surgical procedure in presence of persisting subocclusive symptoms and radiological signs of massive colonic dilatation without mechanical obstruction. Read More

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http://dx.doi.org/10.1186/s12887-019-1457-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425584PMC
March 2019
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Small bowel obstruction in a virgin abdomen.

Am J Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Surgery, Mayo Clinic, Rochester, MN, USA.

Introduction: Surgical exploration is still considered mandatory in the setting of small bowel obstruction (SBO) and a virgin abdomen by some large centers. The aim of this study is to determine the etiology of SBO in patients without prior abdominal operation.

Methods: Retrospective review of the patients treated for SBO and virgin abdomen at the Mayo Clinic between 2006 and 2016 was performed. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.02.011DOI Listing
February 2019
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Thirty-day mortality after emergency surgery for obstructing colon cancer: survey and dedicated score from the French Surgical Association.

Colorectal Dis 2019 Mar 18. Epub 2019 Mar 18.

Department of Digestive Surgery, Assistance Publique Hôpitaux de Paris, Pitié Salpêtrière Hospital, Sorbonne Université, Paris, France.

Aim: The aim was to define risk factors for postoperative mortality in patients undergoing emergency surgery for obstructing colon cancer (OCC) and to propose a dedicated score.

Method: From 2000 to 2015, 2325 patients were treated for OCC in French surgical centres by members of the French National Surgical Association. A multivariate analysis was performed for variables with P value ≤ 0. Read More

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http://dx.doi.org/10.1111/codi.14614DOI Listing

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
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Long-term oncological outcomes of single-port laparoscopic surgery for colon cancer.

ANZ J Surg 2019 Apr 14;89(4):408-411. Epub 2019 Mar 14.

Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.

Background: We retrospectively reviewed our consecutive experience from the introduction of single-port laparoscopic surgery (SPS) for colon cancer, and its 5-year oncological outcomes are evaluated.

Methods: A total of 288 patients (140 males) with a mean age of 71.5 years were treated with the single-port laparoscopic colectomy for stage I, II and III colon cancers. Read More

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http://dx.doi.org/10.1111/ans.15076DOI Listing

The Molecular Mechanism of Transforming Growth Factor-β Signaling for Intestinal Fibrosis: A Mini-Review.

Front Pharmacol 2019 27;10:162. Epub 2019 Feb 27.

College of Pharmacy and Institute of Pharmaceutical Sciences, CHA University, Seongnam, South Korea.

Inflammatory bowel disease is known as the most chronic inflammatory disorder in colon, which subsequently progresses to intestinal obstruction and fistula formation. Many studies to date for the treatment of IBD have been focused on inflammation. However, most of the anti-inflammatory agents do not have anti-fibrotic effects and could not relieve intestinal stricture in IBD patients. Read More

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http://dx.doi.org/10.3389/fphar.2019.00162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400889PMC
February 2019
2 Reads

Transverse colon volvulus in a patient with sickle cell disease.

BMJ Case Rep 2019 Mar 8;12(3). Epub 2019 Mar 8.

Department of Surgery, Salmaniya Medical Complex, Manama, Bahrain.

Although colonic volvulus is a relatively rare cause of large bowel obstruction, accounting for up to 5% of all cases of intestinal obstruction, transverse colon volvulus is extremely uncommon compared with volvulus of the sigmoid colon or caecum and is responsible for only 3% of all reported cases. We report an unusual case of spontaneous volvulus of the transverse colon in a young man with sickle cell disease who underwent resection with primary anastamosis. Having a high index of suspicion and early operative intervention allowed for this patient to have an uneventful postoperative course. Read More

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http://dx.doi.org/10.1136/bcr-2018-228863DOI Listing
March 2019
2 Reads