18,487 results match your criteria Intestinal Fistulas


The inflammatory response after laparoscopic and open pancreatoduodenectomy and the association with complications in a multicenter randomized controlled trial.

HPB (Oxford) 2019 Apr 8. Epub 2019 Apr 8.

Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, the Netherlands. Electronic address:

Background: The systemic inflammatory response seen after surgery seems to be related to postoperative complications. A reduction of the inflammatory response through minimally invasive surgery might therefore be the mechanism via which postoperative outcome could be improved. The aim of this study was to investigate if postoperative inflammatory markers differed between laparoscopic (LPD) and open pancreatoduodenectomy (OPD) and if there was a relationship between inflammatory markers and the occurrence of postoperative complications. Read More

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http://dx.doi.org/10.1016/j.hpb.2019.03.353DOI Listing
April 2019
1 Read

Diet as Adjunctive Treatment for Inflammatory Bowel Disease: Review and Update of the Latest Literature.

Curr Treat Options Gastroenterol 2019 Apr 9. Epub 2019 Apr 9.

Division of Gastroenterology, University of Miami Miller School of Medicine, Clinical Research Building (CRB) Rm 971, 1120 NW 14th Street, Miami, FL, 33136, USA.

Purpose Of Review: Diet plays an integral role in development of inflammatory bowel disease (IBD) and continues to act as a mediator of intestinal inflammation once disease sets in. Most clinicians provide little dietary guidance to IBD patients, in part due to lack of knowledge in nutrition and lack of available nutritional resources. The purpose of this review is to provide clinicians with a brief summary of the latest evidence behind diets popular among IBD patients, to highlight diets with known efficacy, and to provide guidance that may help busy practitioners. Read More

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http://dx.doi.org/10.1007/s11938-019-00231-8DOI Listing
April 2019
1 Read

Abdominal ultrasonography with color Doppler analysis in the assessment of ileal Crohn's disease: comparison with magnetic resonance enterography.

Intest Res 2019 Apr 10. Epub 2019 Apr 10.

Serviço de Gastroenterologia, Departamento de Clínica Médica, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.

Background/aims: Consistently defining disease activity remains a critical challenge in the follow-up of patients with Crohn's disease (CD). We investigated the potential applicability of abdominal ultrasonography with color Doppler (USCD) analysis for the detection of morphological alterations and inflammatory activity in CD.

Methods: Forty-three patients with CD ileitis/ileocolitis were evaluated using USCD analysis with measurements obtained on the terminal ileum and right colon. Read More

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http://dx.doi.org/10.5217/ir.2018.00124DOI Listing
April 2019
1 Read

Perioperative Complications and Outcomes after Intestinal Autotransplantation for Neoplasms Involving the Superior Mesenteric Artery.

J Gastrointest Surg 2019 Apr 1. Epub 2019 Apr 1.

State Key Laboratory of Cancer Biology & National Clinical Research Center for Digestive Diseases, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Rd, Xi'an, Shannxi, 710032, People's Republic of China.

Background: Intestinal autotransplantation (IATx) is a novel surgical technique for neoplasms arising from the pancreas, duodenum, mesentery, or retroperitoneum with involvement of the superior mesenteric artery (SMA). The value of this aggressive procedure remains to be defined. We describe its surgical indications, postoperative complications, and clinical outcomes after IATx. Read More

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http://dx.doi.org/10.1007/s11605-019-04204-1DOI Listing
April 2019
1 Read

Application value of nursing intervention combined with early nutritional support in preventive stoma reversion of low rectal cancer.

Oncol Lett 2019 Apr 19;17(4):3777-3782. Epub 2019 Feb 19.

Department of Colorectal Anal Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong 510655, P.R. China.

Application value of nursing intervention combined with early nutritional support treatment in preventive stoma reversion of low rectal cancer was explored. Ninety-two cases of low rectal cancer patients undergoing preventive stoma reversion from January 2014 to December 2016 were retrospectively analyzed. All the patients had closed fistula 3 months after neostomy. Read More

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http://dx.doi.org/10.3892/ol.2019.10055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425359PMC
April 2019
1 Read

Rare case of gallbladder mucocele causing gastric outlet obstruction treated with cholecystectomy.

Int J Surg Case Rep 2019 Mar 21;57:84-87. Epub 2019 Mar 21.

Department of Hepato-Pancreato-Biliary and Transplant Surgery, Academia Level 5, 20 College Road, Singapore, 169856, Singapore. Electronic address:

Introduction: Gallstone(s) impacted at the distal small bowel causing intestinal obstruction as a result of cholecystoenteric fistula is a well-known, albeit uncommon surgical condition. The rare Bouveret's Syndrome, which refers to the proximal impaction of gallstone(s) in the duodenum or pylorus resulting in the gastric outlet obstruction (GOO), has also been described in the literature. However, gallbladder mucocele with extrinsic compression of the duodenum and/or pylorus causing GOO is a separate entity that is extremely rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439269PMC
March 2019
2 Reads

All that fistulises is not Crohn's disease: Multiple entero-enteric fistulae in intestinal tuberculosis.

Pol Przegl Chir 2019 Jan;91(1):35-37

Postgraduate Institute of Medical Education and Research Gastroenterology.

Abdominal tuberculosis is a common problem for clinicians in the tropical world and may manifest with varying clinical scenarios. Intestinal tuberculosis could have intestinal ulcers, strictures, hypertrophic lesions like polyps and may be complicated by perforation, bleeding, and intestinal obstruction. Crohn's disease is an important differential of intestinal tuberculosis which is closely mimics intestinal tuberculosis in clinical, endoscopic, radiological and histological presentation. Read More

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http://dx.doi.org/10.5604/01.3001.0012.8269DOI Listing
January 2019
1 Read

Considerations for the management of enterocutaneous fistula.

Br J Nurs 2019 Mar;28(5):S24-S31

Stoma Care Clinical Nurse Specialist, St Mark's Hospital, London North West NHS Trust.

Enterocutaneous fistula is an abnormal connection between the gastrointestinal tract and skin. Management includes early recognition and treatment of sepsis, reducing fluid and electrolyte homeostasis, nutrition support, wound management and a carefully timed surgical procedure. A multidisciplinary approach is required for successful management of these patients with one of the most challenging and resource-demanding aspects being local control of the effluent, requiring the skill and support of the specialist stoma care nurse. Read More

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http://dx.doi.org/10.12968/bjon.2019.28.5.S24DOI Listing
March 2019
1 Read

Small bowel diverticulum complicated by enterocutaneous fistula and abdominal wall abscess - Case report.

Int J Surg Case Rep 2019 Mar 5;57:39-41. Epub 2019 Mar 5.

Department of General Surgery, Alnoor Specialized Hospital, Makkah, Saudi Arabia.

Introduction: Small bowel diverticular disease is uncommon, representing 1-2% of general population. The ileum diverticulum is very rare, especially if it is complicated by enterocutaneous fistula with abdominal wall abscess.

Presentation Of The Case: Here, we report a case of small bowel diverticulum, ileum diverticulum with enterocutaneous fistula in a 65-year man presented with lower abdominal pain and an irreducible swelling for 5 days. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424059PMC
March 2019
1 Read

Social media as a tool to monitor adherence to HIV antiretroviral therapy.

J Clin Transl Res 2018 Dec 20;3(Suppl 3):407-410. Epub 2018 Mar 20.

Institute for Prediction Technology, Department of Family Medicine, University of California, Los Angeles, California, USAUniversity of California, Los Angeles, California, USA.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412597PMC
December 2018

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

Secondary aortoenteric fistula possibly associated with continuous physical stimulation: a case report and review of the literature.

J Med Case Rep 2019 Mar 15;13(1):61. Epub 2019 Mar 15.

Department of Cardiovascular Surgery, Sendai Kousei Hospital, Sendai, Miyagi, Japan.

Background: Secondary aortoenteric fistula is a rare but fatal complication after reconstructive surgery for an aortic aneurysm characterized by abdominal pain, fever, hematochezia, and hematemesis, and the mortality rate is high. It has been suggested that it arises due to either continuous physical stimulation or prosthesis infection during primary surgery. We describe an aortoenteric fistula following reconstructive surgery for an abdominal aortic aneurysm together with postmortem pathological findings. Read More

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http://dx.doi.org/10.1186/s13256-019-2003-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419421PMC
March 2019
3 Reads

Malakoplakia of the colon following renal transplantation in a 73 year old woman: report of a case presenting as intestinal perforation.

Diagn Pathol 2019 Mar 13;14(1):22. Epub 2019 Mar 13.

Department of Radiology, Maisonneuve-Rosemont Hospital, 5415 Boulevard de L'Assomption, Montreal, QC, Canada.

Background: Malakoplakia is a chronic inflammatory disease characterized by tissue infiltrates of large granular macrophages containing distinctive intracytoplasmic inclusions termed Michaelis-Gutmann (MG) bodies. The genitourinary system is the most commonly involved site, followed by the gastrointestinal tract. Malakoplakia may occur as a complication of primary or secondary immunosuppression and, therefore, renal transplant recipients are at risk. Read More

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http://dx.doi.org/10.1186/s13000-019-0799-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416959PMC
March 2019
2 Reads

Determinants of Quality of Life in Patients With Intestinal Failure Receiving Long-Term Parenteral Nutrition Using the SF-36 Questionnaire: A German Single-Center Prospective Observational Study.

JPEN J Parenter Enteral Nutr 2019 Mar 13. Epub 2019 Mar 13.

Department of Hepatology and Gastroenterology, Campus Virchow-Klinikum and Campus Charité Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Background: Parenteral nutrition (PN) is a life-sustaining therapy for patients with chronic intestinal failure (IF) but inevitably has an impact on patients' quality of life (QoL). The purpose of this study was to examine multiple aspects of QoL by utilizing the standardized Short Form 36 (SF-36) health survey.

Methods: Between 2014 and 2017, a total of 90 adult patients with IF who were receiving PN were prospectively enrolled in an observational study. Read More

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http://dx.doi.org/10.1002/jpen.1531DOI Listing
March 2019
1 Read

A technique to establish fistuloclysis for high-output jejunocutaneous fistula through percutaneous enterostomy: A case report.

Medicine (Baltimore) 2019 Mar;98(10):e14653

Department of General Surgery, Jinling Clinical College of Nanjing Medical University, Nanjing, Jiangsu, China.

Rationale: Currently, fistucolysis helps to establish intestinal nutrition and succus entericus reinfusion in the case of controllable mature high-output enterocutaneous fistula. However, if the tube cannot reach the distal limb of a fistula, fistuloclysis is not achieved. We proposed a strategy to establish succus entericus reinfusion for intractable intestinal fistula through percutaneous enterostomy. Read More

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http://dx.doi.org/10.1097/MD.0000000000014653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417508PMC
March 2019
1 Read

Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries-Update and systematic review.

Chin J Traumatol 2019 Feb 14;22(1):1-11. Epub 2019 Feb 14.

The First Affiliated Hospital of Third Military Medical University, Chongqing, China.

Vacuum sealing drainage (VSD) is frequently used in abdominal surgeries. However, relevant guidelines are rare. Chinese Trauma Surgeon Association organized a committee composed of 28 experts across China in July 2017, aiming to provide an evidence-based recommendation for the application of VSD in abdominal surgeries. Read More

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http://dx.doi.org/10.1016/j.cjtee.2018.10.005DOI Listing
February 2019
1 Read

Crohn's disease in a developing African mission hospital: a case report.

J Med Case Rep 2019 Mar 7;13(1):80. Epub 2019 Mar 7.

Department of Surgery, St Elizabeth Catholic General Hospital, Shisong, P.O Box 8, Kumbo - Nso, Bui Division, Northwestern Region, Cameroon.

Background: A case is reported of innocuous intestinal obstruction requiring surgical intervention that was confirmed to be Crohn's disease histopathologically in a resource-constrained rural mission hospital in Cameroon.

Case Presentation: A 70-year man of Kumbo origin from Northwest region of Cameroon with a history of crampy right lower-quadrant abdominal pain, non-bloody, non-mucoid diarrhea alternating with constipation presented to my institution. Abdominal examination of the patient revealed an ill-defined mass in the right iliac fossa and visible peristalsis. Read More

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http://dx.doi.org/10.1186/s13256-019-1971-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407268PMC
March 2019
13 Reads

Food digestion in Ivan Petrovich Pavlov studies on 115 anniversary of his Nobel Prize and present avenues

Rocz Panstw Zakl Hig 2019 ;70(1):97-102

Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences WULS-SGGW, Nowoursynowska 159c, 02-776 Warsaw, Poland

Story of Pavlov’s studies on food digestion including his Nobel Prize in 1904 are presented. Some new ideas and concepts are also viewed based on 3th International Conference on Food Digestion held in Wageningen (the Netherlands) in 2014 Read More

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http://dx.doi.org/10.32394/rpzh.2019.0059DOI Listing
January 2019

Formation of Pancreatoduodenal Fistula in Intraductal Papillary Mucinous Neoplasm of the Pancreas Decreased the Frequency of Recurrent Pancreatitis.

Gastroenterology Res 2019 Feb 26;12(1):43-47. Epub 2019 Feb 26.

Saint Louis University School of Medicine, St. Louis, MO, USA.

Intraductal papillary mucinous neoplasms (IPMN) of the pancreas are characterized by proliferation of mucin-secreting cells in the main pancreatic duct (PD) or its branches. The secreted thick mucin usually leads to PD obstruction and dilation. A common complication of IPMN is recurrent acute pancreatitis secondary to poor pancreatic fluid drainage, and rarely, pancreatobiliary and pancreatointestinal fistulae. Read More

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http://dx.doi.org/10.14740/gr1140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396797PMC
February 2019
2 Reads

A Rare Case of Crohn's Disease Manifesting as a Large Liver Abscess.

Cureus 2018 Dec 21;10(12):e3758. Epub 2018 Dec 21.

Internal Medicine, Florida Hospital, Orlando, USA.

Liver abscess is a rare complication seen in Crohn's disease (CD) and has been rarely reported. Our aim is to illustrate a case of liver abscess in a patient with CD and the importance of a complete history and physical examination in identifying the potential cause of a hepatic abscess in an immune competent individual in who the diagnosis of CD was apparently ignored for two years before she presented to us. Although the manifestation of a hepatic abscess without any perianal abscess or fistula in CD is extremely rare, recognition of this would facilitate the diagnosis and appropriate management of abscess and CD. Read More

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http://dx.doi.org/10.7759/cureus.3758DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389026PMC
December 2018
2 Reads

Therapeutic strategies of thromboembolic events in patients with inflammatory bowel diseases: Two case reports.

Medicine (Baltimore) 2019 Mar;98(9):e14622

Department of Gastroenterology, Jiangsu Province Hospital of Chinese Medicine (Affiliated Hospital of Nanjing University of Chinese Medicine), Nanjing, China.

Rationale: Inflammatory bowel disease (IBD), including Crohn disease (CD) and ulcerative colitis (UC), is characterized by chronic inflammatory condition and immunological abnormalities, which probably develop into venous thromboembolic events (VTEs). VTE in IBD patients mostly occurs at deep venous thrombosis (DVT) and pulmonary embolism (PE). The complications are extremely important in clinical practice considering the high mortality rate. Read More

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http://dx.doi.org/10.1097/MD.0000000000014622DOI Listing
March 2019
3 Reads

Use of Isotope Tracers to Assess Lipid Absorption in Conscious Lymph Fistula Mice.

Curr Protoc Mouse Biol 2019 Mar 23;9(1):e60. Epub 2019 Feb 23.

Department of Pathology and Laboratory Medicine, University of Cincinnati, Cincinnati, Ohio.

This protocol provides a comprehensive reference for the evolution of the lymph fistula model, the mechanism of lipid absorption, the detailed procedure for studying lipid absorption using the lymph fistula model, the interpretation of the results, and consideration of the experimental design. The lymph fistula model is an approach to assess the concentration and rate of a range of molecules transported by the lymph by cannulating lymph duct in animals. In this protocol, mice first undergo surgery with the implantation of cannulae in the duodenum and mesenteric lymph duct and are allowed to recover overnight in Bollman restraining cages housed in a temperature-regulated environment. Read More

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http://dx.doi.org/10.1002/cpmo.60DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6401309PMC

Bouveret's syndrome treated with endoscopic electrohydraulic lithotripsy.

BMJ Case Rep 2019 Feb 22;12(2). Epub 2019 Feb 22.

Department of Surgery, Zealand University Hospital, Køge, Denmark.

Bouveret's syndrome is a rare form of small bowel obstruction caused by a large biliary stone entering the lumen of the duodenum or the stomach through a bilioenteric fistula. Treatment options include various surgical techniques. However, recent advances in endoscopy also allow non-surgical endoscopic treatment options. Read More

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http://dx.doi.org/10.1136/bcr-2018-228316DOI Listing
February 2019
2 Reads

Oesophageal atresia with tracheo-oesophageal fistula, ileal atresia and Hirschsprung's disease: outcome of a rare phenotype.

BMJ Case Rep 2019 Feb 22;12(2). Epub 2019 Feb 22.

Department of Paediatric Surgery, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.

Oesophageal atresia with or without tracheo-oesophageal fistula, ileal atresia and Hirschsprung's disease are surgical malformations of the gastrointestinal tract typically diagnosed early in the neonatal period and varying in severity and prognosis. This report describes a full-term male newborn presenting simultaneous oesophageal atresia with distal tracheo-oesophageal fistula, ileal atresia and Hirschsprung's disease. In addition to the complex types of gastrointestinal malformations involved, the combination of ileal atresia and Hirschsprung's disease, as well as ganglion cells distal to intestinal atresia, resulted in a challenging diagnosis. Read More

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http://dx.doi.org/10.1136/bcr-2018-226675DOI Listing
February 2019
1 Read

Long-Term Outcomes of Ligation of the Inter-Sphincteric Fistula Tract Plus Bioprosthetic Anal Fistula Plug (LIFT-Plug) in the Treatment of Trans-Sphincteric Perianal Fistula.

Med Sci Monit 2019 Feb 20;25:1350-1354. Epub 2019 Feb 20.

Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China (mainland).

BACKGROUND The ligation of the inter-sphincteric fistula tract plus bioprosthetic anal fistula plug (LIFT-plug) is a new procedure in the treatment of trans-sphincteric perianal fistulas. The aim of this study was to evaluate its long-term outcomes. MATERIAL AND METHODS Clinical data of 78 patients with trans-sphincteric perianal fistula who were managed by the LIFT-plug technique between March 2014 to October 2016 were analyzed retrospectively. Read More

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http://dx.doi.org/10.12659/MSM.914925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391857PMC
February 2019
2 Reads

Colocutaneous fistula through ulcerative colitis and cancer to the pyoderma gangrenosum: a never-ending story for a single patient. Case report.

G Chir 2019 Jan-Feb;40(1):39-43

Background: Inflammatory bowel diseases may be associated with many extraintestinal complications, that in some cases can represent the first onset of these disorders. In particular during the course of the disease, Ulcerative Colitis develops extraintestinal manifestations very frequently. One of the rarest is pyoderma gangrenosum, a noninfectious neuthrophilic dermatosis, that can involve most commonly legs but also other parts of the skin or mucosas. Read More

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February 2019
5 Reads

Negative pressure therapy in combination with mesh-mediated fascial traction in the treatment of infected pancreatic necrosis. A new therapeutic option.

Cir Cir 2019 ;87(2):219-223

Departamento de Cirugía General y Endoscópica, Hospital Dr. Manuel Gea González.

Background: Acute pancreatitis represents one of the most frequent digestive pathologies worldwide, which can be complicated as an infected necrotizing acute pancreatitis, that may require treatment with necrosectomy and open abdomen with the risk that this leads to the appearance of intestinal fistula and giant incisional hernias difficult to manage.

Clinical Case: A 35-year-old woman underwent laparoscopic cholecystectomy for acute cholecystitis, which was re-admitted due to jaundice and abdominal pain 3 days after her hospital discharge. Diagnostic laparoscopy is performed, where a 3200 cc biliperitoneum secondary to a cystic duct stump leak is located and drained. Read More

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http://dx.doi.org/10.24875/CIRU.18000472DOI Listing
January 2019
4 Reads

Differentiation between intestinal Behçet’s disease and Crohn’sdisease based on endoscopy

Turk J Med Sci 2019 Feb 11;49(1):42-49. Epub 2019 Feb 11.

Background/aim: Differentiating intestinal Behçet’s disease (BD) from Crohn’s disease (CD) is highly challenging, as they often mimic each other in terms of clinical manifestations. Endoscopy is an important modality for distinguishing bowel lesions. The study was designed to identify clinical manifestations that are easily confused and to evaluate the efficacy of endoscopy for distinguishing intestinal BD from CD by several overlapping signs. Read More

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http://dx.doi.org/10.3906/sag-1807-67DOI Listing
February 2019
1 Read

Arterio-Enteric Fistula after Irreversible Electroporation.

Am Surg 2019 Jan;85(1):e55-e57

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January 2019
1 Read

Management of enteroatmospheric fistula thanks to new isolation technique.

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):80-82

Department of General Surgery, University of Health Sciences, Okmeydanı Training and Research Hospital, İstanbul-Turkey.

We aimed to present our method called as new isolation technique with stopper (NITS) to manage enteroatmospheric fistula (EAF) in an open abdomen (OA). The patient was a 71-year-old male with Hartmann colostomy and incisional hernia. A dual mesh was used for incisional hernia repair after colorectal anastomosis. 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.2018.45267DOI Listing
January 2019
1 Read

Over 1-Year Followup of Laparoscopic Treatment of Enterovesical Fistula.

JSLS 2019 Jan-Mar;23(1)

Department of General Surgery and Oncological Surgery-Surgery C, Sheba Medical Center, Tel Hashomer, Israel.

Background And Objective: Entero vesical fistulas (EVFs) are an uncommon complication mainly of diverticular disease (70%) and less commonly of Crohn's disease (10%). Only about 10% are caused by malignancies. At this time, it is unclear whether the laparoscopic approach can be routinely proposed as a safe procedure for patients with EVF. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364704PMC
March 2019
7 Reads

MRI reveals different Crohn's disease phenotypes in children and adults.

Eur Radiol 2019 Feb 7. Epub 2019 Feb 7.

Department of Pediatrics and Pediatric Neuropsychiatry, Sapienza University of Rome, Policlinico Umberto I Hospital, Viale del Policlinico, 155, 00161, Rome, Italy.

Objectives: To identify differences between two cohorts of adult and pediatric patients affected by Crohn's disease (CD), with regard to lesion location in the small intestine and colon-rectum, lesion activity, and prevalence of perianal disease (PD), using MRI as the main diagnostic tool.

Methods: We retrospectively reviewed 350 consecutive MRI examinations performed between 2013 and 2016 in outpatients or inpatients with histologically proven CD, monitored by the Gastroenterology and Pediatric Units of our Hospital. The magnetic resonance enterography (MRE) protocol for adult and pediatric CD patients routinely includes evaluation of nine different intestinal segments (from jejunum to rectum) and of the anal canal. Read More

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http://dx.doi.org/10.1007/s00330-019-6006-5DOI Listing
February 2019
3 Reads

Inguino-abdominal combined approach for laterally extended pelvic resection: a step by step procedure.

Int J Gynecol Cancer 2019 Feb 4;29(2):444-445. Epub 2019 Feb 4.

UOC di Ginecologia Oncologica, Department of Women's and Children's Health, Fondazione Policlinico Universitario A Gemelli IRCCS, Roma, Italia.

This video article demonstrates an inguino-abdominal combined approach for laterally extended pelvic resection, a major surgical procedure for locally advanced primary or recurrent gynecological cancer infiltrating the pelvic sidewall, for which palliative therapy is the only alternative.1 After local institutional review board approval (protocol No CICOG 02/03/62), we made a step by step surgical video of an inguino-abdominal combined approach for laterally extended pelvic resection , defined as an en bloc resection of a pelvic tumor with pelvic sidewall structures, including the iliopsoas and/or obturator internus muscles.2 3 The patient, a 48-year-old woman, diagnosed with single pelvic platinum resistant recurrence after five lines of chemotherapy for serous ovarian cancer G3, International Federation of Gynecology and Obstetrics (FIGO) stage IIIC, BRCA wild type. Read More

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http://dx.doi.org/10.1136/ijgc-2018-000094DOI Listing
February 2019
2 Reads

Effect of Preoperative Administration of Oral Arginine and Glutamine in Patients with Enterocutaneous Fistula Submitted to Definitive Surgery: a Prospective Randomized Trial.

J Gastrointest Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of General and Gastrointestinal Surgery, UMAE Hospital de Especialidades - Centro Médico Nacional Siglo XXI (Instituto Mexicano del Seguro Social, IMSS), Mexico City, Mexico.

Background: The use of glutamine and arginine has shown several advantages in postoperative outcomes in patients after gastrointestinal surgery. We determined the effects of its use in patients with enterocutaneous fistula after operative treatment.

Patients And Methods: Forty patients with enterocutaneous fistula were randomly assigned to one of two groups. Read More

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http://link.springer.com/10.1007/s11605-018-04099-4
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http://dx.doi.org/10.1007/s11605-018-04099-4DOI Listing
February 2019
7 Reads

Disseminated intestinal basidiobolomycosis with mycotic aneurysm mimicking obstructing colon cancer.

BMJ Case Rep 2019 Jan 29;12(1). Epub 2019 Jan 29.

Department of General Surgery, Ministry of Health, Dammam, Eastern Province, Saudi Arabia.

Basidiobolomycosis is a rare fungal infection that may affect the gastrointestinal tract. It is caused by and less than 80 cases have been reported in the literature. The incidence seems to be higher in the Middle East and in particular Saudi Arabia where most cases are diagnosed in the south-western region. Read More

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http://dx.doi.org/10.1136/bcr-2018-225054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352788PMC
January 2019
3 Reads

Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia.

N Engl J Med 2019 Jan;380(5):473-485

From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston.

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http://www.nejm.org/doi/10.1056/NEJMcpc1810391
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http://dx.doi.org/10.1056/NEJMcpc1810391DOI Listing
January 2019
36 Reads

Morbidity related to diverting ileostomy after restorative proctocolectomy in patients with ulcerative colitis.

Colorectal Dis 2019 Jan 30. Epub 2019 Jan 30.

Department of Gastrointestinal Surgery, Helsinki University Hospital, Helsinki, Finland.

Aim: Restorative proctocolectomy with ileal pouch-anal anastomosis is considered by many surgeons to be the standard procedure for surgical management of ulcerative colitis. There is controversy about whether or not a covering ileostomy should be constructed. The aim of this study was to evaluate the outcomes and morbidity for patients with ulcerative colitis who underwent restorative proctocolectomy with or without a diverting ileostomy. Read More

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http://dx.doi.org/10.1111/codi.14573DOI Listing
January 2019
1 Read

[A Case of Long-Term Disease-Free Survival of a Gastric Cancer Patient with Peritoneal Dissemination and Transverse Colon Invasion].

Gan To Kagaku Ryoho 2018 Dec;45(13):2461-2463

Dept. of Surgery, Tsuyama Chuo Hospital.

A 71-year-old man visited our hospital because ofepigastralgia and anorexia. Upper gastrointestinal endoscopy revealed type 1 gastric cancer. Contrast-enhanced abdominal CT revealed gastric wall thickening in the midgastric region and direct invasion ofthe transverse colon. Read More

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December 2018
2 Reads

[Three Long-Surviving Cases of Recurrent Rectal Carcinomas Treated Non-Surgically and Cured].

Gan To Kagaku Ryoho 2018 Dec;45(13):2453-2455

Dept. of Gastroenterological Surgery, Saitama Cancer Center.

Few cases of recurrent colorectal carcinomas were treated non-surgically and cured. Here, we report 3 such cases. Case No. Read More

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December 2018
2 Reads

[A Case of Appendiceal Adenocarcinoma with Vesico-Appendiceal Fistula Treated by Additional Laparoscopic Excision].

Gan To Kagaku Ryoho 2018 Dec;45(13):1848-1850

Dept. of Surgery, Sumitomo Hospital.

A 40-year-old woman was admitted to our hospital with the chief complaint of miction pain. MRI showed fundal wall thickening of the bladder in contact with the appendix. Under cystoscopy, redness of the mucous membrane was found in the posterior wall of the bladder. Read More

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December 2018
2 Reads

Experience with the Redo Pull-Through for Hirschsprung's Disease.

J Indian Assoc Pediatr Surg 2019 Jan-Mar;24(1):45-51

Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Aim: This study aims to evaluate the need of Redo pull-through (Re PT) procedures for Hirschsprung's disease (HD) and suggest preventive strategies.

Materials And Methods: Patients who underwent redo procedures for HD from 1980 to 2016 by a single surgeon were retrospectively reviewed.

Results: Of 167 patients operated for HD, 32 underwent Re PT; 7 were previously operated by the same surgeon, while 25 were referred from outside. Read More

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http://dx.doi.org/10.4103/jiaps.JIAPS_52_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322179PMC
January 2019
2 Reads

Enterourachal Fistula as an Initial Presentation in Crohn Disease.

Pediatr Gastroenterol Hepatol Nutr 2019 Jan 10;22(1):90-97. Epub 2019 Jan 10.

Division of Pediatric Gastroenterology, Department of Pediatrics, UH Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH, United States.

Crohn disease has a wide spectrum of clinical presentations and rarely can present with complications such as a bowel stricture or fistula. In this case report, we describe a 17-year-old male who presented with a history of recurrent anterior abdominal wall abscesses and dysuria. He was diagnosed with Crohn disease and also found to have a fistulous communication between the terminal ileum and a patent urachus. Read More

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http://dx.doi.org/10.5223/pghn.2019.22.1.90DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333586PMC
January 2019
13 Reads

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
5 Reads
4.464 Impact Factor

Robotic Repair of Supratrigonal Vesicovaginal Fistula with Sigmoid Epiploica Interposition.

JSLS 2018 Oct-Dec;22(4)

Western New York Urology Associates, Cheektowaga, New York, USA.

Introduction And Hypothesis: In the United States, vesicovaginal fistula (VVF) most often results from gynecologic surgery causing significant morbidity and distress to both the patient and surgeon. The use of tissue interposition at time of primary repair has been advocated to decrease the risk of recurrence. The aim of this study is to describe our experience with interposition of sigmoid epiploica during robotic extravesical repair of supratrigonal VVF. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328364PMC
March 2019
2 Reads

The role of a sequencing-based clinical intestinal screening test in patients at high-risk for Clostridium difficile and other pathogens: a case report.

J Med Case Rep 2019 Jan 15;13(1). Epub 2019 Jan 15.

uBiome, San Francisco, CA, USA.

Background: Hospitalization and antibiotic treatment can put patients at high risk for Clostridium difficile infection, where a disturbance of the gut microbiome allows for Clostridium difficile proliferation and associated symptoms, including mild, moderate, or severe diarrhea. Clostridium difficile infection is challenging to treat, often recurrent, and leads to almost 30,000 annual deaths in the USA alone. Here we present a case where SmartGut™, an at-home, self-administered sequencing-based clinical intestinal screening test, was used to identify the presence of Clostridium difficile in a patient with worsening diarrhea. Read More

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http://dx.doi.org/10.1186/s13256-018-1919-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332561PMC
January 2019
4 Reads

Rectovaginal fistula during treatment with axitinib in a patient with renal cell carcinoma: a case report and review of the literature.

Anticancer Drugs 2019 Apr;30(4):425-427

Department of Medical Oncology, ASST-Settelaghi, Circolo Hospital, Varese, Italy.

Renal cell carcinoma (RCC) is one of the most frequent malignancies of the adults. Its incidence has been increasing steadily by 2-4% each year. Up to 30% of patients present with metastases at diagnosis. Read More

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http://dx.doi.org/10.1097/CAD.0000000000000742DOI Listing
April 2019
6 Reads

Comparison of Outcomes of Fasciocutaneous Free Flaps and Jejunal Free Flaps in Pharyngolaryngoesophageal Reconstruction: A Systematic Review and Meta-Analysis.

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital, Singapore.

Background: The literature reports a wide variety of reconstructive methods for pharyngolaryngoesophageal (PLO) defects, the most widely used being anterolateral thigh (ALT), radial forearm (RFF), and jejunal free flaps (JFF). However, there is a lack of uniform agreement among head and neck surgeons as to which technique offers the best results. With an increasing number of salvage PLO extirpations, determining the role of radiotherapy in influencing postoperative complication rates is becoming ever more important. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001776DOI Listing
January 2019
16 Reads