19,512 results match your criteria Intestinal Fistulas


Graphene Oxide Functionalized Double-Layered Patch with Anti-Adhesion Ability for Abdominal Wall Defects.

Int J Nanomedicine 2021 3;16:3803-3818. Epub 2021 Jun 3.

Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People's Republic of China.

Background: Effective repair of full-thickness abdominal wall defects requires a patch with sufficient mechanical strength and anti-adhesion characteristics to avoid the formation of hernias and intra-abdominal complications such as intestinal obstruction and fistula. However, patches made from polymers or bio-derived materials may not meet these requirements and lack the bionic characteristics of the abdominal wall.

Materials And Methods: In this study, we report a consecutive electrospun method for preparing a double-layer structured nanofiber membrane (GO-PCL/CS-PCL) using polycaprolactone (PCL), graphene oxide (GO) and chitosan (CS). Read More

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[Rupture of abdominal aortic aneurysm into the duodenum: uncommon cause of massive gastrointestinal bleeding].

Rev Med Chil 2021 Jan;149(1):132-136

Departamento de Cirugía Vascular y Endovascular, Pontificia Universidad Católica de Chile, Santiago, Chile.

Primary aortoenteric fistula is the spontaneous communication between the lumen of the aorta and a portion of the digestive tract. The most common cause is the erosion of an abdominal aortic aneurysm into the 3rd or 4th portion of the duodenum. It manifests clinically as gastrointestinal bleeding, with or without abdominal pain and a pulsatile abdominal mass on physical exam. Read More

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January 2021

Colouterine Fistula Treated by a Double Endoscopic Approach.

J Obstet Gynaecol Can 2021 Jun 5. Epub 2021 Jun 5.

Department of Obstetrics and Gynecology, Surgical Endoscopic Unit. Hospital Universitari Son Llàtzer, Palma Spain.

Colouterine fistula associated with the use of an intrauterine device (IUD) is extremely rare. Clinical presentation may vary; however, to our knowledge, only 1 paper has previously reported menochezia as the main symptom of an utero-intestinal fistula as a complication of IUD use. Surgery is generally needed for definitive resolution of the fistula. Read More

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Feasibility and outcomes of cytoreductive surgery and HIPEC for peritoneal surface malignancies in low- and middle-income countries: a single-center experience of 232 cases.

World J Surg Oncol 2021 Jun 5;19(1):164. Epub 2021 Jun 5.

Department of Pathology, AIIMS, New Delhi, India.

Background: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) has recently emerged as a viable management option for peritoneal surface malignancy (PSM). CRS and HIPEC is a complex, multidisciplinary and resource-intensive surgical procedure. It has a steep learning curve and is associated with significant morbidity and mortality. Read More

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Healing of rectal advancement flaps for anal fistulas in patients with and without Crohn's disease: a retrospective cohort analysis.

BMC Surg 2021 Jun 5;21(1):283. Epub 2021 Jun 5.

Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin and Berlin Institute of Health, Department of General-, Visceral- and Vascular Surgery, Berlin, Germany.

Background: Surgical closure of anal fistulas with rectal advancement flaps is an established standard method, but it has a high degree of healing failure in some cases. The aim of this study was to identify risk factors for anal fistula healing failure after advancement flap placement between patients with cryptoglandular fistulas and patients with Crohn's disease (CD).

Methods: From January 2010 to October 2020, 155 rectal advancement flaps (CD patients = 55, non-CD patients = 100) were performed. Read More

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Subacute Enteritis Two Months After COVID-19 Pneumonia With Mucosal Bleeding, Perforation, and Internal Fistulas.

Am Surg 2021 Jun 1:31348211023461. Epub 2021 Jun 1.

Department of Surgery, 12343Texas Tech University Health Sciences Center, Lubbock, TX, USA.

Chronic sequelae of COVID-19 remain undetermined. We report a case of postinfection sequelae in a patient presenting with subacute obstruction 2 months after COVID-19 infection. A 34-year-old man with a prior prolonged hospital stay due to COVID-19 complicated by upper gastrointestinal (GI) bleed presented with subacute obstruction and failure to thrive. Read More

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Surgical Management of Gallstone Ileus in Low-Settings Hospital during COVID-19 Outbreak: A Case Report.

Surg J (N Y) 2021 Apr 25;7(2):e54-e58. Epub 2021 May 25.

University of Baghdad, Baghdad, Iraq.

 Gallstone ileus is a very infrequent complication of cholelithiasis in which single or multiple stones pass through an abnormal fistula to the lumen of the intestine leading to a true mechanical obstruction. We are reporting a case of a female who developed intestinal obstruction due to gallstones during the coronavirus disease 2019 (COVID-19) outbreak and was managed urgently surgically in a low-settings hospital.  An 85-year-old white female with 40 years history of gallstone disease, hypertension, and type-2 diabetes presented to the accidents and emergency unit with upper central crampy abdominal pain for 5 days associated with green color vomiting and absolute constipation. Read More

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Indications and outcomes of enterovesical and colovesical fistulas: systematic review of the literature and meta-analysis of prevalence.

BMC Surg 2021 May 27;21(1):265. Epub 2021 May 27.

General Surgery Unit, ASST Brianza, Vimercate Hospital, Via Santi Cosma e Damiano, 10, 20871, Vimercate, Italy.

Background: Entero-colovesical fistula is a rare complication of various benign and malignant diseases. The diagnosis is prominently based on clinical symptoms; imaging studies are necessary not only to confirm the presence of the fistula, but more importantly to demonstrate the extent and the nature of the fistula. There is still a lack of consensus regarding the if, when and how to repair the fistula. Read More

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[Analysis of perioperative complications and influencing factors of complications in 1 000 cases of robotic gynecological surgery].

Zhonghua Fu Chan Ke Za Zhi 2021 May;56(5):341-348

Department of Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To investigate the occurrence and influencing factors of perioperative complications after robotic gynecologic surgery. The clinical data and occurrence of perioperative complications in 1 000 cases robotic surgery completed in the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed. (1) Clinical data: the average age of the patients was (50. Read More

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Clinical application of "Double R" anastomosis technique in laparoscopic pancreaticoduodenectomy procedure.

Medicine (Baltimore) 2021 May;100(21):e26204

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University.

Abstract: Laparoscopic pancreaticoduodenectomy (LPD) is widely used as a treatment for periampullary tumors and pancreatic head tumors. However, postoperative pancreatic fistula (POPF), which significantly affects mortality and length of hospital stay of patients, remains one of the most common and serious complications following LPD. Though numerous technical modifications for pancreaticojejunostomy (PJ) have been proposed, POPF is still the "Achilles heel" of LPD. Read More

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Clinical experience with near-infrared ray catheter, a fluorescent ureteral catheter, on laparoscopic surgery for colon diverticulitis: A case report.

Medicine (Baltimore) 2021 May;100(21):e26085

Department of General and Gastroenterological Surgery.

Rationale: As the world's population ages, the number of surgical cases of colovesical fistulas secondary to colon diverticulitis is also expected to increase. The key issue while performing laparoscopic surgery for these fistulas is the avoidance of iatrogenic ureteral injury. There are no reports of Near-infrared Ray Catheter being used in surgery for diverticulitis, which is one of the diseases with the highest risk of ureteral injury. Read More

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Large bowel obstruction secondary to gallstones.

J Surg Case Rep 2021 May 18;2021(5):rjab137. Epub 2021 May 18.

Department of Surgery, Lehigh Valley Health Network, Allentown, PA, USA.

Gallstone ileus is a rare complication of cholelithiasis, representing 1% of bowel obstructions. The usual site of obstruction is the ileocecal valve, though other sites have been reported. Here, we present two cases of gallstone ileus within the distal colon requiring surgical intervention. Read More

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Novel Coronavirus Infection in an Infant with Intussusception.

Glob Pediatr Health 2021 8;8:2333794X211012978. Epub 2021 May 8.

Hospital Universitario del Valle-Evaristo García, Cali, Colombia.

. Intussusception is the leading cause of intestinal obstruction in children under 4 years of age. Viral infections are the associated etiology in most cases, SARS-CoV-2 thereby being a plausible cause, although only 5 cases have been reported worldwide with both entities. Read More

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Colorectal cancer in pregnancy: a case report and literature review.

J Gastrointest Oncol 2021 Apr;12(2):885-891

Department of Gynecology and Obstetrics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Colorectal cancer (CRC) in pregnancy is rare. The clinical manifestations of CRC during pregnancy are not specific, and diagnosis and treatment pose a significant challenge. Patients are often found to have advanced tumors, and have a poor prognosis. Read More

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EFFICACY OF LOW-LEVEL LASER THERAPY ON FISTULA-IN-ANO TREATMENT.

Arq Bras Cir Dig 2021 14;34(1):e1572. Epub 2021 May 14.

Anhanguera-Uniderp University, Campo Grande, MS, Brazil.

Background: Fistulous area being A control and B laser group: Arrows indicate fistulous tract much thinner in B. Treating anal fistulae is still a great challenge due to the possibility of fecal incontinence after surgery and that the use of laser has been gaining space in medicine, including as an inducing method of healing.

Aim: To evaluate the efficacy of low-level laser therapy on fistula-in-ano treatment in rats. Read More

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Granulomas in Diagnostic Biopsies Associated With High Risk of Crohn's Complications-But May Be Preventable.

Inflamm Bowel Dis 2021 May 17. Epub 2021 May 17.

Division of Pediatric Gastroenterology, C.S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, Michigan, United States.

Background: Granulomatous intestinal inflammation may be associated with aggressive Crohn's disease (CD) behavior. However, this has not been confirmed, and it is unknown if associated disease complications are preventable.

Methods: This is a retrospective cohort of patients younger than 21 years at CD diagnosis (November 1, 2005 to November 11, 2015). Read More

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Endoscopic Treatment of Enterocutaneous Fistulas in Crohn's Disease.

Dis Colon Rectum 2021 May 13. Epub 2021 May 13.

Department of gastroenterology, Amiens University hospital, Picardie University, Amiens, France Department of digestive surgery, Amiens University hospital, Picardie University, Amiens, France.

Background: Management of enterocutaneous fistulas in Crohn's disease is challenging. The majority of patients still need intestinal resection in the biologic era.

Objective: The aim of this study was to evaluate the efficacy of endoscopic treatment for enterocutaneous fistulas. Read More

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A novel technique for superficial complicated stomas using the Dacron vascular prosthesis.

Langenbecks Arch Surg 2021 May 14. Epub 2021 May 14.

Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, 14048-900, Brazil.

Background And Purpose: Despite the advances achieved in surgical techniques in recent years, an intestinal stoma is still needed in many patients undergoing colorectal surgery. However, the intestinal stoma may be associated with serious complications and the need for a second surgical procedure. In extreme cases, when it is not possible to access the abdominal cavity, the management of a complicated stoma is challenging. Read More

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Ureteral navigation using a fluorescent ureteral catheter during laparoscopic colorectal surgery.

Surg Endosc 2021 May 12. Epub 2021 May 12.

Department of Digestive Surgery, Kawaguchi Municipal Medical Center, 180, Nishiaraijuku, Kawaguchi, Saitama, 333-0833, Japan.

Background: Ureteral injury is the most common urological complication of pelvic surgery, with a reported incidence during colon resection of 0.3-1.5%. Read More

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[Features and choice of surgical strategy in patients with gastrointestinal fistulas].

Khirurgiia (Mosk) 2021 (5):58-62

Samara State Medical University, Samara, Russia.

Objective: To evaluate the features and choice of surgical strategy in patients with gastrointestinal fistula based on classification of their types.

Material And Methods: There were 398 patients with gastrointestinal fistula. Fistula type 1 was found in 126 (31. Read More

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Anastomotic fistula after emergency enterectomy for retrograde intussusception after gastric bypass.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Department of General Surgery, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

Retrograde intussusception is a rare complication of gastric bypass. It is commonly located in the common limb close to the jejunojejunostomy. The management of such condition dictates the outcome of the patient either in the immediate emergency setting or in the long-term bariatric surgery's expected results. Read More

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Managing esophagocutaneous fistula after secondary gastric pull-up: A case report.

World J Gastroenterol 2021 Apr;27(16):1841-1846

Department of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital Würzburg, Würzburg 97080, Germany.

Background: Gastric pull-up (GPU) procedures may be complicated by leaks, fistulas, or stenoses. These complications are usually managed by endoscopy, but in extreme cases multidisciplinary management including reoperation may be necessary. Here, we report a combined endoscopic and surgical approach to manage a failed secondary GPU procedure. Read More

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Systemic lupus erythematosus complicated by Crohn's disease with rectovaginal fistula.

BMC Gastroenterol 2021 May 8;21(1):206. Epub 2021 May 8.

Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan.

Background: Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disease, and few cases combine with Crohn's disease. We present the first SLE patient concurrent with Crohn's disease and rectovaginal fistula. She was successfully treated with vedolizumab and surgical intervention. Read More

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A rare case of gallstone ileus-the unanswered question.

Authors:
Chi Fai Tsang

J Surg Case Rep 2021 Apr 29;2021(4):rjab164. Epub 2021 Apr 29.

Department of General Surgery, Prince of Wales Hospital and Community Health Services, Sydney, New South Wales 2002, Australia.

Gallstone ileus is caused by an impaction of one or more gallstones within the gastrointestinal tract leading to mechanical intestinal obstruction. It is a rare complication of cholelithiasis and found in 2-3% of all cases associated with recurrent episodes of cholecystitis. This case study demonstrates an atypical presentation of gallstone ileus. Read More

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The Predictive Value of Computed Tomography Enterography Index for Postoperative Intra-Abdominal Septic Complications in Patients with Crohn's Disease: Implications for Surgical Decision Making.

Dis Colon Rectum 2021 Apr 26. Epub 2021 Apr 26.

Department of General Surgery, Jinling Medical School of Nanjing Medical University, No. 305 East Zhongshan Road, Nanjing, PR China Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, No. 305 East Zhongshan Road, Nanjing, PR China Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, No. 305 East Zhongshan Road, Nanjing, PR China Department of General Surgery, Jinling Hospital, Medical School of Southeast University, No. 305 East Zhongshan Road, Nanjing, PR China.

Background: Postoperative intra-abdominal septic complications in patients with Crohn's Disease undergoing intestinal resection and anastomosis are frequent and difficult to manage.

Objective: This study sought to explore the value of preoperative computed tomography enterography to predict intra-abdominal septic complications.

Design: This was a retrospective and prospective observational study. Read More

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Factors determining the quality of life in patients undergoing radical surgery due to malignant tumors of the rectum.

Pol Przegl Chir 2021 Mar;93(3):1-5

Klinika Chirurgii Ogólnej i Onkologicznej Pomorskiego Uniwersytetu Medycznego, Szczecin, Polska.

Introduction: Rectal cancer is one of the most common malignancies in developed countries. However, despite the increasingly better preoperative diagnostics, adaptation of surgical techniques to the location and advancement of the tumor, the combination of surgical treatment with neoadjuvant therapy and adjuvant treatment, standardized control tests, Poland still has not obtained satisfactory results regarding long-term survival. In addition, the effects of the therapy often differ significantly from those expected by patients and the doctors treating them. Read More

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Intestinal Dysbiosis Disguised as a Rectal Fistula Treated With Autologous Fecal Microbiota Transplantation.

Cureus 2021 Mar 25;13(3):e14115. Epub 2021 Mar 25.

Gastroenterology, Grand Strand Medical Center, Myrtle Beach, USA.

Fecal microbiota transplantation (FMT) has been efficacious in the treatment of intestinal dysbiosis, derangement of the native intestinal microflora, and the indications for autologous FMT are growing. A 69-year-old Caucasian man with a past medical history of paraplegia secondary to motor vehicle accident and sigmoid-end colostomy presented to his gastroenterologist with the complaint of rectal discharge. A complicated medical course pre-dated his presentation and included multiple decubitus ulcers requiring debridement and several courses of broad-spectrum antibiotics. Read More

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Modified Frailty Index-5 Score and Post-Operative Infectious Complications in Patients Undergoing Surgery for Intestinal-Cutaneous Fistula: A Nationwide Retrospective Cohort Analysis.

Surg Infect (Larchmt) 2021 Apr 29. Epub 2021 Apr 29.

Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Post-operative infectious complications after repair of intestinal-cutaneous fistulas (ICF) represent a substantial burden and these outcomes vary widely in the literature. We aimed to evaluate the use of the modified frailty index-5 (mFI-5) to account for physiologic reserve to predict infectious complications in patients with ICF undergoing operative repair. We used the American College of Surgeon National Surgical Quality Improvement Program (ACS-NSQIP) 2006-2017 dataset to include patients who underwent ICF repair. Read More

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Nutrition in open abdomen.

Rozhl Chir 2021 ;100(2):83-87

Open abdomen is known as a serious consequence of various intra-abdominal pathologies. Initially, patients often have a life-threatening condition, sepsis or septic shock. Severe stress related malnutrition, mineral and fluid imbalance develop as metabolic consequences. Read More

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Ustekinumab for Crohn's Disease: Two-Year Results of the Initiative on Crohn and Colitis (ICC) Registry, a Nationwide Prospective Observational Cohort Study.

J Crohns Colitis 2021 Apr 28. Epub 2021 Apr 28.

Leiden University Medical Centre, Department of Gastroenterology and Hepatology, Leiden, The Netherlands.

Objective: Ustekinumab is a monoclonal antibody that selectively targets p40, a shared subunit of the cytokines interleukin (IL)-12 and IL-23. It is registered for the treatment of inflammatory bowel diseases. We assessed the two-year effectiveness and safety of ustekinumab in a real world, prospective cohort of patients with Crohn's disease (CD). Read More

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