18,403 results match your criteria Intestinal Fistulas


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

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

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

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
1 Read

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
1 Read

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://dx.doi.org/10.1007/s11605-018-04099-4DOI Listing
February 2019

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
January 2019
2 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
12 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; Genome-Scale Biology Research Program, Research Programs Unit, University of Helsinki, Helsinki, Finland.

Aim: Restorative proctocolectomy with ileal pouch-anal anastomosis is considered by many surgeons to be the standard procedure for the surgical management of ulcerative colitis. Controversy exists whether a covering ileostomy should be constructed or not. The aim of this study was to evaluate the outcomes and morbidity of 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

[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
1 Read

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
1 Read

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
6 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
1 Read
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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
1 Read

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

Anticancer Drugs 2019 Jan 11. Epub 2019 Jan 11.

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
January 2019
2 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
6 Reads

Gallstone Ileus With Cholecysto-Duodenal Fistula In An Elderly Male.

J Ayub Med Coll Abbottabad 2018 Oct-Dec;30(4):614-416

Department of Surgery, Cork University Hospital, Wilton, County Cork-Republic of Ireland.

Gall stone ileus associated with cholecysto-duodenal fistula is a rare pathology. It most commonly presents in elderly females in 72-90% of cases. In such a case, a patient typically presents with recurrent attacks of sub-acute intestinal obstruction which usually resolves completely with conservative management only to recur again after some time. Read More

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January 2019
2 Reads

[Gastroenterology and hepatology  update 2018].

Rev Med Suisse 2019 Jan;15(N° 632-633):46-49

Service de gastroentérologie et hépatologie, HUG, 1211 Genève 14.

The purpose of this article is to detail the major gastroenterology novelties for 2018. In the field of hepatology we address the monitoring of hepatocellular carcinoma, the Baveno VI extended criteria for the detection of oesophageal varices and the management of cramps in cirrhotic patients. Concerning intestinal inflammatory diseases, two novel treatments have recently been approved by the European Commission, including injection of stem cells for the treatment of complex perianal fistulas and the JAK inhibitor tofacitinib for the RCH (ulcerative colitis). Read More

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January 2019
13 Reads

Treatment of Abdominal Surgical Wound Dehiscence With Bowel Exposure and Infection: Using Intrawound Continuous Negative Pressure, Irrigation, and Application of Artificial Dermis.

Ann Plast Surg 2019 Feb;82(2):213-217

From the Department of Plastic & Reconstructive Surgery and Maxillofacial Surgery, Kurume University Hospital, Fukuoka, Japan.

Abdominal surgical wound dehiscence with bowel exposure and infection carries a risk of intestinal fistula, making it extremely difficult to treat. The objective at this time is to heal such wounds safely and absolutely with using intrawound continuous negative pressure and irrigation treatment and artificial dermis. The subjects were 18 patients with abdominal wall dehiscence wounds with bowel exposure. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001739DOI Listing
February 2019
8 Reads

Factors preventing restoration of bowel continuity in patients with rectal cancer submitted to anterior rectal resection and protective ileostomy.

Rev Col Bras Cir 2019 Jan 7;45(6):e1998. Epub 2019 Jan 7.

Universidade Federal de Minas Gerais, Faculdade de Medicina, Hospital das Clínicas, Instituto Alfa de Gastroenterologia, Grupo de Coloproctologia, Belo Horizonte, MG, Brasil.

Objective: to evaluate the factors associated with non-closure of protective ileostomy after anterior resection of the rectum with total mesorectum excision for rectal cancer, the morbidity associated with the closure of ileostomies and the rate of permanent ileostomy in patients with rectal adenocarcinoma.

Methods: we conducted a retrospective study with 174 consecutive patients diagnosed with rectal tumors, of whom 92 underwent anterior resection of the rectum with coloanal or colorectal anastomosis and protective ileostomy, with curative intent. We carried out a multivariate analysis to determine the factors associated with definite permanence of the stoma, as well as studied the morbidity of patients who underwent bowel continuity restoration. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/0100-6991e-20181998DOI Listing
January 2019
5 Reads

Cured by Da Vinci Xi: meticulous dissection of an infected urachal cyst presenting with lower urinary tract symptoms in an adult.

J Surg Case Rep 2018 Dec 21;2018(12):rjy327. Epub 2018 Dec 21.

HCA, Coliseum Medical Centers, Macon, GA, USA.

An unusual finding in an adult patient with an infected urachal cyst, was treated surgically using the Da Vinci robot. A 26-year-old woman was admitted to our hospital with complaints of lower abdominal pain and burning sensation with urination. She was diagnosed with lower urinary tract infection, treatment did not help her symptoms and further evaluation of CT revealed complex enhancing mass superior to the urinary bladder. Read More

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https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjy32
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http://dx.doi.org/10.1093/jscr/rjy327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302239PMC
December 2018
20 Reads

[Research progress of the open abdomen in the treatment of gastrointestinal fistula with complicated intra-abdominal infection].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Dec;21(12):1446-1450

Department of Digestive Surgery, National Clinical Research Center for Digestive Diseases, Xijing Hospital of Digestive Diseases, The Airforce Medical University, Xi'an 710032, China, Email: edu.cn.

Gastrointestinal fistula patients may suffer from complicated intra-abdominal infection and sepsis with improper treatment, which is characterized by high mortality ranging from 20% to 60%, as well as high medical costs. Gastrointestinal fistula patients with complicated intra-abdominal infections are not often diagnosed early, and proper treatment remains an unsolved problem. Therefore it is a great challenge for surgeons to repair broken intestines under complicated intra-abdominal infection conditions and to repair ruptured intestines under conditions of severe abdominal adhesions and swelling of the intestinal wall and mesentery. Read More

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December 2018
1 Read

[Chinese experts consensus on diagnosis and treatment of non-perianal fistulating Crohn disease].

Authors:
Jianan Ren

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Dec;21(12):1337-1346

Surgeon Committee of Gastrointestinal Fistula of Chinese College of Surgeons, Email:

Crohn disease (CD) is a chronic inflammatory disease involving the entire digestive tract and non-perianal fistula is the most serious surgical complication of CD. The goal of treatment is to cure intestinal fistula and intra-abdominal infection, restore the continuity of digestive tract, reduce postoperative recurrence, and improve the quality of life. Evaluation of nutritional status, especially during perioperative period, is important and nutrition support for malnutritional CD patients is necessary. Read More

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December 2018
12 Reads

Small bowel adenocarcinoma in a patient with a 5-year history of untreated Crohn's disease: a case report.

G Chir 2018 Nov-Dec;39(6):383-387

Aim: Complication of Crohn's disease (CD) of the small intestine is small bowel adenocarcinoma (SBA). A lot of studies on Crohn's disease have estimated the increased relative risk of small bowel carcinoma compared to the general population. In clinical settings, it is difficult to detect SBA in CD, therefore most of cases are diagnosed after surgery for strictures without suspicion of malignancy. Read More

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December 2018
1 Read

Quality of Life after Reconstructive Surgery for Intestinal Fistulas.

Acta Medica (Hradec Kralove) 2018 ;61(3):103-107

Department of Gerontology and Metabolism, Teaching Hospital Hradec Králové, Charles University, Faculty of Medicine in Hradec Králové, Hradec Králové, Czech Republic.

Background: This retrospective clinical study would like to objectively denote a quality of life of persons afflicted by an abdominal catastrophe and managed by an extensive surgery can be almost as well conformable as those of healthy people in a similar age group.

Methods: A set of eighteen patients who were successfully surgically treated and cured enjoyed a relatively good convalescence after their surgery and returned to a satisfactory standard of life from the point of view of organ function and psychosomatic state. Statistical analysis of the data collected over a period of 1 to 6 years after this complex therapy using special questionnaire for QOL assessment SF-36 was performed. Read More

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http://dx.doi.org/10.14712/18059694.2018.126DOI Listing
January 2018
1 Read

Solid Pseudopapillary Tumor of the Pancreas - Rare Neoplastic Disease in 20-Year-Old Woman.

Klin Onkol 2018 ;31(5):376-379

Introduction: Benign cystic tumors represent only 2% of all pancreatic tumors (pancreatic cancer - PC). In contrast to malignant cystic tumors, these tumors occur typically in young women. A solid pseudopapillary tumor is a relatively rare affliction representing less than 4% of cystic PC. Read More

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http://dx.doi.org/10.14735/amko2018376DOI Listing
January 2018
1 Read

Incarcerated paraesophageal hernia complicated by pancreatic damage and unusual comorbidity: Two retrospective case series.

Int J Surg Case Rep 2019 30;54:75-78. Epub 2018 Nov 30.

Department of Pediatric and Gastrointestinal Surgery, Oslo University Hospital, Ullevål, P.O. box 4950, 0424 Oslo, Norway. Electronic address:

Introduction: About 1% of paraesophageal hernias (PEH) require emergency surgery due to obstruction or gangrene. We present two complicated cases of incarcerated PEH. Presentation of cases: A patient aged 18 with trisomy 21 was admitted after four days of vomiting and epigastric pain. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288317PMC
November 2018
1 Read

An overview of the role of exclusive enteral nutrition for complicated Crohn's disease.

Intest Res 2018 Dec 3. Epub 2018 Dec 3.

Department of Paediatrics, University of Otago Christchurch, Christchurch, New Zealand.

The role and efficacy of exclusive enteral nutrition (EEN) in the treatment of luminal Crohn's disease (CD) has been well established over the last 2 decades. Consequently, in many centers nutritional therapy is now considered first line therapy in the induction of remission of active CD. However, the use of nutritional therapy in complicated CD has yet to be fully determined. Read More

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http://dx.doi.org/10.5217/ir.2018.00079DOI Listing
December 2018
10 Reads

[Histological study on the safety of the controllable ileostomy with pipe].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1291-1295

Department of Gastrointestinal Surgery, Provincial Clinical College, Fujian Medical University, Fuzhou 350001, China.

Objective: To investigate the safety of the controllable ileostomy with pipe in view of histology.

Methods: Twenty-eight Beagle dogs undergoing controllable ileostomy with pipe were studied. The special fistula tube with balloon was placed into the hole locating at the cecal root opposing the mesenteric side, and fixed by double knot compression method. Read More

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November 2018
5 Reads

[Role of oncologic radiotherapy in multidisciplinary team treatment of malignant acute abdomen].

Authors:
Yuhong Dai Hong Qiu

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1212-1217

Tongji Hospital Cancer Center, Tongji Medical College Affiliated, Huazhong University of Science and Technology,Wuhan 430030, China. Email:

Malignant acute abdomen is a emergency with abrupt onset, rapid progress and often a complex etiology, presenting difficulties for treatment and high mortality. Therefore, multidisciplinary team (MDT) treatment modality is required. Compared with single-discipline diagnosis and treatment modality, diagnosis made from MDT discussion is more accurate, where specialists can improve efficiency and quality of the treatment through better communication. Read More

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November 2018
4 Reads

Endovascular treatment of a primary aortoduodenal fistula.

J Cardiovasc Surg (Torino) 2018 Dec;59(6):844-845

Department of Vascular Surgery, Imelda Hospital, Bonheiden, Belgium -

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http://dx.doi.org/10.23736/S0021-9509.17.09661-6DOI Listing
December 2018
2 Reads

Novel use of argon plasma coagulation (APC) in the treatment of high output small bowel mucous fistula.

Tech Coloproctol 2018 10 21;22(10):805-807. Epub 2018 Nov 21.

Department of Colorectal Surgery, Prince of Wales Hospital, Sydney, Australia.

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http://dx.doi.org/10.1007/s10151-018-1877-zDOI Listing
October 2018
8 Reads

Radiofrequency ablation in a patient with radiation enteritis: A case report.

Medicine (Baltimore) 2018 Nov;97(47):e13328

Department of Gastroenterology, Ji'nan Central Hospital Affiliated to Shandong University, Jinan, China.

Rationale: Radiation enteritis (RE) is one of the serious complications caused by the radiotherapy and it can occur in any segment of the intestine, including small intestine, colon, and rectum. It can cause a number of serious problems of the intestine, such as chronic ulcers, bleeding, intestinal stenosis, intestinal fistula, and perforation. At present, there is no standard treatment guideline for the RE. Read More

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http://dx.doi.org/10.1097/MD.0000000000013328DOI Listing
November 2018
11 Reads

Role of Bile Acids and GLP-1 in Mediating the Metabolic Improvements of Bariatric Surgery.

Gastroenterology 2018 Nov 13. Epub 2018 Nov 13.

Department of Surgery, Vanderbilt University, Nashville, Tennessee. Electronic address:

Background & Aims: Bile diversion to the ileum (GB-IL) has strikingly similar metabolic and satiating effects to Roux-en-Y gastric bypass (RYGB) in rodent obesity models. The metabolic benefits of these procedures are thought to be mediated by increased bile acids, although parallel changes in body weight and other confounding variables limit this interpretation.

Methods: Global G protein-coupled bile acid receptor-1 null (Tgr5) and intestinal-specific farnesoid X receptor null (Fxr) mice on high-fat diet as well as wild-type C57BL/6 and glucagon-like polypeptide 1 receptor deficient (Glp-1r) mice on chow diet were characterized following GB-IL. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00165085183525
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http://dx.doi.org/10.1053/j.gastro.2018.11.017DOI Listing
November 2018
21 Reads

Self extrusion on an ingested foreign body: a case report.

Tunis Med 2018 May;96(5):314-316

Foreign body ingestion is a frequent issue in paediatrician's practice. Foreign bodies often pass the gastro-intestinal tract spontaneously but can sometimes generate complications (1% of the cases). The migration of ingested foreign bodies is rare, but their spontaneous extrusion through the skin is even rarer and was previously described only in the neck. Read More

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May 2018
12 Reads

Systematic review of single-incision versus conventional multiport laparoscopic surgery for sigmoid colon and rectal cancer.

World J Surg Oncol 2018 Nov 10;16(1):220. Epub 2018 Nov 10.

Department of Colorectal Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital and Institute, No 44 Xiaoheyan Road, Dadong District, Shenyang, 110042, Liaoning Province, People's Republic of China.

Objectives: To explore whether single-incision laparoscopic surgery (SILS) has the better short-term clinical and pathological outcomes than conventional multiport laparoscopic surgery (CLS) for sigmoid colon and rectal cancer.

Methods: A literature investigation of MEDLINE, PubMed, Ovid, Embase, Cochrane Library, Web of Science, Chinese National Knowledge Infrastructure (CNKI), Chinese Biological Medicine (CBM), and Wanfang databases for relevant researches was performed. Fixed effects and random effects models were used to calculate the corresponding outcomes. Read More

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https://wjso.biomedcentral.com/articles/10.1186/s12957-018-1
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http://dx.doi.org/10.1186/s12957-018-1521-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230377PMC
November 2018
11 Reads

Risk factors associated with prolonged hospital length-of-stay: 18-year retrospective study of hospitalizations in a tertiary healthcare center in Mexico.

PLoS One 2018 8;13(11):e0207203. Epub 2018 Nov 8.

Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

Background: Hospital length-of-Stay has been traditionally used as a surrogate to evaluate healthcare efficiency, as well as hospital resource utilization. Prolonged Length-of-stay (PLOS) is associated with increased mortality and other poor outcomes. Additionally, these patients represent a significant economic problem on public health systems and their families. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207203PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224124PMC
November 2018
10 Reads

Congenital anal atresia with rectovestibular fistula, scoliosis, unilateral renal agenesis, and finger defect (VACTERL association) in a patient with partial bicornuate uterus and distal vaginal atresia: A case report.

Medicine (Baltimore) 2018 Nov;97(45):e12822

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P. R. of China.

Rationale: Vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/esophageal atresia, renal defect, and limb defect (VACTERL) association and Müllerian duct anomalies are rare conditions. We present a rare condition with the co-occurrence of the VACTERL association and Müllerian duct hypoplasia to characterize patients' clinical presentations, outcomes, and treatment.

Patient Concerns: An 11-year-old girl presented to our hospital with severe lower abdominal pain, lower vaginal atresia with enlargement of the upper vagina and a bicornuate uterus with a Y-shaped uterine cavity filled with hematometra on pelvic magnetic resonance imaging. Read More

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http://dx.doi.org/10.1097/MD.0000000000012822DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250493PMC
November 2018
11 Reads

Hematopoietic stem cell transplantation for Crohn's disease: Gaps, doubts and perspectives.

World J Stem Cells 2018 Oct;10(10):134-137

Bone Marrow Transplant Department, Associação Portuguesa de Beneficência, São José do Rio Preto, SP 15090 470, Brazil.

Crohn's disease (CD) is an inflammatory bowel disease that can affect any site of the digestive system. It occurs due to an immunological imbalance and is responsible for intestinal mucosal lesions and complications such as fistulas and stenoses. Treatment aims to stabilize the disease, reducing the symptoms and healing intestinal lesions. Read More

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http://dx.doi.org/10.4252/wjsc.v10.i10.134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6212546PMC
October 2018
19 Reads

Unusual complication of seroma after ventral hernia mesh repair: Digestive perforation by tacks. A case report.

Int J Surg Case Rep 2018 1;53:151-153. Epub 2018 Nov 1.

Department of Digestive Surgery, Fahat Hached University Hospital, University of Medicine of Sousse, Tunisia.

Intraperitoneal meshes are actually widely used in ventral hernia repair. They can reduce operative time, parietal prejudice and postoperative pain. One of the most well-known complications of intraperitoneal mesh is seroma, but it usually subsides without any therapeutic problems. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183046
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http://dx.doi.org/10.1016/j.ijscr.2018.10.044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6216077PMC
November 2018
22 Reads

Medical and nutritional treatment in adult patients with acute intestinal failure.

Rev Clin Esp 2018 Oct 31. Epub 2018 Oct 31.

Servicio de Nutriología Clínica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México. Electronic address:

Acute intestinal failure is a reversible clinical condition characterised by reduced intestinal function, which requires the intravenous supplementation of nutrients, water and/or electrolytes for weeks or months to maintain an optimal state of health. Acute intestinal failure occurs mainly in postsurgical patients who have undergone abdominal operations or are critically ill and have organ dysfunction. These patients' medical and nutritional management can be a complex and prolonged process due to the associated complications such as electrolyte imbalances, malnutrition, sepsis and metabolic disorders. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00142565183023
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http://dx.doi.org/10.1016/j.rce.2018.08.003DOI Listing
October 2018
15 Reads

Crohn's disease manifesting as ileo-urachal fistula: Two cases reports and review of literatures.

Int J Surg Case Rep 2018 26;53:70-74. Epub 2018 Oct 26.

Matsushima Clinic, 220-0045 3-138 Isecho Nishi-ku, Yokohama City, Japan. Electronic address:

Introduction: A fistula involving a patent urachus in a patient with Crohn's disease is rare. Here we report ileourachal fistula formation in two patients with Crohn' disease.

Case Presentations: The first patient was a 29-year-old man with Crohn's disease and ileitis, and the second patient was a 43-year-old man with Crohn's disease and ileitis. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215960PMC
October 2018
20 Reads

[Risk Factors for Wound Healing of Infective Surgical Incision after Radical Cystectomy in Patients of Muscle Invasive Bladder Cancer].

Sichuan Da Xue Xue Bao Yi Xue Ban 2018 Jul;49(4):640-644

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.

Objective: To evaluate the risk factors for wound healing of infective surgical incision in patients of muscle invasive bladder cancer undergoing radical cystectomy.

Methods: This study retrospectively collected clinical data of the patients who received radical cystectomy and experienced incisional infection after operation between January 2009 and December 2016. The patients were divided into early healing group and delayed healing group (the healing time is less or more than 14 d after operation). Read More

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July 2018
10 Reads

The use of the somatostatin analogue octreotide for the conservative management of symptomatic cholecystocolonic fistula: a case report.

Authors:
C Y Kong P Glen

Ann R Coll Surg Engl 2019 Feb 24;101(2):e59-e61. Epub 2018 Oct 24.

Department of General Surgery, Queen Elizabeth University Hospital , Glasgow , UK.

An 84-year-old woman presented with acute worsening of diarrhoea for a few weeks, with a background of chronic diarrhoea over the past 12 months accompanied by weight loss. Computed tomography during this admission revealed air in the biliary tree and resolution of gallstones in keeping with a cholecystocolonic fistula. Owing to her comorbidities, surgical management was deemed not to be the best option. Read More

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https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2018.0192
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http://dx.doi.org/10.1308/rcsann.2018.0192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351876PMC
February 2019
9 Reads

Cholecystocolonic fistula with a giant colonic gallstone: the mainstay of treatment in an acute setting.

J Surg Case Rep 2018 Oct 16;2018(10):rjy278. Epub 2018 Oct 16.

Hôpital Maisonneuve-Rosemont, Service de Chirurgie Colorectale, 5415 Boul de l'Assomption, Montréal, Quebec, Canada.

A cholecystoenteric fistula (CEF) is a rare complication of cholelithiasis with cholecystitis. Cholecystocolonic fistulas (CCFs) account for 8-26.5% of all CEFs. Read More

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https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjy27
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http://dx.doi.org/10.1093/jscr/rjy278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189374PMC
October 2018
10 Reads

Non-Surgical Management of Gastroduodenal Fistula Caused by Ingested Neodymium Magnets.

Pediatr Gastroenterol Hepatol Nutr 2018 Oct 10;21(4):336-340. Epub 2018 Oct 10.

Office of Medical Education, Johns Hopkins All Children's Hospital, St. Petersburg, FL, United States.

Foreign body ingestions pose a significant health risk in children. Neodymium magnets are high-powered, rare-earth magnets that is a serious issue in the pediatric population due to their strong magnetic force and high rate of complications. When multiple magnets are ingested, there is potential for morbidity and mortality, including gastrointestinal fistula formation, obstruction, bleeding, perforation, and death. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.5223/pghn.2018.2
Publisher Site
http://dx.doi.org/10.5223/pghn.2018.21.4.336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182470PMC
October 2018
20 Reads