17,884 results match your criteria Intestinal Perforation


Angiography and transcatheter arterial embolization for non-variceal gastrointestinal bleeding.

Scand J Gastroenterol 2020 Jul 10:1-10. Epub 2020 Jul 10.

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

Background And Goals: Acute non-variceal gastrointestinal bleeding (NVGIB) is one of the most common medical emergencies, leading to significant morbidity and mortality without proper management. This study was to analyze the causes of NVGIB and to evaluate the safety, efficacy, and feasibility of transcatheter arterial embolization (TAE) for the treatment of NVGIB.

Study: From November 2012 to October 2018, 158 patients with NVGIB underwent digital subtraction angiography, and TAE was performed for confirmed gastrointestinal bleeding. Read More

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http://dx.doi.org/10.1080/00365521.2020.1790650DOI Listing

A Case of Monomorphic Epitheliotropic Intestinal T-cell Lymphoma Involving the Lung and Brain: A Rare Case Study.

Intern Med 2020 Jul 7. Epub 2020 Jul 7.

Department of Pulmonary Medicine, School of Medicine, Fukushima Medical University, Japan.

Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) is a primary intestinal T-cell lymphoma and other organ involvement is very rare. A rare case of MEITL involving the lung and brain is herein reported. The patient developed panperitonitis with a small intestinal perforation, and emergency surgery was performed. Read More

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http://dx.doi.org/10.2169/internalmedicine.4710-20DOI Listing

Introducing multi-modal enteral medication reduced morbidity and mortality associated with necrotising enterocolitis.

Acta Paediatr 2020 Jul 8. Epub 2020 Jul 8.

Arabkir" Medical Center, Department of Pediatric Surgery, Yerevan State Medical University, Armenia.

Aim: Necrotizing enterocolitis (NEC) is still a disease with high morbidity and mortality. The aim of the study was to analyse retrospectively whether the introduction of a multi-modal three-component enteral medication regimen resulted in a change in morbidity and mortality in neonates NEC.

Methods: When diagnosis of NEC was established, the following multi-modal three-component enteral medication regimen was administered enterally (via nasogastric tube): an antibiotic, an antifungal agent, and a probiotic. Read More

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http://dx.doi.org/10.1111/apa.15466DOI Listing

Diagnosis and treatment of the afferent loop syndrome.

Clin J Gastroenterol 2020 Jul 8. Epub 2020 Jul 8.

Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.

Afferent loop syndrome (ALS) is a mechanical complication that arises after gastric surgery with gastrojejunostomy reconstruction. This condition was first described in 1950 by Roux, Pedoussaut, and Marchal to post-gastrectomy patients with bilious vomiting. Acute ALS is associated with complete obstruction and considered a surgical emergency, whereas chronic ALS is mostly related to partial obstruction of the afferent loop. Read More

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http://dx.doi.org/10.1007/s12328-020-01170-zDOI Listing

Jejunoileal diverticula: a broad spectrum of complications.

ANZ J Surg 2020 Jul 5. Epub 2020 Jul 5.

Department of General Surgery, Cattinara Hospital, Trieste, Italy.

Background: Small bowel diverticula are a rare condition occurring mainly in the elderly. They can be isolated or multiple and can involve the duodenum, jejunum and ileum. Acute complications are extremely rare, with an aspecific pattern of symptoms. Read More

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http://dx.doi.org/10.1111/ans.16128DOI Listing

A case of cryopyrin-associated periodic fever syndrome during canakinumab administration complicated by inflammatory bowel disease.

Clin Rheumatol 2020 Jul 5. Epub 2020 Jul 5.

Department of Pediatrics, Kagoshima University Hospital, 35-1 Sakuragaoka Kagoshimashi, Kagoshima, 890-8520, Japan.

Cryopyrin-associated periodic fever syndrome (CAPS) is a highly debilitating disorder, which is characterized by unregulated interleukin-1β production driven by autosomal dominantly inherited mutations in the NLRP3 gene. Patients with CAPS often present with early-onset episodes of fever and rash. These patients also present with variable systemic signs and symptoms, such as arthritis, sensorineural hearing loss, chronic aseptic meningitis, and skeletal abnormalities, but minimal gastrointestinal symptoms. Read More

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http://dx.doi.org/10.1007/s10067-020-05267-1DOI Listing

Protocol-Driven Surgical Care of Necrotizing Enterocolitis and Spontaneous Intestinal Perforation.

J Surg Res 2020 Jun 29;255:396-404. Epub 2020 Jun 29.

Division of Pediatric Surgery, DeWitt Daughtry Department of Surgery, Leonard M. Miller School of Medicine, University of Miami, Miami, Florida. Electronic address:

Background: There is no clear consensus on the optimal operative management of premature infants with surgical necrotizing enterocolitis (sNEC) or spontaneous intestinal perforation (SIP); thus, a protocol was developed to guide surgical decision making regarding initial peritoneal drainage (PD) versus initial laparotomy (LAP). We sought to evaluate outcomes after implementation of the protocol.

Methods: Pre-post study including multiple urban hospitals. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.079DOI Listing

Perforated Ileal GIST Associated with Meckel Diverticulum - A Rare Pathological Entity of Surgical Acute Abdomen.

Chirurgia (Bucur) 2020 May-Jun;115(3):404-409

The GIST tumors are very rare entities ( 1% of all tumors). They originate in the Cajal interstitial cells, which are part of the autonomic nervous system of the intestine. Their most common location is the stomach, followed by the small intestine. Read More

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http://dx.doi.org/10.21614/chirurgia.115.3.404DOI Listing

Intestinal Perforation due to Neutropenic Enterocolitis in a Patient Treated with Bevacizumab for Ovarian Cancer.

Case Rep Oncol Med 2020 16;2020:7231358. Epub 2020 Jun 16.

Department of Breast and Medical Oncology, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.

Intestinal perforation is a rare adverse event of antineoplastic therapy. However, once it occurs, it is potentially fatal. This report describes a case of intestinal perforation caused by bevacizumab in a patient with ovarian cancer who concurrently developed neutropenic enterocolitis. Read More

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http://dx.doi.org/10.1155/2020/7231358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317333PMC

Exploring the neglected segment of the intestine: the duodenum and its pathologies.

Pol J Radiol 2020 8;85:e230-e244. Epub 2020 May 8.

Department of Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Herein we reviewed the computed tomography (CT) findings of a spectrum of pathological entities affecting the duodenum. We discuss the CT findings of some congenital, inflammatory, traumatic, and neoplastic pathologies of the duodenum along with the conventional barium studies of selected conditions. Pathologies of this C-shaped intestinal segment, derived from both foregut and midgut, are often overlooked in clinical practice and radiological literature. Read More

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http://dx.doi.org/10.5114/pjr.2020.95477DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315055PMC

Gastrointestinal Stromal Tumor: GIST Another Duodenal Ulcer.

Ochsner J 2020 ;20(2):236-238

Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL.

Gastrointestinal stromal tumors (GISTs), although exceedingly rare, are the most common mesenchymal tumors in the gastrointestinal (GI) tract. GISTs are often asymptomatic; approximately 10% are found incidentally on imaging or endoscopy for other indications, although GI bleeding, intestinal obstruction, and perforation can occur. We present a case of upper GI bleeding from a duodenal GIST. Read More

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http://dx.doi.org/10.31486/toj.18.0167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310177PMC
January 2020

Ileosigmoid Knotting: A Rare Cause of Intestinal Obstruction and Bowel Ischemia-Case Report with Literature Review.

Open Access Emerg Med 2020 8;12:155-158. Epub 2020 Jun 8.

Department of Surgery, Jahra Hospital, Jahra, Kuwait.

Ileosigmoid knotting, also known as compound volvulus or double volvulus, is a rare surgical emergency causing intestinal obstruction. Principally, it is a closed-loop intestinal obstruction that involves the sigmoid and ileum. It is considered a rare cause of intestinal obstruction. Read More

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http://dx.doi.org/10.2147/OAEM.S250291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292370PMC

Safety of endoscopic retrograde cholangiopancreatography in the pediatric population: a multicentre study.

Endoscopy 2020 Jun 29. Epub 2020 Jun 29.

Regional University Hospital of Nancy, Hepato-Gastroenterology Department, Vandoeuvre-les-Nancy, France.

Introduction: The aims of this retrospective multicentre study were to assess the technical success and adverse events of ERCP procedures in children in French and Belgian centres.

Methods: All children aged one day to seventeen years who underwent ERCP between January 2008 and March 2019 in 15 tertiary care hospitals were retrospectively included.

Results: 271 children underwent 470 ERCP procedures. Read More

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http://dx.doi.org/10.1055/a-1209-0155DOI Listing

[Intestinal manifestations of Behçet's disease].

Ter Arkh 2019 May 15;91(5):111-119. Epub 2019 May 15.

A.N. Ryzhikh State Scientific Centre of Coloproctology.

Behçet's disease (BD) is a systemic vasculitis of unknown origin, characterized by recurrences of the ulcerative process in the oral cavity and on the genitals, inflammatory damage of the eyes, joints, vessels and other organs. The severity and prognosis of BD determines organ pathology. Intestinal manifestations of BD (intestinal BD) are the least studied. Read More

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http://dx.doi.org/10.26442/00403660.2019.05.000247DOI Listing

Appearance of fetal intestinal obstruction on fetal MRI.

Prenat Diagn 2020 Jun 28. Epub 2020 Jun 28.

Center of Imaging Diagnosis, Anhui Provincial Children's Hospital, Hefei, China.

Objective: To retrospectively analyze the imaging findings of fetal intestinal obstruction diagnosed by MRI and compare with postnatal surgery findings.

Methods: MRI data of 3346 pregnant women were retrospectively analyzed; we found 47 cases of suspected fetal small intestinal obstruction. Twenty-nine underwent postnatal surgery. Read More

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http://dx.doi.org/10.1002/pd.5779DOI Listing

Digestive Tract Injuries Caused by Ingested Foreign Bodies Containing Magnets.

Indian Pediatr 2020 Jun 24. Epub 2020 Jun 24.

Department of Pathology, School of Basic Medical Sciences ,Ningxia Medical University, Yinchuan, China.

We report on 16 children with ingestion of magnetic foreign bodies, who were identified by a medical record review of our hospital data for the time period between January, 2017 and May, 2018. Digestive tract wall was sandwiched in 13 (75%) children and 11 (74%) had gaptic intestinal perforation. Read More

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

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

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

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

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

Fetal Meconium Peritonitis - Prenatal Findings and Postnatal Outcome: A Case Series, Systematic Review, and Meta-Analysis.

Ultraschall Med 2020 Jun 23. Epub 2020 Jun 23.

Prenatal Diagnosis and Medical Genetics Program, Mount Sinai Hospital Sidney Liswood Health Sciences Library, Toronto, Canada.

Purpose:  To describe the postnatal outcome of fetal meconium peritonitis and identify prenatal predictors of neonatal surgery.

Methods:  We retrospectively reviewed all fetuses with ultrasound findings suspicious for meconium peritonitis at a single center over a 10-year period. A systematic review and meta-analysis were then performed pooling our results with previous studies assessing prenatally diagnosed meconium peritonitis and postnatal outcome. Read More

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http://dx.doi.org/10.1055/a-1194-4363DOI Listing

[Ready-to-use parenteral nutrition in a preterm infant with necrotizing enterocolitis and related complications: case report].

Recenti Prog Med 2020 Jun;111(6):13e-16e

UOC di Neonatologia e TIN, Ospedale dei Bambini, ASST Spedali Civili, Brescia.

Introduction: Necrotizing enterocolitis (NEC) is a very aggressive, destructive and sometimes lethal disease, which mainly affects infants born with severe prematurity. These patients need a complex multidisciplinary approach. The clinical course is often long and complicated, and nutritional approach should ensure a balance between the need for nutrients and the risk of complications. Read More

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http://dx.doi.org/10.1701/3394.33767DOI Listing

Laparoscopic stricturoplasty as a treatment of stenosing Crohn's disease - a video vignette.

Colorectal Dis 2020 Jun 21. Epub 2020 Jun 21.

Cirugia Colorrectal, Servicio de Cirugia General y Aparato Digestivo, Hospital Universitario Marques de Valdecilla, Santander, Spain.

Most patients with Crohn's Disease (CD) require emergency or elective surgical interventions sometime during their life. The main indications include failure of medical treatment or the development of complications, such as stenosis, inflammatory mass, perforation and fistulas. The laparoscopic approach is the technique of choice. Read More

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http://dx.doi.org/10.1111/codi.15201DOI Listing

Intrauterine device migration into the lumen of large bowel: A case report.

Int J Surg Case Rep 2020 Jun 12;72:306-308. Epub 2020 Jun 12.

Department of Abdominal Surgery, Clinic of Surgery, Vilnius City Clinical Hospital, Antakalnio 57, LT-10207, Vilnius, Lithuania; Department of Nursing and Fundamentals of Internal Medicine, Faculty of Medicine, Vilnius University, Antakalnio 57, LT-10207, Vilnius, Lithuania.

Introduction: Colon perforation caused by the intrauterine device (IUD) migration is rare, but severe complication that can occur years after the insertion. Depending on the location of the injured intestine, the different methods for extracting migrated IUD raging from colonoscopy to laparotomy can be chosen.

Case Presentation: A 41-year-old female presented with the discomfort in the epigastric area went to the outpatient clinic. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305360PMC

Neurodevelopmental and growth outcomes of extremely preterm infants with necrotizing enterocolitis or spontaneous intestinal perforation.

J Pediatr Surg 2020 May 15. Epub 2020 May 15.

Department of Pediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada. Electronic address:

Purpose: To evaluate neurodevelopment and growth in extremely preterm infants with or without necrotizing enterocolitis or spontaneous intestinal perforation.

Methods: We conducted a retrospective cohort study of infants admitted to Canadian neonatal intensive care units in 2010 to 2011. We assessed outcomes at 18 to 24 months' corrected ages for preterm infants <29 weeks of gestational age at birth with spontaneous intestinal perforation or non-perforated or perforated necrotizing enterocolitis, and for preterm infants with none of these gastrointestinal complications. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.05.013DOI Listing

Retrospective evaluation of candidemic patients among general surgery department in a tertiary care university hospital.

Turk J Surg 2019 Sep 23;35(3):210-213. Epub 2019 Sep 23.

Department of Infectious Diseases and Clinical Microbiology, Ege University School of Medicine, İzmir, Turkey.

Objectives: Candida species are among the most important causes of hospital acquired blood borne infections, and with high rates of mortality and morbidity, these infections are still a major problem today. History of gastrointestinal surgery, administration of total parenteral nutrition and/or wide spectrum antibiotics and immune suppression following organ transplantations are considered serious risk factors for these infections. This study aimed to evaluate the patients from our general surgery department with diagnosed candidemia; by means of strain, treatment and prognosis. Read More

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http://dx.doi.org/10.5578/turkjsurg.4252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795230PMC
September 2019

Secondary encapsulating peritonitis: a study of cases over five years.

Turk J Surg 2019 Sep 23;35(3):171-177. Epub 2019 Sep 23.

Department of Nephrology, Government Medical College, Srinagar, India.

Objectives: Cocoon abdomen or sclerosing encapsulating peritonitis is a rare condition characterized by bowel entrapment in a cocoon-like membrane. Primary and secondary types have been described. Most patients present acutely with intestinal obstruction or peritonitis but history of long standing chronic symptoms may be present. Read More

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http://dx.doi.org/10.5578/turkjsurg.4143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795221PMC
September 2019

Clinical prediction of complicated appendicitis: A case-control study utilizing logistic regression.

World J Clin Cases 2020 Jun;8(11):2127-2136

Department of General Medicine and Emergency Care, Toho University School of Medicine, Ota-ku, Tokyo 143-8541, Japan.

Background: Since high-quality evidence on conservative treatment of acute appendicitis using antibiotics has increased, differentiation of patients with complicated appendicitis (CA) from those with simple appendicitis (SA) has become increasingly important. Previous studies have revealed that male gender, advanced age, comorbid conditions, prehospital delay, fever, and anorexia are risk factors of perforated appendicitis. Elevated serum C-reactive protein (CRP) level and hyponatremia have also been reported as predictive biomarkers of CA. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i11.2127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281035PMC

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

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

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

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

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

Chilaiditi Sign and Chilaiditi Syndrome in Pregnancy.

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

University Hospital Centre Zagreb, Zagreb, Croatia.

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

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

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

Treatment outcomes of Kugel repair for obturator hernias: a retrospective study.

BMC Surg 2020 Jun 12;20(1):131. Epub 2020 Jun 12.

Department of General Surgery, Saitama Medical University, 38 Morohongou, Moroyama, Irumagun, Saitama, 350-0495, Japan.

Background: We examined the validity and applicability of the Kugel repair approach for obturator hernias, whereby we placed a Kugel patch through the preperitoneal space after placing a short 5-cm skin incision just medial to the anterior iliac spine and 2 cm cranial to the expected origin of the internal inguinal ring.

Methods: We studied patients who underwent surgical Kugel repair for obturator hernias at the Department of General Surgery, Saitama Medical University between 2007 and 2017. We examined the operating time, length of hospital stay, postoperative complications, and mortality rate. Read More

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http://dx.doi.org/10.1186/s12893-020-00795-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291628PMC

An abdominal spacer that does not require surgical removal and allows drainage of abdominal fluids in patients undergoing carbon ion radiotherapy.

PLoS One 2020 10;15(6):e0234471. Epub 2020 Jun 10.

Big Data Center for Integrative Analysis, Gunma University Initiative for Advance Research, Maebashi, Gunma, Japan.

Abdominal spacers are useful for maintaining the distance between the target tumors and surrounding tissues, such as the gastrointestinal tract, in patients treated with carbon ion radiotherapy. Surgical intervention to remove the spacers is sometimes necessary because of abdominal infections triggered by long-term spacer placement or intestinal perforation. Therefore, spacers that do not require surgical removal and provide effective drainage against abdominal infections are urgently needed. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0234471PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286516PMC

Bowel perforation of ventriculoperitoneal shunt catheter: endoscopically treated two cases.

Childs Nerv Syst 2020 Jun 9. Epub 2020 Jun 9.

Department of Neurosurgery, Adana City Education and Research Hospital, Adana, Turkey.

Purpose: Many techniques were used for the treatment of hydrocephalus, and ventriculoperitoneal shunt surgery is a widely used procedure. Ventriculoperitoneal shunt surgery has been associated with several complications like obstruction of the tube, infection, cerebrospinal fluid loculation, intestinal obstruction, migration of the shunt, and perforation of the intestinal organs. Perforation of the bowel owing to protrusion of ventriculoperitoneal shunt catheter from the anus is an extremely rare complication. Read More

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http://dx.doi.org/10.1007/s00381-020-04709-0DOI Listing

Neutrophil extracellular trap inhibition increases inflammation, bacteraemia and mortality in murine necrotizing enterocolitis.

J Cell Mol Med 2020 Jun 8. Epub 2020 Jun 8.

Oklahoma Medical Research Foundation, Cardiovascular Biology Research Program, Oklahoma City, OK, USA.

Necrotizing enterocolitis (NEC) is a devastating gastrointestinal disease affecting primarily premature infants. The disease is characterized by intestinal inflammation and leucocyte infiltration, often progressing to necrosis, perforation, systemic inflammatory response and death. Neutrophil extracellular traps (NETs), denoting nuclear DNA, histone and antimicrobial protein release, have been suggested to play a role in NEC. Read More

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http://dx.doi.org/10.1111/jcmm.15338DOI Listing

Neonatal thrombotic microangiopathy secondary to factor I variant with Hirschsprung disease.

J Nephrol 2020 Jun 8. Epub 2020 Jun 8.

Department of Pediatrics, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Neonatal thrombotic microangiopathy (TMA) is a rare and severe disease characterized by a triad of non-immune hemolytic anemia, thrombocytopenia, and organ dysfunction in neonates. We describe herein an early-term infant who underwent hemicolectomy at 4 days of age due to intestinal perforation. Following surgery, the patient had recurrent bouts of vomiting and abdominal distention, together with acute kidney injury, non-immune hemolytic anemia, and severe thrombocytopenia. Read More

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http://dx.doi.org/10.1007/s40620-020-00766-5DOI Listing

Quality Improvement Efforts Reduce Incidence of Surgical Necrotizing Enterocolitis and Related Deaths.

Am J Perinatol 2020 Jun 8. Epub 2020 Jun 8.

Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio.

Objective:  The aim of this study was to determine whether a regional quality improvement (QI) initiative decreased incidence and severity of surgical necrotizing enterocolitis (NEC) in very low birth weight (VLBW) infants.

Study Design:  A retrospective review of all VLBW infants who received care at one of the three hospitals involved in a NEC QI initiative from 2011 to 2016. Primary outcome was the number of surgical NEC cases per year. Read More

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http://dx.doi.org/10.1055/s-0040-1712967DOI Listing

Complications Following the Use of Biologic Mesh in Ileostomy Closure: A Retrospective, Comparative Study.

Wound Manag Prev 2020 Jun;66(6):16-22

Department of Surgery, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Republic of Korea.

Prophylactic placement of mesh in the abdominal wall during ileostomy closure can decrease the rate of hernia formation. However, few studies have evaluated the safety of biologic mesh in ileostomy closure.

Purpose: This study aimed to investigate the safety of biologic mesh in ileostomy closure, specifically the need to remove the mesh due to infection. Read More

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Sigmoid Perforation by a Migrated Plastic Biliary Stent.

GE Port J Gastroenterol 2020 Apr 9;27(3):215-218. Epub 2019 Oct 9.

Gastroenterology Department, Centro Hospitalar de Leiria, Leiria, Portugal.

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http://dx.doi.org/10.1159/000503076DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250348PMC

Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study.

Gastroenterol Res Pract 2020 19;2020:3814267. Epub 2020 May 19.

Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

Background And Aims: Balloon-assisted enteroscopy (BAE) can be used to retrieve small intestinal foreign bodies (FBs). Here, we aimed at exploring the clinical usefulness of BAE for the retrieval of small intestinal FBs.

Methods: We retrospectively reviewed the medical records of 34 patients who underwent BAE to retrieve small intestinal FBs at 3 tertiary referral centers between April 2005 and June 2017. Read More

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http://dx.doi.org/10.1155/2020/3814267DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254084PMC

Development and validation of risk models for mortality and morbidity in 12 major pediatric surgical procedures: A study from the National Clinical Database-Pediatric of Japan.

J Pediatr Surg 2020 Apr 12. Epub 2020 Apr 12.

Department of Pediatric Surgery, Osaka Women's and Children's Hospital, Izumi, Japan; National Clinical Database Committee and (l)) Pediatric Surgical Database Committee, The Japanese Society of Pediatric Surgeons, Tokyo, Japan.

Purpose: To establish and validate risk models of mortality and morbidity associated with 12 major pediatric surgical procedures using the National Clinical Database-Pediatric (NCD-P) data.

Methods: We used the NCD-P data for the development and validation datasets. By using multivariate logistic regression to analyze the development dataset, we created a prediction model for 30-day mortality and morbidity in 12 major pediatric surgical procedures, including tracheoplasty, pneumonectomy, fundoplication, total/subtotal excision of malignant tumor, and surgeries for Hirschsprung disease, anorectal malformation, biliary atresia, choledocal cyst, midgut volvulus, funnel chest, gastrointestinal perforation, and intestinal obstruction. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.03.031DOI Listing

Bowel perforation after liposuction in abdominal contouring surgery: Case report.

Int J Surg Case Rep 2020 May 21;72:5-9. Epub 2020 May 21.

Clinic of Plastic and Reconstructive Surgery, Neuroscience Department, University of Padua, Italy.

Introduction: Liposuction is one of the most performed procedures in aesthetic plastic surgery worldwide, and its spectrum of applications covers almost all body areas. Systemic or visceral complications following liposuction are rare, but unfortunately, they can be very serious.

Presentation Of Case: We discuss the case of a 69 y. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276379PMC

Liver abscess caused by fish bone perforation of Meckel's diverticulum: a case report.

BMC Surg 2020 Jun 5;20(1):121. Epub 2020 Jun 5.

Department of Gastroenterological surgery, Osaka City University Graduate School of Medicine, 1-5-7 asahimachi, abeno-ku, osaka-shi, Osaka-fu, 545-8586, Japan.

Background: Liver abscess due to gastrointestinal perforation by foreign bodies is rare. Furthermore, there are few case reports of liver abscess via the portal vein caused by perforation of the lower gastrointestinal tract by a foreign body.

Case Presentation: A 54-year-old man visited our hospital because of a fever that had lasted for 1 month. Read More

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http://dx.doi.org/10.1186/s12893-020-00783-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275410PMC

Type II enteropathy-associated T cell lymphoma in the duodenum: A rare case report.

Medicine (Baltimore) 2020 Jun;99(23):e20050

Department of Gastroenterological Surgery.

Introduction: Enteropathy-associated T-cell lymphoma (EATL) is a very rare form of lymphoma in the gastrointestinal tract. The proximal jejunum and ileum are the most common sites of EATL, whereas EATL rarely arises in the duodenum, and EATL involving metastasis of the bilateral ovaries is even rarer.

Patient Concerns: A 43-year-old female suffered from upper abdominal pain and weight loss for 3 months. Read More

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http://dx.doi.org/10.1097/MD.0000000000020050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306349PMC
June 2020
5.723 Impact Factor

Intestinal perforations after endoscopic retrograde cholangiopancreatography in the United States: a 16-year study using the national inpatient sample.

Minerva Gastroenterol Dietol 2020 Jun 2. Epub 2020 Jun 2.

University of Utah School of Medicine, Salt Lake City, UT, USA -

Background: Intestinal perforation is a rare but feared complication of ERCP. In this study, we identify patient and hospital factors for ERCP related intestinal perforation using a large national database. We also examine the effects of intestinal perforations on hospital outcomes. Read More

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http://dx.doi.org/10.23736/S1121-421X.20.02718-XDOI Listing

Cecal Perforation by a Large Gallstone: An Unusual Diagnosis.

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

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

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

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

Non-Hodgkin Lymphoma of the jejunum presenting as perforation peritonitis: A case report.

Ann Med Surg (Lond) 2020 Jul 18;55:131-134. Epub 2020 May 18.

Department of Surgery, Faculty of Medicine, Hasanuddin University Makassar, Indonesia.

Primary gastrointestinal lymphoma is very rare compared to gastrointestinal tract lymphoma arising from secondary to primary nodal disease. Extra nodal lymphoma can involve any part of the gastrointestinal tract, most commonly being the stomach followed by small intestine and ileocecal region. They are indistinguishable from other benign and malignant conditions and are clinically non-specific. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.04.041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251296PMC

A Rare Access Site Complication after Transcatheter Aortic Valve Implantation.

J Tehran Heart Cent 2019 Oct;14(4):187-190

Department of Cardiology, Medical Park Izmir Hospital, İzmir, Turkey.

In the majority of patients undergoing transcatheter aortic valve implantation, the transfemoral access is the suggested approach due to its less invasive nature and feasibility in patients with suitable vascular anatomy. The complications of the transfemoral access site are generally vascular; however, we herein present a rare case of colon perforation following the transfemoral procedure owing to prior abdominal surgery. A transfemoral aortic valve was inserted on account of severe aortic stenosis and a high probability of surgical mortality. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231681PMC
October 2019

Thermal effects of monopolar electrosurgery detected by real-time infrared thermography: an experimental appendectomy study.

BMC Surg 2020 May 27;20(1):116. Epub 2020 May 27.

Pirogov Russian National Research Medical University, Ostrovitianov str. 1, Moscow, 117997, Russia.

Background: Monopolar energy (ME) is routinely used in appendectomy. This study aimed to investigate the degree of lateral thermal spread generated by ME and to evaluate the thermal injury sustained by the close-lying tissues.

Methods: Appendectomy with a monopolar Maryland dissector was performed in 8 rabbits (at 30 and 60 W power settings). Read More

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http://dx.doi.org/10.1186/s12893-020-00735-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251678PMC

A case report of iatrogenic gas gangrene post colonoscopy successfully treated with conservative management- is surgery always necessary?

BMC Gastroenterol 2020 May 27;20(1):163. Epub 2020 May 27.

The Mater Hospital, Townsville, Australia.

Background: Colonoscopy is a routine procedure in diagnosis and treatment of colonic disease. While generally regarded as a safe procedure, potentially fatal complications can occur. Gas gangrene is one such complication, with very high mortality. Read More

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http://dx.doi.org/10.1186/s12876-020-01314-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254699PMC

A Unilateral Mucoperichondrial/Mucoperiosteal Flap Including Inferior Turbinate with Contralateral Underlay Xenograft for a Large Nasal Septal Perforation Repair.

Facial Plast Surg Aesthet Med 2020 May 22. Epub 2020 May 22.

Department of ENT, Royal National ENT & Eastman Dental Hospitals, London, United Kingdom.

We describe a septal perforation repair technique aimed for moderate to large perforations, which involves a unilateral transpositional/rotational flap utilizing lateral nasal wall and inferior turbinate (IT) mucosa and a contralateral underlay porcine small intestinal submucosa mesh. The addition of IT mucosa as part of the unilateral lateral nasal wall mucoperichondrium/periosteal flap combined with a contralateral acellular matrix underlay optimizes the repair of larger perforations. The underlay acellular matrix acts as a scaffold for the regeneration of healthy mucoperichondrium akin to a tympanoplasty repair and reduces donor site morbidity. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0022DOI Listing

Burden of Complicated Intra-Abdominal Infections in Children in Nigeria: Recent Experience and Systematic Review.

Surg Infect (Larchmt) 2020 May 21. Epub 2020 May 21.

Division of Paediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria.

Intra-abdominal infections encompass a wide range of conditions from uncomplicated appendicitis to fecal peritonitis. Little is known about the burden of complicated intra-abdominal infection (cIAIs) in children in low- and middle-income countries (LMICs). This a report of recent experience and a systematic review of the burden in Nigeria. Read More

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http://dx.doi.org/10.1089/sur.2020.118DOI Listing

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

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

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

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

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

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