1,176 results match your criteria Intestinal Pseudo-obstruction Surgical Treatment


A Flare-up of Systemic Lupus Erythematosus with Unusual Enteric Predominance.

Cureus 2020 Feb 21;12(2):e7068. Epub 2020 Feb 21.

Internal Medicine, Texas Tech University Health Sciences Center of the Permian Basin, Odessa, USA.

Enteritis associated with systemic lupus erythematosus (SLE) is a rare and unusual manifestation of the gastrointestinal (GI) consequences of SLE itself. Complications of the enteritis component include mesenteric vasculitis, intestinal pseudo-obstruction, and protein-losing enteropathy. Lupus enteritis is very responsive to treatment with pulse steroids in almost 70% of the patients, but it is critical to diagnose it early to prevent devastating organ damage. Read More

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http://dx.doi.org/10.7759/cureus.7068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089623PMC
February 2020

Paracolostomy Evisceration: Short Review and a New Case Report.

Chirurgia (Bucur) 2020 Jan-Feb;115(1):95-101

Diverting ostomy is a commonly perfomed procedure but may be associated to its own morbidity (early or late complications). Colostomy-related evisceration is a rare but potentially life threatening condition (requiring emergency surgery), relatively undocumented for its mechanisms. Case report: A male aged 84 was admited for chronic low digestive occlusion due to a locally advanced, stenosing, rectal adenocarcinoma. Read More

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http://dx.doi.org/10.21614/chirurgia.115.1.95DOI Listing

Percutaneous endoscopic cecostomy in the treatment of recurrent colonic pseudo-obstruction a case report of the first procedure in the Czech Republic.

Rozhl Chir 2019 ;98(9):375-378

We present the case of an 89-year-old polymorbid female patient with recurrent acute colonic pseudo-obstruction who was treated by performing percutaneous endoscopic cecostomy as the first procedure of its kind in the Czech Republic. The patient presented repeatedly with ileous conditions without evidence of an organic cause. Surgical colostomy was proposed with a possibility of subtotal colectomy as an ultimum refugium due to an insufficient effect of maximum conservative management and a need for repeated endoscopic decompression. Read More

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http://dx.doi.org/10.33699/PIS.2019.98.9.375-378DOI Listing
November 2019

Management of the Patient with Chronic Intestinal Pseudo-Obstruction and Intestinal Failure.

Gastroenterol Clin North Am 2019 12 8;48(4):513-524. Epub 2019 Oct 8.

Chronic Intestinal Failure Unit, Department of Medical and Surgical Sciences, Saint Orsola Hospital, University of Bologna, Bologna, Italy.

Chronic intestinal pseudo-obstruction (CIPO) is a severe form of intestinal dysmotility disorder, characterized by the impairment of gastrointestinal propulsion of the gut content in the absence of fixed occluding lesions. CIPO is a rare disease that can develop in both children and adults. CIPO is classified as primary/idiopathic, when no underlying disorder is demonstrated, or secondary, when related to systemic diseases. Read More

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http://dx.doi.org/10.1016/j.gtc.2019.08.005DOI Listing
December 2019
4 Reads

Pyridostigmine in Pediatric Intestinal Pseudo-obstruction: Case Report of a 2-year Old Girl and Literature Review.

J Neurogastroenterol Motil 2019 10;25(4):508-514

Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

Pediatric chronic intestinal pseudo-obstruction is a rare disorder characterized by a severe impairment of gastrointestinal motility leading to intestinal obstruction symptoms in the absence of mechanical causes. The diagnosis is usually clinical and diagnostic work is usually aimed to rule out mechanical obstruction and to identify any underlying diseases. Treatment is challenging and requires a multidisciplinary effort. Read More

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http://dx.doi.org/10.5056/jnm19078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786444PMC
October 2019
3 Reads

Colonic Decompression Reduces Proximal Acute Colonic Pseudo-obstruction and Related Symptoms.

Dis Colon Rectum 2020 01;63(1):60-67

Department of Gastroenterology, Hepatology, & Nutrition, Digestive Disease & Surgical Institute, Cleveland, Ohio.

Background: Colonoscopic decompression is performed in inpatients for management of acute colonic pseudo-obstruction. Evidence for its efficacy is limited to small descriptive studies published before the use of neostigmine for acute colonic pseudo-obstruction. Furthermore, therapeutic end points were not defined. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001492DOI Listing
January 2020
1 Read

Black esophagus, is it as bad as it seems?

Gastroenterol Hepatol 2019 Dec 3;42(10):632-633. Epub 2019 Sep 3.

Unidad de Gestión Clínica del Aparato Digestivo, Hospital Universitario San Cecilio, Granada, España.

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http://dx.doi.org/10.1016/j.gastrohep.2019.06.004DOI Listing
December 2019

Meta-analysis of the effects of lidocaine on postoperative reflux in the horse.

Vet Surg 2020 Jan 9;49(1):44-52. Epub 2019 Jul 9.

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, Wisconsin.

Objective: To determine the efficacy of lidocaine at reducing incidence of postoperative reflux (POR) in horses by using quantitative statistical analysis.

Study Design: Systematic meta-analytical review.

Sample Population: Studies on horses undergoing gastrointestinal surgery for small intestinal lesions, identified by systematic search between 2001 and 2017. Read More

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http://dx.doi.org/10.1111/vsu.13286DOI Listing
January 2020

Gastrointestinal: "Introducer-to-pull type switch" approach for long-term percutaneous endoscopic cecostomy.

Authors:
V Zimmer J Schreck

J Gastroenterol Hepatol 2019 12 1;34(12):2059. Epub 2019 Jul 1.

Department of Medicine, Marienhausklinik St. Josef Kohlhof, Neunkirchen, Germany.

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http://dx.doi.org/10.1111/jgh.14728DOI Listing
December 2019
5 Reads

POLYSEROSITIS AND SEVERE SEPSIS AFTER OPEN SUPRAPUBIC RADICAL PROSTATECTOMY: A CASE REPORT.

Acta Clin Croat 2018 Dec;57(4):789-791

1Sveti Duh University Hospital, Department of Urology, Zagreb, Croatia; 2Sveti Duh University Hospital, Department of Neurology, Stroke and Intensive Care Unit, Zagreb, Croatia; 3Josip Juraj University of Osijek, Faculty of Medicine, Osijek, Croatia.

- Infections are well-known complications of radical prostatectomy. In the United States and Europe, the rates of surgical site infections are generally less than 1% and of other infections up to 3%. We report a case of a 62-year-old man who developed severe sepsis with renal insufficiency, paralytic ileus and polyserositis after radical prostatectomy, as a consequence of probable quinolone-resistant bacterial infection. Read More

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https://hrcak.srce.hr/index.php?show=clanak&id_clanak_je
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http://dx.doi.org/10.20471/acc.2018.57.04.25DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6544098PMC
December 2018
13 Reads

Present status of prophylactic thyroidectomy in pediatric multiple endocrine neoplasia 2: a nationwide survey in Japan 1997-2017.

J Pediatr Endocrinol Metab 2019 Jun;32(6):585-595

Department of Pediatrics, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Ichihara-shi, Chiba 299-0111, Japan.

Background In Japan, prophylactic thyroidectomy involves out-of-pocket expense. The American Thyroid Association (ATA) recommends prophylactic thyroidectomy for medullary thyroid carcinoma (MTC) during early childhood in patients with multiple endocrine neoplasia type 2 (MEN2). The ATA reports a high frequency of postoperative complications in childhood, which also influenced the delay of prophylactic thyroidectomy in Japan. Read More

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http://dx.doi.org/10.1515/jpem-2018-0444DOI Listing
June 2019
16 Reads

Acute colonic pseudo-obstruction in elderly Report of a case.

Ann Ital Chir 2019 May 5;8. Epub 2019 May 5.

A case of acute colonic obstruction in an elderly patient is presented, with a brief discussion about peculiar aspects to pseudo-obstruction and particularly chronic idiopathic intestinal pseudo-obstruction (CIIP), in which it was classified by pathologists. Clinical and therapeutic implications of this classification are also discussed. In authors'opinion, interesting aspects of the reported case are represented by the acute presentation, without previous symptoms at medical history and above all by the evidence of a recto-sigmoid junction intraoperatively palpable mass, mimicking ring-like neoplastic disease. Read More

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May 2019
11 Reads

Appendiceal fat stranding on CT: a red herring in a post-caesarean section woman with Ogilvie's syndrome (OS).

BMJ Case Rep 2019 May 19;12(5). Epub 2019 May 19.

Department of Surgery, Cairns Hospital, Cairns North, Queensland, Australia.

A 30-year-old woman was referred for a surgical review with abdominal pain and distension 2 days post-caesearean section. Abdominal X-ray showed dilated bowel loops. CT of her abdomen however showed fat stranding around a thickened appendix, suggesting a differential diagnosis of acute appendicitis on top of a postoperative ileus. Read More

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http://dx.doi.org/10.1136/bcr-2019-229228DOI Listing
May 2019
4 Reads

Acute colonic pseudoobstruction (Ogilvie's syndrome) in gynecologic and obstetric patients: case report and systematic review of the literature.

Arch Gynecol Obstet 2019 07 15;300(1):117-126. Epub 2019 May 15.

Department of Obstetrics and Gynecology, Ruhr-Universität Bochum-Marien Hospital Herne, Hölkeskampring 45, 44625, Herne, Germany.

Background: Acute colonic pseudo-obstruction or Ogilvie's syndrome (OS) is a rare form of postsurgical or posttraumatic complication. OS rarely occurs in the postoperative course of gynecologic and obstetric patients and is difficult to diagnose.

Case Presentation: We present the case of an 83-years-old patient with carcinosarcoma of the uterus who developed OS with non-obstructive dilation of the right hemicolon and intraabdominal compression after total abdominal hysterectomy, omentectomy, and lymphadenectomy. Read More

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http://dx.doi.org/10.1007/s00404-019-05170-4DOI Listing
July 2019
27 Reads

Chronic intestinal pseudo-obstruction with pneumatosis cystoides intestinalis in a patient with systemic sclerosis: A case report.

Medicine (Baltimore) 2019 May;98(18):e15480

Division of Gastroenterology and Hepatology.

Rationale: Chronic intestinal pseudo-obstruction (CIPO) and pneumatosis cystoides intestinalis (PCI) are rare abdominal diseases and the pathological mechanisms have not been fully elucidated. Systemic sclerosis (SSc), which is characterized by the progressive sclerotic changes of skin and internal organs, is a refractory collagen disease and is frequently associated with digestive disorders including CIPO.

Patient Concerns: A 68-year-old woman who has been well managed for SSc over the long term, who presented with abdominal fullness for the first time. Read More

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http://dx.doi.org/10.1097/MD.0000000000015480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504328PMC
May 2019
12 Reads

[Single balloon enteroscopy in the management of small bowel pathology. Experience of the Small Bowel Unit - British American Hospital from December 2012 to December 2018].

Rev Gastroenterol Peru 2019 Jan-Mar;39(1):27-37

Clínica Anglo Americana. Lima, Perú.

Objetive: To describe our experience with single balloon enteroscopy in the management of small bowel disease in British American Hospital, Lima - Perú.

Material And Methods: Descriptive and prospective study. We include all patients that come to perform a single balloon enteroscopy in small bowel unit of British American Hospital within December 2012 to December 2018. Read More

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January 2020
4 Reads

Ogilvie syndrome in a 8 year old girl after laparoscopic appendectomy.

BMC Pediatr 2019 03 20;19(1):82. Epub 2019 Mar 20.

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

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

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

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

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http://dx.doi.org/10.1186/s12887-019-1457-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425584PMC
March 2019
6 Reads

Postoperative paralytic ileus after major oncological procedures in the enhanced recovery after surgery era: A population based analysis.

Surg Oncol 2019 Mar 29;28:201-207. Epub 2019 Jan 29.

Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Quebec, Canada; Centre de Recherche du Centre Hospitalier de L'Université de Montréal (CR-CHUM), Institut du Cancer de Montréal, Montréal, Québec, Canada.

Background: Enhanced recovery after surgery (ERAS) protocols have been developed and implemented as of 2001 and may have significantly reduced several complication types including paralytic ileus. However, no formal analyses targeted paralytic ileus rates after contemporary major surgical oncology procedures. We examined temporal trends of paralytic ileus following ten major oncological surgical procedures. Read More

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http://dx.doi.org/10.1016/j.suronc.2019.01.011DOI Listing
March 2019
7 Reads

Acquired diverticular disease of the jejunum and ileum: imaging features and pitfalls.

Abdom Radiol (NY) 2019 05;44(5):1734-1743

Department of Radiology, Fondation Hôpital Saint-Joseph, 185 rue Raymond Losserand, 75674, Paris, France.

Purpose: To present radiological aspects of jejunoileal diverticulosis and its complications.

Results: Jejunoileal diverticulosis is a relatively rare and underestimated condition, which mostly affects the elderly. It is frequently asymptomatic but it can lead to significant complications requiring surgical treatment. Read More

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http://dx.doi.org/10.1007/s00261-019-01928-1DOI Listing
May 2019
13 Reads

[Acute colonic pseudo-obstruction after caesarean section; Ogilvie's syndrome].

Ned Tijdschr Geneeskd 2019 02 7;163. Epub 2019 Feb 7.

Ikazia Ziekenhuis, afd. Gynaecologie en Verloskunde, Rotterdam.

Background: Acute pseudo-obstruction of the colon - also known as Ogilvie's syndrome - is a rare clinical presentation in obstetrics. The syndrome is seen more often following caesarean section than vaginal delivery.

Case Description: We present a 38-year-old primigravida who developed Ogilvie's syndrome following secondary caesarean section. Read More

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February 2019
6 Reads

Idiopathic Dilatation of the Colon in a Nursing Home Resident, with a Suspected Acute Colonic Pseudo-Obstruction (Ogilvie Syndrome).

J Coll Physicians Surg Pak 2019 Feb;29(2):178-180

Department of Surgery, Fourth Military Teaching Hospital, 5 Weigla Street, 50-981 Wroclaw, Poland.

Ogilvie syndrome (acute colonic pseudo-obstruction) represents a clinical condition with symptoms of colonic obstruction without a distinct mechanical factor. The damage to the neural ganglia in the intestinal wall is the most likely etiology. A 62-year man was admitted to the Emergency Department due to acute dyspnea and vomiting. Read More

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https://www.jcpsp.pk/archive/2019/Feb2019/19.pdf
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http://dx.doi.org/10.29271/jcpsp.2019.02.178DOI Listing
February 2019
32 Reads

A rare complication of cardiac surgery: Ogilvie syndrome.

J Postgrad Med 2019 Jan-Mar;65(1):56-57

Department of Faculty Surgery, South Ural State Medical University, Chelyabinsk, Russia.

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http://dx.doi.org/10.4103/jpgm.JPGM_405_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380123PMC
May 2020
7 Reads

INTESTINAL DYSMOTILITY MIMICKING OBSTRUCTION IN PATIENTS WITH PRIOR BOWEL RESECTION SURGERY.

Gastroenterol Nurs 2019 Jan/Feb;42(1):95-100

Monica Y. Choe, RN, BSN, DNP Candidate, Division of Gastroenterology & Hepatology, Stanford University School of Medicine, Redwood City, California. Neha D. Shah, MPH, RD, CNSC, Division of Gastroenterology & Hepatology, Stanford University School of Medicine, Redwood City, California. Kirsten Regalia, MD, Division of Gastroenterology & Hepatology, Stanford University School of Medicine, Redwood City, California. Berkeley N. Limketkai, PhD, MD, Division of Gastroenterology & Hepatology, Stanford University School of Medicine, Redwood City, California.

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http://dx.doi.org/10.1097/SGA.0000000000000425DOI Listing
November 2019
2 Reads

Assessment and outcome of pediatric intestinal pseudo-obstruction: A tertiary-care-center experience from Turkey.

Turk J Gastroenterol 2019 Apr;30(4):357-363

Department of Pediatric Surgery, Izmir Katip Çelebi University - SBU Tepecik Training and Research Hospital, İzmir, Turkey.

Background/aims: Pediatric intestinal pseudo-obstruction (PIPO) is a severe disorder of gut motility. In this rare and difficult-to-manage disease, complex treatment method, such as intestinal transplantation, is sometimes needed. This study evaluated the management and follow-up results of patients with PIPO who received treatment at our center. Read More

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http://dx.doi.org/10.5152/tjg.2019.18287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453653PMC
April 2019
39 Reads

Laparoscopic subtotal colectomy for a patient with chronic idiopathic colonic pseudo-obstruction: Report of a case.

Asian J Endosc Surg 2019 Oct 7;12(4):469-472. Epub 2019 Jan 7.

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

A 47-year-old male patient without a documented past medical history was referred to Sanno Hospital because of constipation and abdominal pain, which he had had for more than 5 years. Abdominal X-ray and CT scan showed an enlarged ascending colon from the cecum to the transverse colon, without apparent mechanical obstruction. The patient was diagnosed with chronic idiopathic colonic pseudo-obstruction, and because his symptoms were resistant to medication, surgical treatment was required. Read More

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http://dx.doi.org/10.1111/ases.12682DOI Listing
October 2019
13 Reads

Pseudo-obstruction But a Real Perforation.

Authors:

AORN J 2019 01;109(1):142-144

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http://dx.doi.org/10.1002/aorn.12442DOI Listing
January 2019
1 Read

Primary gastrointestinal amyloidosis with gastrointestinal hemorrhage and intestinal pseudo-obstruction: a report of a rare case.

Clin J Gastroenterol 2019 Jun 20;12(3):258-262. Epub 2018 Dec 20.

Division of Gastroenterology, St. Luke's International Hospital, 9-1 Akashi-cho chuo-ku, Tokyo, 104-8340, Japan.

Amyloidosis is a syndrome involving amyloid protein deposition in various organs, resulting in organ dysfunction. Symptoms of gastrointestinal amyloidosis are usually nonspecific, such as diarrhea and body weight loss. We, here, report a patient who presented to the hospital with simultaneous hematemesis, melena, and intestinal pseudo-obstruction, leading to a diagnosis of primary gastrointestinal amyloidosis based on computed tomography (CT) and endoscopic findings. Read More

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http://dx.doi.org/10.1007/s12328-018-00929-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542774PMC
June 2019
2 Reads

Effectiveness of acupuncture for recovery of flatulence after cesarean section: A case report.

Medicine (Baltimore) 2018 Dec;97(50):e13352

First Affiliated Hospital of Guangzhou University of Chinese Medicine.

Rationale: Postoperative ileus with flatulence is a common symptom in patients who have undergone cesarean section, and it can lead to peritonitis and intestinal perforation. However, few previous reports described therapeutic effects of acupuncture in women with flatulence after cesarean delivery. We reported a case of 29-year-old woman with abdominal flatulence after cesarean section. Read More

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http://dx.doi.org/10.1097/MD.0000000000013352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320196PMC
December 2018
11 Reads

Stem cells for babies and their surgeons: The future is now.

J Pediatr Surg 2019 Jan 5;54(1):16-20. Epub 2018 Oct 5.

Division of Pediatric Surgery, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90027, USA. Electronic address:

Pediatric surgeons are ideal allies for the translation of basic science including stem cell therapies. In the spirit of Robert E. Gross, of applying creative solutions to pediatric problems with technical expertise, we describe the impending cellular therapies that may be derived from stem and progenitor cells. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.027DOI Listing
January 2019
8 Reads

Acquired isolated hypoganglionosis as a distinct entity: results from a nationwide survey.

Pediatr Surg Int 2019 Feb 19;35(2):215-220. Epub 2018 Nov 19.

Japanese Study Group for Allied Disorders of Hirschsprung's Disease, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Purpose: Acquired isolated hypoganglionosis (A-IH) is a late-onset intestinal pseudo-obstruction disorder and shows different pathophysiological findings from congenital isolated hypoganglionosis (C-IH). In this study, we retrospectively examined five cases of A-IH and investigated the features of A-IH.

Methods: Five cases of A-IH were extracted from a nationwide retrospective cohort study in 10 years, from which totally 355 cases of Allied Disorders of Hirschsprung's Disease (ADHD) were collected. Read More

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http://link.springer.com/10.1007/s00383-018-4398-y
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http://dx.doi.org/10.1007/s00383-018-4398-yDOI Listing
February 2019
34 Reads

Stimulation the efferent limb before loop ileostomy closure with short chain fatty acids.

Cir Esp 2019 Jan 15;97(1):59-61. Epub 2018 Oct 15.

Unidad de Coloproctología, Servicio de Cirugía G y Digestiva, Hospital Clínico Universitario de Santiago, Santiago de Compostela, España.

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https://linkinghub.elsevier.com/retrieve/pii/S0009739X183019
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http://dx.doi.org/10.1016/j.ciresp.2018.06.018DOI Listing
January 2019
14 Reads

Esophageal dysmotility: An intrinsic feature of megacystis, microcolon, hypoperistalsis syndrome (MMIHS).

J Pediatr Surg 2019 Jul 7;54(7):1303-1307. Epub 2018 Sep 7.

Department of Pediatrics, Cincinnati Children's Hospital Medical Center and the University of Cincinnati College of Medicine, The Ohio State University College of Medicine and Nationwide Children's Hospital.

Objectives: Megacystis-microcolon-hypoperistalsis syndrome (MMIHS) also called Berdon's Syndrome, is a smooth muscle myopathy that results in an enlarged bladder, microcolon, and small bowel hypoperistalsis. In our series of six patients with this disorder, all had disordered swallowing. Therefore, we prospectively characterized esophageal structure and function in all. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.08.051DOI Listing
July 2019
41 Reads

Mitochondrial neurogastrointestinal encephalomyopathy imitating Crohn's disease: a rare cause of malnutrition.

J Gastrointestin Liver Dis 2018 Sep;27(3):321-325

Department of Gastroenterology, University Hospital Bohunice, Brno; Department of Surgery, University Hospital Bohunice, Brno, Czech

Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is a rare autosomal recessive disease caused by a mutation in the TYMP gene encoding thymidine phosphorylase. MNGIE causes gastrointestinal and neurological symptoms in homozygous individuals and is often misdiagnosed as anorexia nervosa, inflammatory bowel disease, or celiac disease. We present the case of a 26-year-old female with MNGIE, who was initially diagnosed with anorexia nervosa and Crohn's disease. Read More

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http://dx.doi.org/10.15403/jgld.2014.1121.273.kucDOI Listing
September 2018
12 Reads

Chronic intestinal pseudo-obstruction due to al amyloidosis: a case report and literature review.

Clin J Gastroenterol 2019 Apr 19;12(2):176-181. Epub 2018 Sep 19.

Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine, Minami 1-Jo Nishi 16-Chome, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan.

A 59-year-old woman presented to our hospital with a 6-month history of nausea, weight loss, and abdominal distension. Physical examination revealed abdominal distension without tenderness, and edema, numbness, and multiple peripheral neuropathy in the limbs. Blood test results showed anemia, hypoproteinemia, and hypoalbuminemia. Read More

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http://dx.doi.org/10.1007/s12328-018-0909-6DOI Listing
April 2019
45 Reads

Causes and prognosis of chronic intestinal pseudo-obstruction in 48 subjects: A 10-year retrospective case series.

Medicine (Baltimore) 2018 Sep;97(36):e12150

Department of Pediatric Surgery, Xin Hua Hospital, School of Medicine, Shanghai Jiao Tong University.

The aim of the study was to evaluate the prognosis and survival of pediatric subjects with chronic intestinal pseudo-obstruction (CIPO) and investigate the independent risk factors affecting their prognosis.This was a retrospective case series of all pediatric subjects suffering from CIPO and treated at the Pediatric Surgical ward of Xinhua Hospital between January 2006 and January 2016.The overall mortality was 19/48 (39. Read More

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http://dx.doi.org/10.1097/MD.0000000000012150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133590PMC
September 2018
17 Reads

Ogilvie syndrome following pediatric scoliosis surgery.

J Musculoskelet Neuronal Interact 2018 09;18(3):399-401

University of Calgary Cumming School of Medicine, Calgary, AB, Canada.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146187PMC
September 2018
6 Reads

Protective loop ileostomy increases the risk for prolonged postoperative paralytic ileus after open oncologic rectal resection.

Int J Colorectal Dis 2018 Nov 15;33(11):1551-1557. Epub 2018 Aug 15.

Department of General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Hospital of Giessen, Rudolf-Buchheim-Strasse 7, 35392, Giessen, Germany.

Purpose: Postoperative gut dysmotility is a physiologic and frequent temporary reaction after major abdominal surgery. If paralysis merges into a prolonged ileus state, it causes significant morbidity and subsequently worse outcome and discomfort for the patients. Pathophysiology of pathologic prolonged postoperative paralytic ileus remains multifactorial. Read More

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http://dx.doi.org/10.1007/s00384-018-3142-3DOI Listing
November 2018
42 Reads

Risk of Opioid-Related Adverse Events After Primary and Revision Total Knee Arthroplasty.

J Surg Orthop Adv Summer 2018;27(2):148-154

Exponent, Inc., Philadelphia, Pennsylvania.

Postoperative analgesia after primary total knee arthroplasty (TKA) and revision knee arthroplasty (RKA) can be reliant on the use of opioids and may lead to opioid-related adverse events (ORAEs). This study evaluated the risk of ORAEs following TKA and RKA using the 5% Medicare claims (2010-2013) database. There were 41,702 TKA and 3817 RKA patients who met the inclusion criteria. Read More

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September 2018
8 Reads

Clinical characteristics of lupus enteritis in Japanese patients: the large intestine-dominant type has features of intestinal pseudo-obstruction.

Lupus 2018 Sep 20;27(10):1661-1669. Epub 2018 Jul 20.

Division of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan.

This study was performed to investigate the clinical characteristics of lupus enteritis in Japanese patients with systemic lupus erythematosus (SLE). A total of 481 patients with SLE admitted to our hospital between 2001 and 2015 were retrospectively reviewed. Diagnosis of lupus enteritis was based on the following three criteria: (1) abdominal symptoms, (2) diffuse long-segment bowel thickening and (3) a requirement for glucocorticoid therapy. Read More

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http://dx.doi.org/10.1177/0961203318785770DOI Listing
September 2018
48 Reads

Methylnaltrexone-Associated Bowel Perforation in Postoperative Opioid-Induced Constipation and Ogilvie Syndrome: A Case Report.

A A Pract 2019 Jan;12(2):44-46

Vanderbilt University School of Medicine/Vanderbilt University Medical Center, Nashville, Tennessee.

Pain management with opioids is often limited by medication side effects. One of the most common and distressing side effects is opioid-induced constipation (OIC), a syndrome that is now getting significant national attention. We report the case of an opioid-dependent 56-year-old man who underwent lumbar decompression for spinal stenosis. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000840DOI Listing
January 2019
45 Reads

Ogilvie's syndrome: management and outcomes.

Medicine (Baltimore) 2018 Jul;97(27):e11187

Department of Internal Medicine and the Division of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, SC.

Ogilvie's syndrome, also known as acute colonic pseudo-obstruction, refers to pathologic dilation of the colon without underlying mechanical obstruction, occurring primarily in patients with serious comorbidities. Diagnosis of Ogilvie's syndrome is based on clinical and radiologic grounds, and can be treated conservatively or with interventions such as acetylcholinesterase inhibitors (such as neostigmine), decompressive procedures including colonoscopy, and even surgery. Based on our clinical experience we hypothesized that conservative management yields similar, if not superior, results to interventional management. Read More

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http://dx.doi.org/10.1097/MD.0000000000011187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076157PMC
July 2018
59 Reads

[Chronic intestinal pseudo-obstruction in adults].

Rev Med Interne 2018 Oct 22;39(10):792-799. Epub 2018 Jun 22.

Service d'hépato-gastro-entérologie, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92104 Boulogne-Billancourt, France.

Chronic intestinal pseudo-obstruction is a rare disease stemming from numerous causes characterized by disturbances in gastrointestinal motility. Symptomatology is often misleading and topography is variable, thus putting the clinician in serious difficulty. Diagnosis is based on a body of arguments, ranging from the clinical examination to surgical biopsies in expert centers. Read More

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http://dx.doi.org/10.1016/j.revmed.2018.03.010DOI Listing
October 2018
8 Reads

Japanese clinical practice guidelines for allied disorders of Hirschsprung's disease, 2017.

Pediatr Int 2018 May;60(5):400-410

The guideline establishment group for allied disorders of Hirschsprung's disease, Science Research, Ministry of Health Labour and Welfare, Fukuoka, Japan.

Background: Despite the presence of ganglion cells in the rectum, some patients have symptoms similar to those of Hirschsprung's disease. A consensus has yet to be established regarding the terminology for these diseases. We defined this group of diseases as "allied disorders of Hirschsprung's disease" and compiled these guidelines to facilitate accurate clinician diagnosis and provide appropriate treatment strategies for each disease. Read More

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http://dx.doi.org/10.1111/ped.13559DOI Listing
May 2018
76 Reads

Pathophysiology, Diagnosis, and Management of Chronic Intestinal Pseudo-Obstruction.

J Clin Gastroenterol 2018 07;52(6):477-489

Department of Gastroenterology, University Hospitals of the North Midlands, Stoke-on-Trent, Staffordshire.

Chronic intestinal pseudo-obstruction (CIPO) is a rare disorder characterized by an impairment of coordinated propulsive activity in the gastrointestinal (GI) tract, which clinically mimics mechanical intestinal obstruction. CIPO is the most severe and debilitating form of GI dysmotility. CIPO may be primary or be secondary to pathology at any level of the brain-gut axis as well as systemic disease. Read More

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http://dx.doi.org/10.1097/MCG.0000000000001047DOI Listing
July 2018
36 Reads

Hypokalemia in an End-Stage Renal Disease Patient.

Am J Med 2018 09 26;131(9):e385-e386. Epub 2018 May 26.

Department of Medicine, University of Tennessee College of Medicine, Chattanooga.

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http://dx.doi.org/10.1016/j.amjmed.2018.05.010DOI Listing
September 2018
33 Reads

Methamphetamine consumption and life-threatening abdominal complications: A case report.

Medicine (Baltimore) 2018 May;97(18):e0647

Department of Critical Care Medicine.

Rationale: Methamphetamine (METH) abuse is increasing rapidly all over the world and becoming a significant public health concern in China. However, abdominal complications secondary to METH abuse are usually overlooked. We describe an unusual case of gangrenous cholecystitis and small intestinal ischemia due to METH abuse. Read More

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http://dx.doi.org/10.1097/MD.0000000000010647DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392995PMC
May 2018
15 Reads

Enteric neural stem cell therapies for enteric neuropathies.

Authors:
C J McCann N Thapar

Neurogastroenterol Motil 2018 10 29;30(10):e13369. Epub 2018 Apr 29.

Stem Cells and Regenerative Medicine, UCL Great Ormond Street Institute of Child Health, London, UK.

Background: Enteric neuropathies exist as a wide range of human disorders which impact on gastrointestinal motility. Current standard therapies for enteric neuropathies are limited to surgical resection or manipulation (eg, myotomy) of affected gut segments or medical management including both therapy (eg, prokinetic pharmacotherapy) and support such as parenteral nutrition. However, such treatments often result in poor prognosis and significant morbidity. Read More

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http://dx.doi.org/10.1111/nmo.13369DOI Listing
October 2018
7 Reads

Paediatric Intestinal Pseudo-obstruction: Evidence and Consensus-based Recommendations From an ESPGHAN-Led Expert Group.

J Pediatr Gastroenterol Nutr 2018 Jun;66(6):991-1019

Division of Pediatric Gastroenterology, Nationwide Children's Hospital, Columbus, OH.

Objectives: Chronic intestinal pseudo-obstructive (CIPO) conditions are considered the most severe disorders of gut motility. They continue to present significant challenges in clinical care despite considerable recent progress in our understanding of pathophysiology, resulting in unacceptable levels of morbidity and mortality. Major contributors to the disappointing lack of progress in paediatric CIPO include a dearth of clarity and uniformity across all aspects of clinical care from definition and diagnosis to management. Read More

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http://dx.doi.org/10.1097/MPG.0000000000001982DOI Listing
June 2018
31 Reads

Xiangbin prescription for the recovery of gastrointestinal function after abdominal surgery (the XBPRS trial): study protocol for a randomized controlled trial.

Trials 2018 Feb 27;19(1):146. Epub 2018 Feb 27.

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China.

Background: Most patients who undergo abdominal surgery recover bowel movements within a week; however, some suffer prolonged intestinal paralysis or postoperative ileus (POI) leading to complications, such as infection and intestinal adhesions, which can extend hospitalization and increase readmission rates, and consequently increasing healthcare costs. Chinese medicine is effective for accelerating the recovery of gastrointestinal function after abdominal surgery. Xiangbin prescription (XBP) is the standard prescription for this purpose in our hospital; however, randomized controlled trials of it have not yet been conducted. Read More

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http://dx.doi.org/10.1186/s13063-018-2484-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830341PMC
February 2018
19 Reads

Fluoroscopy-guided trans-anal decompression tube placement in the treatment of acute colonic pseudo-obstruction: a single center experience.

Abdom Radiol (NY) 2018 10;43(10):2643-2650

Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, No. 305 East Zhongshan Road, Nanjing, 210002, China.

Purpose: Acute colonic pseudo-obstruction (ACPO or Ogilvie's syndrome) is a rare but often fatal disease; timely colonic decompression may be essential for successful treatment. This study describes a technique of placing a trans-anal tube via fluoroscopy-guiding and investigates the effect of colon decompression on ACPO.

Methods: Patients undergoing colonic decompression via fluoroscopy-guided trans-anal tube placement from April 2015 to May 2017 were included. Read More

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http://dx.doi.org/10.1007/s00261-018-1509-0DOI Listing
October 2018
31 Reads