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J Neurol 2021 May 2. Epub 2021 May 2.

IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.

Objectives: This work aimed to report the demographic and clinical characteristics of two new cases with non-paraneoplastic anti-Hu-associated gut motility impairment, and perform a thorough revision covering anti-Hu-associated paraneoplastic (PGID) and non-paraneoplastic (nPGID) gastrointestinal dysmotility.

Background: Several case series have clearly established a relationship between certain type of cancers, the development of circulating anti-Hu antibodies, and the concomitant usually severe gastrointestinal dysmotility; in contrast, a few studies focused on anti-Hu-associated nPGID.

Methods: We searched for studies regarding anti-Hu-associated gastrointestinal manifestations and extracted data concerning clinical characteristics of patients, including specific demographic, oncological, neurological, gastrointestinal, histological, and treatment response features. Read More

BMC Surg 2021 Apr 12;21(1):191. Epub 2021 Apr 12.

Division of Surgery, Kenpoku Medical Center, Takahagi Kyodo Hospital, 1006-9, Agehocho, Kamitezuna, Takahagi, Ibaraki, Japan.

Background: Acute colonic pseudo-obstruction (ACPO) is a rare condition observed in patients with some underlying medical or surgical conditions. To the best of our knowledge, this is the first case report of a patient with ACPO development and rapid septic progression after laparoscopic inguinal hernia repair.

Case Presentation: A 78-year-old man who underwent transabdominal preperitoneal hernia repair (TAPP) for right inguinal hernia presented with difficulty in defecation and abdominal distension. Read More

Z Gastroenterol 2021 Apr 12;59(4):326-330. Epub 2021 Apr 12.

Innere Medizin, Schön Klinik Hamburg Eilbek, Hamburg, Germany.

T-lymphocytic enteral leiomyositis (T-lel) is a rare disorder causing chronic intestinal pseudo-obstruction (CIPO), with cases predominantly being reported in the field of veterinary and pediatric medicine. Here, we present a case of T-lel-associated CIPO in an adult female, who initially presented with a paralytic ileus 2 weeks after a common gastroenteritis. The histological diagnosis was established through full-thickness bowel biopsy, exhibiting a dense lymphocytic infiltrate in the lamina muscularis of the intestinal wall. Read More

Ter Arkh 2020 Dec 15;92(12):4-9. Epub 2020 Dec 15.

Loginov Moscow Clinical Scientific Center.

Chronic intestinal pseudo-obstruction a rare violation of the motor skills of the gastrointestinal complex, similar to mechanical obstruction, but without a mechanical obstacle. The development of chronic intestinal pseudo-obstruction is caused by a disturbance on the part of the smooth muscles and the nervous system of the gastrointestinal system. Common symptoms include constipation, abdominal pain, nausea, vomiting, bloating. Read More

Pan Afr Med J 2020 2;37:298. Epub 2020 Dec 2.

Internal Medicine, Corpus Christi Medical Center, Corpus Christi, United State of America and Internal Medicine, University of North Texas, Dallas, United State of America.

Since it was first documented in 1948 by Sir William Heneage Ogilvie, numerous cases of Ogilvie syndrome have been described in literature due to various medical and surgical causes. Nonetheless, only a handful of cases only have been documented due to underlying Acquired Immunodeficiency Syndrome (AIDS). A 41-year-old female was admitted with an acute abdomen secondary to partial mechanical intestinal obstruction or paralytic ileus based on signs and symptoms and Abdominal X-Ray (AXR). Read More

Chirurg 2021 Mar 27;92(3):189-193. Epub 2021 Jan 27.

Klinik für Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

Introduction: Endoscopic diagnostics and interventions in children require a high level of expertise from different fields. The small dimensions, the vulnerability of the patients and the rarity of the diseases and problems as well as the necessity for the most modern endoscopic technology can only be mastered by an adequately constructed team.

Methods: We describe the typical indications, personnel and technical requirements and make suggestions for process organization. Read More

Clin J Gastroenterol 2021 Apr 21;14(2):577-580. Epub 2021 Jan 21.

Division of Surgical Gastroenterology, Department of Surgery, B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.

Abdominal cocoon syndrome coexistent with military tuberculosis is a very rare entity, and its occurrence in a young adult male has not been previously reported. The disease in combination with military tuberculosis is associated with significant morbidity and mortality if underdiagnosed and untreated; hence, a high index of suspicion is required in a patient with tuberculosis presenting with intestinal pseudo-obstruction. The ideal treatment of the combination is surgical excision of cocoon along with oral anti-tubercular therapy (ATT), when the initial conservative management fails. Read More

World J Clin Cases 2020 Dec;8(23):5852-5865

Department of Gastrointestinal Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China.

Chronic intestinal pseudo-obstruction (CIPO) is a type of intestinal dysfunction presenting as symptoms of intestinal obstruction but without actual mechanical obstruction. An extremely low incidence, non-specific clinical symptoms, strong heterogeneity, and no definitive cause in some patients make CIPO very difficult to diagnose correctly. Imaging and gastrointestinal manometry are commonly used. Read More

Acta Gastroenterol Belg 2020 Oct-Dec;83(4):660-662

Department of Gastroenterology and Hepatology. Antwerp University Hospital, Edegem, Belgium.

Acute colonic pseudo-obstruction (ACPO) or Ogilvie's syndrome is characterized by acute colonic dilatation in the absence of mechanical obstruction. It usually occurs in hospitalized patients with acute illness or following surgical procedures, but several medications such as cytotoxic chemotherapy can also induce ACPO. We report three cases of patients with Ogilvie's syndrome after induction therapy with vincristine-containing chemotherapy. Read More

Transplant Proc 2021 Jan-Feb;53(1):364-370. Epub 2020 Dec 9.

Taiwan Association for the Study of Small Intestinal Diseases (TASSID), Taoyuan City, Taiwan; Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan; Department of Chemical Engineering and Materials Science, Yuan Ze University, Taoyuan City, Taiwan. Electronic address:

Background: Graft rejection after intestinal transplantation remains challenging. We aimed to use endoscopy for rejection prediction.

Materials And Methods: Patients ≥7 years old who underwent intestinal transplantation between November 2016 and September 2019 were prospectively enrolled. Read More

Rev Esp Enferm Dig 2021 Feb;113(2):152-153

Neurología, Hospital Sierrallana, España.

MELAS syndrome with chronic intestinal pseudo-obstruction and neurological symptoms in a patient with a fatal evolution despite medical and surgical treatment. Read More

Gastrointest Endosc 2020 11;92(5):1145-1146

Advent Health Medical Group, Department of Gastroenterology/Hepatology, Advent Health Hospital Altamonte Springs, Altamonte Springs, Florida, USA; Section of Gastroenterology and Hepatology, Beaumont Health-Royal Oak, Royal Oak, Michigan, USA; Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA; Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA.

Gastrointest Endosc 2020 11;92(5):1144-1145

Division of Gastroenterology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.

J Int Med Res 2020 Sep;48(9):300060520954726

Pediatric Surgery, Alexandria Faculty of Medicine, Alexandria, Egypt.

Congenital short bowel syndrome (CSBS) is an uncommon gastrointestinal disorder in which an unclear aetiology causes considerable intrauterine reduction in small bowel length. As a result of reduced absorptive intestinal length, chronic diarrhoea, vomiting, and consequently, failure to thrive are likely. We report a case of CSBS in a 26-day-old girl who had malrotation and a short bowel with a length of bowel from the pylorus to the ileocecal junction of approximately 40 cm. Read More

J Card Surg 2020 Nov 25;35(11):3004-3009. Epub 2020 Aug 25.

Department of Cardiac Surgery, Aichi Medical University Hospital, Nagakute, Japan.

Background And Aim: Mesenteric malperfusion is a complication with a higher risk of in-hospital mortality because diagnosing mesenteric ischemia before necrotic change is difficult, and when it occurs, the patient's condition has worsened. Although it contradicts the previous consensus on central repair-first strategy, the revascularization-first strategy was found to be significantly associated with lower mortality rates. This study aimed to present our revascularization-first strategy and the postoperative results for acute aortic dissection involving mesenteric malperfusion. Read More

Eur J Obstet Gynecol Reprod Biol 2020 Sep 3;252:418-423. Epub 2020 Jul 3.

Department of Obstetrics and Gynecology, Aalborg University Hospital (AAUH), Denmark.

Objective: To investigate whether women who developed acute colonic pseudo-obstruction (ACPO) after cesarean section have a higher degree of gastro-intestinal symptoms than women who did not develop ACPO after cesarean section. ACPO is a colonic dilatation without mechanical obstruction, and with an unknown pathophysiology. In younger people it is mostly seen in women after cesarean section. Read More

World Neurosurg 2020 10 11;142:352-363. Epub 2020 Jul 11.

Pediatric and Adult Neurosurgery, UCHealth Brain & Spine Clinic, Children's Hospital of Colorado, Colorado Springs, Colorado, USA.

Background: Acute colonic pseudo-obstruction (ACPO) or Ogilvie's syndrome occurs in 0.22%-7% of patients undergoing surgery, with a mortality of up to 46%. ACPO increased median hospital days versus control in spinal surgery (14 vs. Read More

Chirurgia (Bucur) 2020 May-Jun;115(3):357-364

Ogilvie syndrome, or acute colonic pseudo-obstruction (ACPO), represents a pathological entity, potentially with a severe outcome, due to the acute important dilation of the large bowel, in the absence of a mechanical luminal obstruction. Usually, it occurs in patients admitted in intensive care unit, that associate severe surgical or medical pathologies. The mechanism of the ACPO has not been completely explained, but it is assumed that the motor function of the colon may be affected, as a result of autonomic regulation disturbance. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Jul;23(Z1):69-76

Department of Colorectal Disease Specialty, Intestinal Microecology Diagnosis and Treatment Center, the Tenth People's Hospital, Tongji University, Shanghai 200072, China.

To examine the association between the clinical efficacy of fecal microbiota transplantation (FMT) in recipients and the choice of donor, and to observe the characteristics of intestinal flora and metabolites among different donors. A retrospective case-control study was conducted. Donor whose feces was administrated for more than 30 recipients was enrolled. Read More

Arab J Gastroenterol 2020 Jun 15;21(2):117-121. Epub 2020 May 15.

University of Toledo Medical Center, Department of Internal Medicine, 3000 Arlington Avenue, MS 1150, Toledo, OH 43614, United States; Division of Gastroenterology, University of Toledo, 3000 Arlington Avenue, MS 1150, Toledo, OH 43614, United States.

Endoscopic mucosal resection (EMR) is a technique developed for the removal of sessile or flat neoplastic lesions confined to the superficial layers (mucosa and submucosa) of the gastrointestinal tract. Bleeding and perforation are well-known complications of EMR. Here we report the first case of paralytic ileus after EMR of a caecal polyp. Read More

Eur J Cardiothorac Surg 2020 09;58(3):659-663

Department of Cardiothoracic Surgery, Amsterdam University Medical Center, Amsterdam, Netherlands.

Eur J Cardiothorac Surg 2020 09;58(3):659-663

Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK.

J Pediatr Surg 2020 Sep 23;55(9):1809-1814. Epub 2020 Mar 23.

Department of Pediatric Surgery, Meyer Children's Hospital, University of Florence, Viale Pieraccini 24, 50139 Florence, Italy; Dipartimento di Neuroscienze, Psicologia, Area del farmaco e della Salute del Bambino NEUROFARBA, University of Florence, Viale Pieraccini 6, 50121 Florence, Italy.

Background: Congenital short bowel syndrome (CSBS) is a rare gastrointestinal disorder caused by intrauterine reduction of small bowel length whose etiology is still unknown. Chronic diarrhea, vomiting, and failure to thrive are the most important complications, arising from less absorptive intestinal surface. This review examines clinical features and outcomes of CSBS patients. Read More

BMC Gastroenterol 2020 Apr 6;20(1):87. Epub 2020 Apr 6.

Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Carl-Neuberg Str. 1, 30625, Hannover, Germany.

Background: Endoscopic placement of intestinal decompression tubes is a feasible technique for treatment of acute intestinal dilation. Given the heterogeneity of the underlying diseases leading to intestinal obstruction data on the significance of endoscopic procedures for treatment of these conditions are sparse.

Methods: In the study period from 2008 to 2019 all patients receiving a decompression tube were identified by retrospective chart review and analyzed. Read More

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

Rheumatology (Oxford) 2020 Oct;59(10):3050-3057

Department of Internal Medicine.

Objectives: To describe the clinical presentation, treatments and prognosis of gastrointestinal (GI) involvement in adult IgA vasculitis (IgAV).

Methods: Data from 260 adults with IgAV included in a French multicentre retrospective survey were analysed. Presentation and outcomes of patients with (GI+) and without (GI-) GI involvement were compared. Read More

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

World Neurosurg 2020 05 19;137:416-420. Epub 2020 Feb 19.

Department of Orthopaedics, Fu Jen Catholic University Hospital, New Taipei City, Taiwan.

Background: Osteoporosis has become an important issue owing to the increasing elderly population. It is the most common cause of vertebral compression fracture. Conservative treatment is often ineffective, whereas surgical treatment has a vital role in compression fracture. Read More

J Perianesth Nurs 2020 Apr 16;35(2):171-177.e1. Epub 2019 Dec 16.

Graduate Programs of Nurse Anesthesia, Texas Wesleyan University, Fort Worth, TX.

Purpose: To investigate the efficacy of providing coffee to elective abdominal surgery patients, immediately postoperatively, to lessen postoperative ileus.

Design: A systematic review with meta-analysis of six randomized controlled trials published since 2012.

Methods: Methodological quality was evaluated using the Cochrane guidelines. Read More