8,221 results match your criteria Obstruction Large Bowel


Acute Colonic Pseudoobstruction (Ogilvie Syndrome) - A Severe Complication in the Evolution of the Hospitalized or Institutionalized Patients.

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

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http://dx.doi.org/10.21614/chirurgia.115.3.357DOI Listing

Asymptomatic Intestinal Malrotation Progressing to Midgut Volvulus in a Decompensated Alcoholic Cirrhotic Adult: A Rare Scenario Requiring Special Considerations.

Case Rep Surg 2020 16;2020:4196012. Epub 2020 Jun 16.

Division of Abdominal Transplant, Department of Surgery, Saint Louis University, Saint Louis, MO, USA.

Intestinal malrotation usually presents in the pediatric population with midgut volvulus requiring emergency Ladd's procedure. Rarely, it remains asymptomatic and is discovered incidentally only during adulthood when it seldom causes intestinal complications. The scenario of a cirrhotic adult being diagnosed with asymptomatic intestinal malrotation with subsequent intestinal complications is thus extremely rare and to our knowledge has not been previously reported. Read More

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http://dx.doi.org/10.1155/2020/4196012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317621PMC

Enteritis Induced Anastomotic Rupture: A Case Report and Literature Review.

Case Rep Surg 2020 13;2020:9794823. Epub 2020 Jun 13.

School of Medicine & Health Sciences, Department of Surgery, University of North Dakota, 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202, USA.

. A 76-year-old male patient who suffered small bowel anastomotic dehiscence believed to be a complication provoked by enteritis. . Read More

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http://dx.doi.org/10.1155/2020/9794823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313094PMC

Giant Inflammatory Polyps in Diverticular Disease Mimicking a Colonic Mass: A Potential Malignant Masquerader.

Am J Case Rep 2020 Jun 29;21:e923242. Epub 2020 Jun 29.

Department of Pathology and Laboratory Medicine, University of Rochester, Rochester, NY, USA.

BACKGROUND Inflammatory pseudopolyps (IPPs) are a common manifestation in inflammatory bowel disease (IBD) with more cases reported with ulcerative colitis than Crohn's disease. IPPs can grow to form large polyps which are called giant inflammatory polyps (GIPs). These polyps may cause an obstruction and form a mass-like lesion and surgical resection may be warranted. Read More

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http://dx.doi.org/10.12659/AJCR.923242DOI Listing

No room for womb: a rare cause of mechanic large bowel obstruction.

ANZ J Surg 2020 Jun 26:e16094. Epub 2020 Jun 26.

Department of General Surgery, Bankstown Hospital, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ans.16094DOI Listing

Laparoscopic repair of Morgagni's hernia in an elderly female patient.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa182. Epub 2020 Jun 15.

General Surgery, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.

Morgagni's hernia is a very uncommon congenital diaphragmatic hernia. A few patients may remain asymptomatic until adulthood. Clinical presentation may include bowel obstruction, chest pain or dyspnoea. Read More

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http://dx.doi.org/10.1093/jscr/rjaa182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295565PMC

Rare case of adhesive large bowel obstruction in acute burn patient: management of open abdomen with ABTHERA ADVANCE™ Open Abdomen Dressing.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa129. Epub 2020 Jun 15.

Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

Large bowel obstructions (LBO) are rarely caused by adhesions. Surgical management of this condition may require an open approach but closure may not always be possible. There are many temporizing measures in clinical use; however, the ABTHERA ADVANCE™ Open Abdomen Dressing has demonstrated significantly improved outcomes compared to other negative pressure wound therapy dressings. Read More

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http://dx.doi.org/10.1093/jscr/rjaa129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297551PMC

Colorectal neuroendocrine tumors: A case series.

Int J Surg Case Rep 2020 Jun 12;72:411-417. Epub 2020 Jun 12.

Department of Surgery, Faculty of Medicine, Hasanuddin University Makassar, Indonesia. Electronic address:

Introduction: Neuroendocrine tumors (NET) of the colon and sigmoid colon are uncommon compared to colorectal adenocarcinoma. Few reports have been made of NET of the colon and sigmoid colon that presents with peritonitis and large bowel obstruction.

Case Presentation: Here, we report two cases of NET of the colon and sigmoid colon, which were diagnosed and treated at our institution. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306531PMC

Umbilical Hernia Containing Appendicitis.

Cureus 2020 May 12;12(5):e8075. Epub 2020 May 12.

Surgery, Beaumont Health, Dearborn, USA.

Umbilical hernia is a common cause for patient presentation to the surgeon, often on a nonemergent basis for a bulge at or lateral to the umbilicus but occasionally under emergency circumstances for pain or bowel obstruction when the hernia contents become incarcerated or strangulated. Risk factors for umbilical hernia include female gender, obesity, and ascites. A defect in the abdominal wall fascia at the umbilicus allows the preperitoneal adipose tissue, omentum, or small or large bowel to protrude through the defect. Read More

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http://dx.doi.org/10.7759/cureus.8075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290121PMC

Primary colonic squamous cell carcinoma: a case report and review of the literature.

Ann R Coll Surg Engl 2020 Jun 15:e1-e7. Epub 2020 Jun 15.

Department of Colorectal Surgery, Barts Health NHS Trust, London UK.

Colonic squamous cell carcinoma is extremely rare, with no clear pathogenesis. It usually presents as an emergency. We present the surgical management of a descending colon squamous cell carcinoma, together with a review of the available cases of colonic squamous cell carcinoma in the literature. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0149DOI Listing

Application value of ERAS in perioperative period of precise hepatectomy for hepatocellular carcinoma patients.

J BUON 2020 Mar-Apr;25(2):965-971

Department of Surgical Anesthesiology, No.215 Hospital of Shaanxi Nuclear Industry, Xianyang, China.

Purpose: To explore the efficacy and reliability of enhanced recovery after surgery (ERAS) applied in the perioperative period of precise hepatectomy for hepatocellular carcinoma (HCC).

Methods: The propensity score matching and a retrospective cohort study were employed. The clinical and pathological data of 122 hepatocellular carcinoma (HCC) patients with surgical indications admitted to our hospital from March 2014 to March 2016 were collected. Read More

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June 2020
0.706 Impact Factor

Ileo-ileal intussusception caused by small bowel leiomyosarcoma: A rare case report.

Int J Surg Case Rep 2020 May 29;72:52-55. Epub 2020 May 29.

Colorectal Surgery Unit, Università Campus Bio-Medico, Rome, Italy.

Introduction: Intussusception is the telescoping of one segment of the bowel into an adjacent bowel segment, causing venous congestion, edema, and blood supply reduction. We present a case of ileo-ileal intussusception in an adult patient with intestinal obstruction caused by a rare mesenchymal malignant lesion of the distal ileum: Leiomyosarcoma (LMS).

Presentation Of Case: A 90-year-old Caucasian man presented to the hospital with a two-day history of abdominal pain, nausea, and bowel occlusion. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283087PMC

Not Your Typical Mucocele: A Case Report of a Benign Sigmoidal Diverticular Mucocele.

Cureus 2020 Apr 20;12(4):e7743. Epub 2020 Apr 20.

Gastroenterology, Banner University Medical Center, Phoenix, USA.

In recent literature, mucoceles have been discovered to be in the appendix vermiformis or in the nasal sinuses. Although rare, colonic mucoceles, as well as rectal mucoceles, have also been encountered. Furthermore, colonic mucoceles arising from a diverticulum is an even more unusual occurrence, and to date, there has been only one reported case. Read More

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http://dx.doi.org/10.7759/cureus.7743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241229PMC

Mega-megacolon: a case report.

Int J Colorectal Dis 2020 May 24. Epub 2020 May 24.

1st Department of Propaedeutic Surgery, Athens Medical School, Hippocration General Athens Hospital, National and Kapodistrian University of Athens, 114 Vasilissis Sofias Avenue, 115 27, Athens, Greece.

Purpose: Large bowel obstruction and megacolon formation secondary to complicated diverticulitis is rare.

Methods: We present a case of an 84-year-old woman surviving large bowel obstruction and mega-megacolon formation secondary to complicated diverticulitis, with an impressive presentation of abdominal distention.

Results: The patient's symptoms, laboratory test results, and imaging were consistent with large bowel obstruction. Read More

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http://dx.doi.org/10.1007/s00384-020-03642-7DOI Listing

Cost-effectiveness of palliative emergent surgery versus endoscopic stenting for acute malignant colonic obstruction.

Surg Endosc 2020 May 19. Epub 2020 May 19.

Division of Surgical Oncology, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Background: Endoscopic stenting has demonstrated value over emergent surgery as a palliative intervention for patients with acute large bowel obstruction due to advanced colorectal cancer. However, concerns regarding high reintervention rates and the risk of perforation have brought into question its cost-effectiveness.

Methods: A decision tree analysis was performed to analyze costs and survival in patients with unresectable or metastatic colorectal cancer who present with acute large bowel obstruction. Read More

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http://dx.doi.org/10.1007/s00464-020-07637-xDOI Listing

Surgical outcomes of colonic stents as a bridge to surgery versus emergency surgery for malignant colorectal obstruction: A systematic review and meta-analysis of high quality prospective and randomised controlled trials.

Eur J Surg Oncol 2020 May 7. Epub 2020 May 7.

The University of Queensland Diamantina Institute, The University of Queensland, Woolloongabba, QLD, 4102, Australia; Gallipoli Medical Research Institute, Greenslopes Private Hospital, Brisbane, QLD, Australia; Department of Biliary-Pancreatic Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. Electronic address:

Self-expanding metallic stent placement as a bridge to surgery has been reported as an alternative to emergency surgery for acute malignant colorectal obstruction. However, results from clinical trials and previous meta-analyses are conflicting. We carried out a meta-analysis to compare the surgical and oncological outcomes between emergency surgery and self-expanding metallic stents for malignant large bowel obstruction. Read More

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http://dx.doi.org/10.1016/j.ejso.2020.04.052DOI Listing

The challenges of urgent radical sigmoid colorectal cancer resection in a COVID-19 patient: A case report.

Int J Surg Case Rep 2020 11;71:147-150. Epub 2020 May 11.

Department of Medicine, Winchester Medical Center, 1840 Amherst Street, Winchester, VA 22601, USA. Electronic address:

Introduction: The COVID-19 pandemic presents a unique global health challenge further complicating surgical management of COVID-19 positive patients due to a lack of published literature.

Case: Within we discuss a 48-year-old Chinese man, presenting with acute gastrointestinal obstruction due to sigmoid colonic mass. The patient was screened and tested positive for COVID 19 due to his employment in Wuhan, China at the COVID-19 pandemic epicenter. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212967PMC

A Case Series of Robot-assisted Rectus Abdominis Flap Harvest for Pelvic Reconstruction: A Single Institution Experience.

J Minim Invasive Gynecol 2020 May 8. Epub 2020 May 8.

Department of Medical and Surgical Gynecology (Drs. Haverland and Yi).

Study Objective: To analyze outcomes and postoperative complications in patients undergoing robot-assisted rectus abdominis flap harvest for pelvic floor reconstruction.

Design: Case series.

Setting: Academic setting. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.04.042DOI Listing

A Rare Cause of Intestinal Pseudo-obstruction: Gastrointestinal Amyloid.

Cureus 2020 Apr 5;12(4):e7547. Epub 2020 Apr 5.

Gastroenterology, Charleston Area Medical Center, Charleston, USA.

Amyloidosis is characterized by extracellular deposition of the amyloid protein. It can affect multiple organ systems but it most commonly affects the heart, kidney and gastrointestinal (GI) tract. It can occur sporadically or in association with other conditions like multiple myeloma, chronic inflammatory diseases, infections etc. Read More

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http://dx.doi.org/10.7759/cureus.7547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199901PMC

Role of Multidetector Computed Tomography with Multiplanar and Curved Multiplanar Reformations in the Detection of Cause of Intestinal Obstruction: A Tertiary Care Experience.

Cureus 2020 Mar 29;12(3):e7464. Epub 2020 Mar 29.

Radiology, Dr. Ziauddin Hospital, Karachi, PAK.

Objective To determine the role of multidetector computed tomography (MDCT) with multiplanar (MPR) and curved multiplanar reformations (CMPR) in the detection of the cause of intestinal obstruction. Materials and methods A retrospective analysis of 200 patients with a clinical suspicion of intestinal obstruction referred to the department of radiology, Dr. Ziauddin University Hospital, Clifton campus, from September 2016 to October 2019, was done. Read More

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http://dx.doi.org/10.7759/cureus.7464DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187995PMC

Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman.

Am J Case Rep 2020 Apr 29;21:e922830. Epub 2020 Apr 29.

Department of General Surgery, Fundeni Clinical Institute, Bucharest, Romania.

BACKGROUND Although lipomas are common benign tumors of adipose tissue, diffuse lipomas involving the small bowel, large bowel, and mesentery are rare. Multiple non-encapsulated lipomas characterize diffuse intestinal and mesenteric lipomatosis. Intestinal lipomatosis can be asymptomatic or may result in complications such as intussusception, volvulus, intestinal obstruction, or hemorrhage due to mucosal ulceration. Read More

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http://dx.doi.org/10.12659/AJCR.922830DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209906PMC

Laparoscopic paraduodenal hernia repair with bioabsorbable mesh: A case of a novel technique for a rare cause of bowel obstruction.

Int J Surg Case Rep 2020 4;70:1-4. Epub 2020 Apr 4.

Department of Surgery, Redcliffe Hospital, Anzac Avenue, Redcliffe, QLD, Australia.

Introduction: Paraduodenal hernias are the most common type of internal hernia but a rare cause of bowel obstruction. Given the high risk of incarceration, obstruction and associated mortality, surgical repair is recommended.

Presentation Of Case: We present a novel technique for laparoscopic repair of paraduodenal hernia using biosynthetic mesh to reinforce suture closure of the hernia defect. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.03.035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177156PMC

Effect of adding a capsule with activated charcoal to abdominal ultrasound preparation on image quality.

J Ultrason 2020 31;20(80):e12-e17. Epub 2020 Mar 31.

R4 resident, Radiology Technologist Fellowship Program, King Abdulaziz University Hospital , Jeddah , Saudi Arabia.

Patient preparation for routine abdominal ultrasound, such as fasting for 8 hours and having a light meal the night before the examination, is a common practice employed to avoid digestive motility and gases, which are considered the main causes of artifacts and image quality degradation. Patient preparation before abdominal ultrasound plays a major role to ensure better visualization of internal organs and pathologies by minimizing artifacts, but because abdominal gases are still present in many patients and in large amounts, causing artifacts, it is important to search for new, safe, efficient, reliable and cost-effective methods to improve patient preparation by eliminating excessive abdominal gases. This was a prospective study involving a randomly selected sample of 52 adult patients, both men and women, of different age groups. Read More

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http://dx.doi.org/10.15557/JoU.2020.0003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266072PMC

Asymptomatic pneumoperitoneum in pneumatosis coli: A misleading operative indication.

Int J Surg Case Rep 2020 1;69:92-95. Epub 2020 Apr 1.

Department of Surgery, AUSL Piacenza, Via Taverna 49, 29121 Piacenza, Italy.

Introduction: Pneumatosis cystoides intestinalis (PCI) is a rare clinical pathology characterized by sub-mucosal and/or sub-serous cysts of free gas, forming cystic lesions usually ranging from 0.5 to 2.0 cm in size within the gastrointestinal tract. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.03.042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7163289PMC

The Procedureless Elipse Gastric Balloon Program: Multicenter Experience in 1770 Consecutive Patients.

Obes Surg 2020 Apr 11. Epub 2020 Apr 11.

Bariatric Surgery Department, The Masters Medical Clinic, Doha, Qatar.

Purpose: The Elipse balloon is a novel, non-endoscopic option for weight loss. It is swallowed and filled with fluid. After 4 months, the balloon self-empties and is excreted naturally. Read More

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http://dx.doi.org/10.1007/s11695-020-04539-8DOI Listing

Cecal bascule after cardiac surgery: A case report.

Ann Card Anaesth 2020 Apr-Jun;23(2):216-217

Department of Anesthesia and Perioperative Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

Cecal bascule is a form of volvulus resulting from upward and anterior cecal folding, and accounts for 0.01% of adult large bowel obstructions. With a competent ileocecal valve, cecal bascule may progress to closed loop obstruction, ischemia, gangrene, or perforation. Read More

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http://dx.doi.org/10.4103/aca.ACA_171_18DOI Listing

Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2020.

Endoscopy 2020 May 7;52(5):389-407. Epub 2020 Apr 7.

Department of Surgical Sciences, Università di Torino, Torino, Italy.

The following recommendations should only be applied after a thorough diagnostic evaluation including a contrast-enhanced computed tomography (CT) scan. 1 : ESGE recommends colonic stenting to be reserved for patients with clinical symptoms and radiological signs of malignant large-bowel obstruction, without signs of perforation. ESGE does not recommend prophylactic stent placement. Read More

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http://dx.doi.org/10.1055/a-1140-3017DOI Listing

Tag-less patency capsule for suspected small bowel stenosis: A nationwide multicenter prospective study in Japan.

Dig Endosc 2020 Mar 25. Epub 2020 Mar 25.

Department of Gastroenterology, Fukuoka University Chikushi Hospital.

Study Aims: The PillCam patency capsule (PPC) is an Agile tag-less patency capsule used to evaluate gastrointestinal (GI) patency. We determined the appropriate use of PPC to preclude subsequent small bowel capsule endoscopy (SBCE) retention.

Methods: This prospective multicenter study consecutively enrolled patients indicated for SBCE with suspected or established small bowel stenosis. Read More

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http://dx.doi.org/10.1111/den.13673DOI Listing

Acute histologic inflammatory activity and postoperative outcomes in pediatric patients with ulcerative colitis.

Am J Surg 2020 04 11;219(4):592-597. Epub 2020 Mar 11.

Nationwide Children's Hospital, Division of Pediatric Surgery, 700 Children's Dr., Columbus, OH, 43205, USA; The Ohio State University College of Medicine, Department of Surgery, 395 W. 12th Ave, Columbus, OH, 43210, USA. Electronic address:

Background: The aim of this study was to determine whether acute histologic inflammatory activity at the rectal margin predicts postoperative complications in children with ulcerative colitis following ileal pouch-anal anastomoses (IPAA).

Methods: Patients who underwent IPAA following previous total abdominal colectomy for ulcerative colitis between 2006 and 2014 were included. Data collected included demographics, operative and postoperative data, histologic grading of the rectal margin at time of IPAA, and stooling outcomes at one, six and 12 months following ileostomy closure. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2020.02.054DOI Listing

Large bowel obstruction from a full-thickness resection device clip: rare complication of a novel technique.

ANZ J Surg 2020 Mar 22. Epub 2020 Mar 22.

Department of Colorectal Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

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http://dx.doi.org/10.1111/ans.15817DOI Listing

An Unusual Case of Hypoproteinemia in Childhood: Keep in Mind Trichobezoar.

Front Pediatr 2020 4;8:82. Epub 2020 Mar 4.

Pediatric Section, Department of Health Sciences, Meyer Children's University Hospital, University of Florence, Florence, Italy.

Protein-losing enteropathy (PLE) is a rare condition characterized by protein loss through the gastrointestinal tract, leading to hypo-proteinemia. Patients may be asymptomatic or present with variety of complications of hypoproteinemia (e.g. Read More

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http://dx.doi.org/10.3389/fped.2020.00082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065258PMC

Intestinal interposition for complex ureteral reconstruction: A comprehensive review.

Int J Urol 2020 May 18;27(5):377-386. Epub 2020 Mar 18.

Department of Urology, Peking University First Hospital, Beijing, China.

Long ureteral defects have remained a challenge to urologists for a long time. Bowel interposition, including ileal ureter, appendiceal interposition and reconfigured colon substitution, has gained wide acceptance, even though it is a complicated procedure and associated with some potential complications. Mucus obstruction and metabolic disorders are common complications of intestinal substitution. Read More

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http://dx.doi.org/10.1111/iju.14222DOI Listing

Technical and clinical outcomes after colorectal stenting in malignant large bowel obstruction: A single centre experience.

Ann Coloproctol 2020 Mar 16. Epub 2020 Mar 16.

Norfolk & Norwich University Hospitals, Norwich, United Kingdom.

Purpose: Malignant large bowel obstruction is a surgical emergency that requires urgent decompression. Stents are increasingly being used, though reported outcomes are variable. We describe our multidisciplinary experience in using stents to manage malignant large bowel obstruction. Read More

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http://dx.doi.org/10.3393/ac.2019.06.12.1DOI Listing

Proton beam radiotherapy for anal and rectal cancers.

J Gastrointest Oncol 2020 Feb;11(1):176-186

Harvard Medical School, Boston, MA, USA.

Gastrointestinal cancers are bordered by radiosensitive visceral organs, resulting in a narrow therapeutic window. The search for more efficacious and tolerable therapies raises the possibility that proton beam therapy's (PBT) physical and dosimetric differences from conventional therapy may be better suited to treat both primary and recurrent disease, which carries its own unique challenges. Currently, the maximal efficacy of radiation plans for primary and recurrent anorectal cancer is constrained by delivery techniques and modalities which must consider feasibility challenges and toxicity secondary to exposure of organs at risk (OARs). Read More

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http://dx.doi.org/10.21037/jgo.2019.04.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052774PMC
February 2020

Transmesocolon internal hernia masking as simple sigmoid volvulus.

J Surg Case Rep 2020 Mar 9;2020(3):rjaa017. Epub 2020 Mar 9.

General Surgery Department, Joondalup Health Campus, Joondalup, Australia.

Transmesocolon internal hernias are very rare causes of bowel obstruction. Transmesenteric internal hernias normally associated with small bowel. It can be challenging to diagnose transmesocolon internal hernia hence we present a 93-year-old patient who was misdiagnosed with simple sigmoid volvulus on CT abdomen. Read More

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http://dx.doi.org/10.1093/jscr/rjaa017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061819PMC

In Search of the Optimal Outcome Measure for Patients with Advanced Cancer and Gastrointestinal Obstruction: A Qualitative Research Study.

Ann Surg Oncol 2020 Mar 9. Epub 2020 Mar 9.

Departments of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Background: Gastrointestinal obstruction (GIO) is the most common indication for palliative surgical consultation in patients with advanced cancer. The purpose of this study is to delineate the symptom burden and experience of these patients.

Patients And Methods: Twenty patients with advanced cancer and GIO described symptoms at time of surgical consultation. Read More

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http://dx.doi.org/10.1245/s10434-020-08328-6DOI Listing

Clinics in diagnostic imaging (204). Gastro-gastric intussusception due to gastric gastrointestinal stromal tumour (GIST).

Singapore Med J 2020 Feb;61(2):69-74

Department of Diagnostic Imaging, Ng Teng Fong General Hospital, Singapore.

A 95-year-old woman presented with abdominal bloating and anorexia of one week's duration. Contrast-enhanced computed tomography (CT) revealed features in keeping with gastro-gastric intussusception with a lead mass. Oesophagogastroduodenoscopy demonstrated a large 5-cm pedunculated fundal mass intussuscepted into the distal stomach. Read More

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http://dx.doi.org/10.11622/smedj.2020015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052004PMC
February 2020

Chronic constipation in infants and children.

Singapore Med J 2020 Feb;61(2):63-68

Care and Health Integration, Changi General Hospital, Singapore.

Constipation is common in infants and children. Helping parents understand the vicious cycle of childhood chronic constipation is the key to successful management. Weaning, toilet training, transitions to kindergarten/school, a bout of febrile illness and overseas holidays are common life milestones that may be associated with an increased risk of constipation. Read More

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http://dx.doi.org/10.11622/smedj.2020014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052003PMC
February 2020

Congenital transverse colon mesenteric defect in an adult patient leading to acute large bowel obstruction.

ANZ J Surg 2020 Mar 6. Epub 2020 Mar 6.

Colorectal Surgery Unit, The Royal Adelaide Hospital, Adelaide, South Australia, Australia.

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http://dx.doi.org/10.1111/ans.15806DOI Listing

Outcomes of Minimally Invasive Versus Open Proctectomy for Rectal Cancer: A Propensity-Matched Analysis of Bi-National Colorectal Cancer Audit Data.

Dis Colon Rectum 2020 Jun;63(6):778-787

Faculty of Health and Medical Science, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia.

Background: Minimally invasive surgery is commonly used in the treatment of rectal cancer, despite the lack of evidence to support oncological equivalence or improved recovery compared with open surgery.

Objective: This study aims to analyze prospectively collected data from a large Australasian colorectal cancer database.

Design: This is a retrospective cohort study using propensity score matching. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001654DOI Listing

Characteristics of Intestinal Volvulus and Risk of Mortality in Malawi.

World J Surg 2020 Jul;44(7):2087-2093

Department of Surgery, University of North Carolina School of Medicine, 4008 Burnett Womack Building, Chapel Hill, NC, 7228, USA.

Background: Intestinal volvulus is a common cause of mechanical intestinal obstruction (MIO) in Africa. Sigmoid volvulus has been well characterized in both high-income and low-income countries, but there is also a predilection for small bowel volvulus in sub-Saharan Africa.

Methods: An analysis was performed of the Kamuzu Central Hospital Acute Care Surgery Registry from 2013 to 2019 on patients presenting with intestinal volvulus. Read More

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http://dx.doi.org/10.1007/s00268-020-05440-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7272273PMC
July 2020
2.642 Impact Factor

High prevalence of asymptomatic internal hernias after laparoscopic anterior resection in a retrospective analysis of postoperative computed tomography.

Int J Colorectal Dis 2020 May 24;35(5):929-932. Epub 2020 Feb 24.

Colorectal Unit, Department of Surgery, Concord Repatriation General Hospital, Sydney, Australia.

Purpose: Internal hernia (IH) after laparoscopic left-sided colorectal resection (small bowel herniating underneath the neo-descending colon) can be a potentially devastating complication, resulting in acute small bowel obstruction or ischemia. IH has been described as a rare occurrence in a few retrospective case series; however, patients undergoing laparoscopic resection seem to be more prone to this complication. We assessed the prevalence of IH in a large cohort of patients who had undergone laparoscopic left-sided colorectal resection for colon or rectal cancer (CRC). Read More

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http://dx.doi.org/10.1007/s00384-020-03537-7DOI Listing

Phenotypic Characterization and Comparison of Cystic Fibrosis Rat Models Generated Using CRISPR/Cas9 Gene Editing.

Am J Pathol 2020 05 18;190(5):977-993. Epub 2020 Feb 18.

Department of Respiratory and Sleep Medicine, Women's and Children's Hospital, North Adelaide, South Australia, Australia; Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia; Robinson Research Institute, University of Adelaide, Adelaide, South Australia, Australia. Electronic address:

Animal models of cystic fibrosis (CF) are essential for investigating disease mechanisms and trialing potential therapeutics. This study generated two CF rat models using clustered regularly interspaced short palindromic repeats/clustered regularly interspaced short palindromic repeats-associated protein 9 gene editing. One rat model carries the common human Phe508del (ΔF508) CF transmembrane conductance regulator (CFTR) mutation, whereas the second is a CFTR knockout model. Read More

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http://dx.doi.org/10.1016/j.ajpath.2020.01.009DOI Listing

Two Different Clinical Approaches with Mortality Assessment of Four Cases: Complete and Incomplete Type of Abdominal Cocoon Syndrome.

Case Rep Surg 2020 29;2020:4631710. Epub 2020 Jan 29.

Department of General Surgery, Bagcılar Training and Research Hospital, Istanbul, Turkey.

Abdominal cocoon syndrome (ACS), also called sclerosing encapsulated peritonitis, is a condition characterized by encapsulation of all or some of small bowel loops by a thick fibrous membrane. Etiologic cause is not fully known. It is among the rare causes of intestinal obstruction in adults. Read More

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http://dx.doi.org/10.1155/2020/4631710DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008279PMC
January 2020

Acute Colonic Volvulus in a Mexican Population: A Case Series.

Ann Coloproctol 2020 Feb 18;36(1):48-53. Epub 2020 Feb 18.

Hospital Metropolitano "Dr. Bernardo Sepúlveda," Secretaria de Salud de Nuevo León, San Nicolás de los Garza, México.

Purpose: Colonic volvulus constitutes a significant cause of large bowel obstruction in adults. Most studies of colonic volvulus come from high endemic zones and are limited by the small number of patients. In our region, there is a shortage of studies concerning this disorder, and treatment of colonic volvulus remains controversial. Read More

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http://dx.doi.org/10.3393/ac.2019.01.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069679PMC
February 2020

Cecal Volvulus Post Cesarean Section: A Case Report.

Cureus 2020 Jan 13;12(1):e6644. Epub 2020 Jan 13.

Surgery, King Abdulaziz University Hospital, Jeddah, SAU.

Cecal volvulus is a very rare cause of large bowel obstruction (LBO) that develops when a part of the bowel twists around the mesentery. Cases of acute abdomen, regardless of age, race, and ethnicity, should be examined to exclude volvulus from differential diagnoses. Surgery is the only confirmatory method to diagnose and treat this life-threatening condition. Read More

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http://dx.doi.org/10.7759/cureus.6644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011585PMC
January 2020

Experimental fortification of intestinal anastomoses with nanofibrous materials in a large animal model.

Sci Rep 2020 Jan 24;10(1):1134. Epub 2020 Jan 24.

Department of Surgery, Faculty of Medicine in Pilsen, Charles University, Prague, Czech Republic.

Anastomotic leakage is a severe complication in gastrointestinal surgery. It is often a reason for reoperation together with intestinal passage blockage due to formation of peritoneal adhesions. Different materials as local prevention of these complications have been studied, none of which are nowadays routinely used in clinical practice. Read More

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http://dx.doi.org/10.1038/s41598-020-58113-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6981151PMC
January 2020

The Elderly Emergency Laparotomy Patient - More Than Just the Operation.

Ann Acad Med Singapore 2019 Nov;48(11):382-385

Department of Geriatric Medicine, Westmead Hospital, New South Wales, Australia.

The elderly patient presenting with an acute surgical abdomen or bowel obstruction has become a common and challenging situation. These patients bring comorbidity and frailty that necessitate appropriate risk assessment and comprehensive perioperative management. Robust communication is required between patients, families and health professions. Read More

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November 2019

Symptomatic congenital Morgagni hernia presenting as a chest pain: a case report.

J Med Case Rep 2020 Jan 18;14(1):13. Epub 2020 Jan 18.

Department of Medicine, Hackensack Meridian Health Jersey Shore University Medical Center, Neptune, NJ, 07753, USA.

Background: Morgagni hernia is a rare form of congenital diaphragmatic hernia with a prevalence of 2-3%. It occurs due to a defect on the anterior part of the diaphragm, which allows abdominal organs to penetrate into the thoracic cavity. This condition can be detected during fetal life by routine ultrasonography or late during adult life. Read More

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http://dx.doi.org/10.1186/s13256-019-2336-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969475PMC
January 2020

Endoscopic stenting in colorectal cancer.

J Gastrointest Oncol 2019 Dec;10(6):1171-1182

Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.

Acute malignant large bowel obstruction presents as one of the few emergencies of colorectal cancer (CRC). Management of this condition can either be by (I) upfront surgery or (II) the use of self-expanding metallic stent (SEMS) as a bridge to elective surgery. For patients with metastasis, the use of SEMS is reported to enable earlier commencement of chemotherapy. Read More

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http://dx.doi.org/10.21037/jgo.2019.02.15DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955010PMC
December 2019