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Khirurgiia (Mosk) 2022 (5):5-17

Pirogov Russian National Research Medical University, Moscow, Russia.

Objective: To study surgical approach for small bowel obstruction (SBO) regarding national and international guidelines.

Material And Methods: Considering literature data, national and international guidelines and clinical practice, we have formulated 15 questions regarding surgical approach for non-neoplastic SBO. Questions were sent by e-mail to the members of the Russian Society of Surgeons. Read More

Ann Med Surg (Lond) 2022 Jun 7;78:103734. Epub 2022 May 7.

Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.

Introduction: Meckel's diverticulum is a congenital anomaly that is often detected incidentally. When it presents symptomatically, it causes painless gastrointestinal bleeding. Nevertheless, in rare instances, it can cause acute intestinal obstruction, often obscuring the true clinical picture. Read More

Trauma Surg Acute Care Open 2022 11;7(1):e000890. Epub 2022 May 11.

Department of Trauma, Saint Louis University, Saint Louis, Missouri, USA.

Surg Endosc 2022 May 19. Epub 2022 May 19.

Department of Surgery, Montefiore Medical Center, The Bronx, 111 E 210th St, Bronx, NY, 10467, USA.

Background: Small bowel obstruction is typically managed nonoperatively; however, refractory small bowel obstructions or closed loop obstructions necessitate operative intervention. Traditionally, laparotomy has long been the standard operative intervention for lysis of adhesions of small bowel obstructions. But as surgeons become more comfortable with minimally invasive techniques, laparoscopy has become a widely accepted intervention for small bowel obstructions. Read More

Cureus 2022 Apr 16;14(4):e24176. Epub 2022 Apr 16.

Surgery, Shinshu University School of Medicine, Matsumoto, JPN.

Introduction: The influence of air temperature on adhesive small bowel obstruction (ASBO) is unknown. This study aimed to investigate the relationship between air temperature and postoperative ASBO.

Methods: Overall, 312 patients with postoperative ASBO were included. Read More

J Radiol Case Rep 2022 Jan 1;16(1):14-21. Epub 2022 Jan 1.

The Institute of Pathology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Inflammatory Myofibroblastic Tumors (IMTs) are rare fibroblastic/myofibroblastic neoplasms that affect predominately pediatric patients and young adults. Almost half of the patients with IMTs have a chromosomal abnormality in the Anaplastic Lymphoma Kinase 1 gene on chromosome 2p23. Although these tumors occur primarily in the lung, lesions have been reported in a variety of intra-abdominal organs like the liver, spleen, and mesentery. Read More

BMJ Case Rep 2022 May 18;15(5). Epub 2022 May 18.

Department of Medical Biotechnologies, University of Siena, Siena, Italy.

Extranodal non-Hodgkin's lymphomas of the gastrointestinal tract represent 30%-40% of all extranodal lymphomas. Gastric lymphomas are increasingly described in the literature due to the development of diagnostic techniques and the increased incidence, together with the reduced incidence of gastric solid neoplasms. Significant diagnostic difficulties are determined by the non-specificity of the symptoms, which are mostly chronic, characterised by a slow progression. Read More

World J Gastroenterol 2022 Apr;28(14):1455-1478

Section of Hepatobiliary-Pancreatic and GI Surgery, Washington University St. Louis, St. Louis, MO 63110, United States.

Background: Heterotopic pancreas (HP) is an aberrant anatomic malformation that occurs most commonly in the upper gastrointestinal tract. While the majority of heterotopic pancreatic lesions are asymptomatic, many manifest severe clinical symptoms which require surgical or endoscopic intervention. Understanding of the clinical manifestations and symptoms of HP is limited due to the lack of large volume studies in the literature. Read More

J Belg Soc Radiol 2022 28;106(1):29. Epub 2022 Apr 28.

UZ Antwerpen, UZ Gent, AZ Sint-Maarten, BE.

Torsion of a segment of the small bowel and its mesentery, together with closed loop obstruction and absent enhancement of paper-thin small bowel walls, is an alarm sign for small bowel volvulus complicated by acute bowel infarction. Read More

Int J Surg Case Rep 2022 May 14;95:107180. Epub 2022 May 14.

Department of Pathology, Medical School, Fasa University of Medical Sciences, Fasa, Iran. Electronic address:

Introduction: Myxomas are rare benign mesenchymal neoplasms and mostly occur in cardiac atrium and with lower prevalence, appear in sinonasal tract, gnathic bone, skin and joints. Benign primary tumors of the small intestine are quite unusual accounting about 3% of all the gastrointestinal tract neoplasms.

Presentation Of Case: In this report, we present a rare case of small intestinal myxoma in a 43-year-old man complicated by ileoileal intussusception causing bowel obstruction. Read More

ANZ J Surg 2022 May 17. Epub 2022 May 17.

Colorectal Service, Department of General Surgery, Sengkang General Hospital, Singapore, 544886, 10 Sengkang East Way, Singapore.

J Comp Pathol 2022 Jun 9;194:1-6. Epub 2022 Apr 9.

Equine Veterinary Medical Center, Qatar Foundation, Doha, Qatar. Electronic address:

A 5-year-old Arabian broodmare with acute colic was diagnosed with lymphocytic ganglioneuritis of the coeliac-mesenteric ganglia and lymphocytic‒plasmacytic enterocolitis resembling inflammatory bowel disease. No significant pathogens were identified by aerobic culture or histopathological examination. The ganglia were multifocally infiltrated with small lymphocytes that were immunopositive for CD3 and negative for CD20 and CD79a antigens, indicating CD3 T-lymphocyte-mediated coeliac-mesenteric ganglioneuritis. Read More

Am Surg 2022 May 14:31348221101508. Epub 2022 May 14.

The Department of Surgery, 8395Walter Reed National Military Medical Center, Bethesda, MD, USA.

Front Surg 2022 28;9:856583. Epub 2022 Apr 28.

Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.

Introduction: Abdominal cocoon is a unique peritoneal disease that is frequently misdiagnosed. The occurrence of the abdominal cocoon with a jejuno-ileo-colonic fistula has not been previously reported.

Case Presentation: We admitted a 41-year-old female patient with an abdominal cocoon and a jejuno-ileo-colonic fistula. Read More

Front Med (Lausanne) 2022 28;9:895202. Epub 2022 Apr 28.

Diagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.

Intestinal obstruction is one of the most common complications of Crohn's disease (CD), jeopardizing the quality of life of patients. Numerous factors may contribute to intestinal obstruction in CD. Thus far, the primary reason has been identified as intestinal fibrosis caused by repeated chronic inflammation during the active phase of CD. Read More

Case Rep Surg 2022 5;2022:3881598. Epub 2022 May 5.

Department of General Surgery, Redcliffe Hospital, Anzac Avenue, Redcliffe, Queensland 4020, Australia.

Primary small bowel lymphomas are a rare entity but with significant morbidity and a low five-year overall survival even after surgery. Its diagnosis is often delayed due to the lack of clear specific signs, unfamiliarity amongst clinicians, and the lack of screening tools. This often results in patients presenting with tumour-associated complications such as perforation, obstruction, or gastrointestinal bleeding which warrant urgent surgical intervention. Read More

BMC Surg 2022 May 14;22(1):183. Epub 2022 May 14.

Department of Gastroenterology, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, 1 Zhongfu Road, Nanjing, Jiangsu, China.

Background: Previous studies reported that transnasal ileus tube was a new and useful method for rapid relief of small intestinal obstruction. However, no study reported the impacts of the transnasal ileus tube for Crohn's disease combined with intestinal obstruction. We aimed to describe the strategy to the small intestine obstruction caused by Crohn's disease on the basis of transnasal ileus tube insertion. Read More

Front Surg 2022 26;9:855904. Epub 2022 Apr 26.

Department of General Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, China.

Introduction: Small bowel obstruction is a common surgical emergency abdominal condition in clinical practice. Fecalith is one of the rare causative factors, especially phytobezoars.

Case Report: We report the case of a 66-year-old man admitted with "abdominal pain with vomiting for 1 day. Read More

Cochrane Database Syst Rev 2022 05 13;5:CD013070. Epub 2022 May 13.

Allergy and Clinical Immunology Unit, Internal Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Background: Crohn's disease (CD) is an inflammatory bowel disease that causes inflammation and stricture, of any part of the mucosa and the gut wall. It forms skip lesions, sparing the areas in between the affected parts of the gastrointestinal tract. Crohn's disease could have one of three complications; fistula, intestinal obstruction due to stricture, or gastrointestinal inflammation presenting as severe diarrhoea. Read More

Surg Endosc 2022 May 12. Epub 2022 May 12.

Second Department of Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.

Background: Laparoscopic surgery (LS) is reported to reduce postoperative complications and hospital stay compared with open surgery (OP). Because patient selection may have been biased in previous studies, propensity score matching (PSM) analysis was used in this study to test the benefits of LS compared with OP.

Methods: A total of 759 patients with stage I-III colorectal cancer undergoing curative surgery were retrospectively reviewed. Read More

Zhonghua Yi Xue Za Zhi 2022 May;102(18):1326-1329

Cholelithiasis Center, Tongji University Affiliated Shanghai East Hospital, Shanghai 200120, China.

The confluence of pancreaticobiliary ducts refers to the area between the end of common bile duct, the opening of main pancreatic duct and duodenal papilla. Those confluence diseases of pancreaticobiliary ducts will cause obstruction of biliary and pancreatic outflow tract, cholestasis, pancreatic juice deposition or pancreaticobiliary reflux, and thus induce gallstones, cholangitis, pancreatitis and other diseases. Endoscopic ampullary sphincterotomy is an important way to treat biliary and pancreatic diseases, but the length of incision is determined by the anatomy of Oddi sphincter. Read More

Can Assoc Radiol J 2022 05 11:8465371221094280. Epub 2022 May 11.

Department of Diagnostic Radiology, University of Manitoba, Winnipeg, MB, Canada

Acute mesenteric ischemia (AMI) is an uncommon yet highly lethal cause of acute abdomen in the emergency setting. Computed tomography (CT) imaging, in particular a biphasic protocol consisting of angiographic and venous phase scans, is widely used to corroborate non-specific clinical findings when suspicions of AMI are high. Techniques such as low kilovoltage peak scanning, dual energy acquisition, or a combined arterial/enteric phase can improve iodine conspicuity and evaluation of bowel enhancement. Read More

Cureus 2022 Apr 3;14(4):e23792. Epub 2022 Apr 3.

Hematology/Oncology, Mercy Catholic Medical Center, Darby, USA.

A 20-year-old female patient with a family history significant for Peutz-Jeghers syndrome presented to the hospital multiple times with complaints of abdominal pain. On the initial visit to the hospital, the patient underwent small bowel resection for small bowel obstruction secondary to intussusception, following which she visited the hospital again one year later for similar complaints and underwent reduction of multiple points of intussusception of the small bowel without any resection of the same. Eventually, the patient underwent resection of the small bowel for the second time, along with tumor resections. Read More

Updates Surg 2022 May 7. Epub 2022 May 7.

Department of Anesthesiology and Critical Care Medicine, Peking University First Hospital, No. 8 Xishiku Street, Beijing, 100034, China.

To assess the role of protein-energy malnutrition on perioperative outcomes in patients with pancreatic cancer undergoing open pancreaticoduodenectomy. We conducted a retrospective observational cohort study and investigated patients ≥ 18 years old with pancreatic cancer undergoing open pancreaticoduodenectomy within the National inpatient sample database during 2012-2014. The study population was divided into two groups based on the presence of protein-energy malnutrition. Read More

J Radiol Case Rep 2021 Dec 1;15(12):10-19. Epub 2021 Dec 1.

Department of Pathology, National University Hospital, Singapore.

Extraskeletal osteosarcoma of the small bowel mesentery is an exceedingly rare condition. It is an aggressive malignant neoplasm of mesenchymal origin characterized by osteoid formation. Final diagnosis is often made by histopathological analysis. Read More

Front Immunol 2022 20;13:871217. Epub 2022 Apr 20.

Department of Medical Oncology, University Hospital Waterford, Waterford, Ireland.

A man in his early 50s presented with small bowel obstruction, requiring emergency laparoscopic small bowel resection for the metastatic melanoma of the jejunum with no identifiable primary lesion. One week after his first treatment with ipilimumab and nivolumab, he presented with diffuse abdominal pain, constipation, and fatigue. A computerized tomography scan did not identify a cause for his symptoms. Read More

Int J Colorectal Dis 2022 May 5. Epub 2022 May 5.

Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Bonn, Germany.

Purpose: Mechanical bowel obstruction (MBO) is one of the most common indications for emergency surgery. Recent research justifies the method of attempting 3-5 days of nonoperative treatment before surgery. However, little is known about specific characteristics of geriatric patients undergoing surgery compared to a younger cohort. Read More

Andes Pediatr 2022 Feb 28;93(1):78-85. Epub 2022 Mar 28.

Facultad de Medicina, Universidad de Chile, Santiago, Chile.

The presence of fetal megacystis in a renal ultrasound may suggest a mechanical or functional bladder outlet obstruction, an uncommon condition with a poor outcome.

Objective: To determine prog nostic factors in fetuses with prenatal diagnosis of megacystis.

Patients And Method: Retrospective study carried out between 2003 and 2018 in the Orient Perinatal Reference Center (CERPO), Uni versity of Chile. Read More

Br J Hosp Med (Lond) 2022 04 29;83(4):1-3. Epub 2022 Apr 29.

Department of General Surgery, South Warwickshire NHS Foundation Trust, Warwick, UK.

Ugeskr Laeger 2022 May;184(18)

Patologiafdelingen, Aalborg Universitetshospital.

Transmesenteric hernia (TMH) is a rare cause of small bowel obstruction. If left untreated, mortality rates are high. In this case report, the authors describe a case of TMH in a preterm neonate born at gestational age 36 + 1 with abdominal distention, subumbilical discolouration and difficulty breathing at birth. Read More