18,371 results match your criteria Obstruction Small Bowel


Adhesional small bowel obstruction related to stapling device from previous laparoscopic inguinal hernia repair.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

The Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Small bowel obstruction (SBO) is common surgical presenting problem, accounting for roughly 15 000 laparotomies per year in the UK. However, SBO post laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is uncommon with an estimated incidence of 0.2%-0. Read More

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http://dx.doi.org/10.1136/bcr-2019-229377DOI Listing

The role of the laparoscopic approach in the surgical management of acute adhesive small bowel obstruction.

BMC Surg 2019 Apr 24;19(1):40. Epub 2019 Apr 24.

Department of Surgery, Hospital del Mar, Universitat Autònoma de Barcelona, Passeig Marítim 25-29, 08003, Barcelona, Spain.

Background: Postoperative adhesions represent 75% of all acute small bowel obstructions. Although open surgery is considered the standard approach for adhesiolysis, laparoscopic approach is gaining popularity.

Methods: A retrospective study with data from a prospectively maintained data base of all patients undergoing surgical treatment for adhesive small bowel obstruction (ASBO) from January 2007 to May 2016 was conducted. Read More

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http://dx.doi.org/10.1186/s12893-019-0504-xDOI Listing

Simultaneous small bowel and colon obstruction due to splenosis. A case report and review of literature.

Int J Surg Case Rep 2019 Mar 30;58:63-66. Epub 2019 Mar 30.

Department of General and Digestive Surgery, Maritime Hospital, Jbeil, Lebanon.

Introduction: Splenosis, an autotransplantation of splenic tissues in another compartment of the body, is only symptomatic when hematologic diseases have recurred or compression of other adjacent structures have occurred. Therefore, we report a clinical case of a patient with bowel obstruction due to splenosis.

Case Presentation: A patient with a history of splenectomy, presented to the emergency room for abdominal pain and obstipation, suggesting intestinal obstruction which is also seen on CT scan. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.040DOI Listing

[Prophylactic hysterectomy in Lynch syndrome: feasibility and outcomes].

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Chirurgie Cancérologique Gynécologique et du Sein, Paris, France; Université Paris Descartes, INSERM UMR-S 747, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France. Electronic address:

Objectives: Lynch syndrome (LS) is a hereditary predisposition to cancers, first of all, colo-rectal and endometrial cancers in women. Although recommended, gynecologic screening has never proven its benefit. Prophylactic surgery can be consider once the parental project is completed. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.04.010DOI Listing

Routine placement of feeding jejunostomy tube during esophagectomy increases postoperative complications and does not improve postoperative malnutrition.

Dis Esophagus 2019 Apr 17. Epub 2019 Apr 17.

Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Hyogo, Japan.

Esophagectomy for esophageal cancer is a highly invasive procedure, and a feeding jejunostomy tube (FJT) is routinely placed to ensure adequate enteral nutrition. However, the effect of perioperative short-term FJT placement remains controversial, and the aim of this study was to assess risks and benefits of routine FJT placement during esophagectomy and to determine parameters that can identify patients needing long-term FJT. This retrospective study included 393 patients who had undergone esophagectomy with gastric tube reconstruction via the posterior mediastinal route at the Kobe University Hospital and the Hyogo Cancer Center between April 2010 and December 2017. Read More

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http://dx.doi.org/10.1093/dote/doz021DOI Listing
April 2019
1 Read

The sucked surgical sponge: Rare case of Gossypiboma after vaginal hysterectomy.

Clin Case Rep 2019 Apr 6;7(4):753-757. Epub 2019 Mar 6.

Departement of General Surgery Cantonal Hospital Lucerne Luzern Switzerland.

Retained surgical material needs to be a possible differential diagnosis for patients presenting with unspecific abdominal pain after especially cavitary emergency surgery. Even though international standard checklists concerning sponge handling and counting exist, RSM could never be ruled out completely. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/ccr3.2074
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http://dx.doi.org/10.1002/ccr3.2074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452485PMC
April 2019
2 Reads

Ileus associated with mesenterium ileocolicum commune: two case reports and review of the literature.

J Surg Case Rep 2019 Apr 10;2019(4):rjz100. Epub 2019 Apr 10.

Department of Pediatric Surgery, Saku Central Hospital Advanced Care Center, 3400-28, Nakagomi, Saku-shi, Nagano 385-0051, Japan.

Two cases of ileus associated with mesenterium ileocolicum commune are reported herein. Case 1 was a 6-year-old girl who was admitted with bilious vomiting and abdominal distension. Plain computed tomography (CT) suggested intestinal volvulus or intussusception. Read More

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http://dx.doi.org/10.1093/jscr/rjz100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457068PMC
April 2019
1 Read

Peritoneal encapsulation: a rare cause of small bowel obstruction.

BMJ Case Rep 2019 Apr 15;12(4). Epub 2019 Apr 15.

Department of Surgery, Milton S Hershey Medical Center, Hershey, Pennsylvania, USA.

Peritoneal encapsulation syndrome (PES) is a rare cause of small bowel obstruction (SBO) in patients with no prior history of abdominal surgery. First described by Cleland in 1868, PES is a congenital condition characterised by small bowel encasement in an accessory, but otherwise normal peritoneal membrane. A result of abnormal rotation of the midgut during early development, the condition causes fibrous encapsulation of the intestines, thus preventing bowel distention. Read More

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http://dx.doi.org/10.1136/bcr-2018-228594DOI Listing
April 2019
1 Read

Review of Cystic Fibrosis.

Pediatr Ann 2019 Apr;48(4):e154-e161

Cystic fibrosis (CF) is an autosomal recessive disease characterized by pancreatic insufficiency and chronic endobronchial airway infection. This latter feature results in progressive bronchiectasis and ultimately respiratory failure, which is the leading cause of death in patients with CF. Other complications include sinusitis, diabetes mellitus, bowel obstruction, hepatobiliary disease, hyponatremic dehydration, and infertility. Read More

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https://www.healio.com/doiresolver?doi=10.3928/19382359-2019
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http://dx.doi.org/10.3928/19382359-20190327-01DOI Listing
April 2019
2 Reads

Surgical treatment of gastric outlet obstruction from a large trichobezoar: A case report.

Int J Surg Case Rep 2019 Apr 6;57:183-185. Epub 2019 Apr 6.

Department of Minimally Invasive Surgery, Poissy Saint Germain Medical Center, Poissy, France.

Introduction: Bezoars are concretions of foreign indigestible material accumulating in the gastrointestinal tract leading to intraluminal mass formation that impairs the gastrointestinal motility and can lead to gastric obstruction of the small or the large bowel. There are different types of bezoars, named according to the material they are made of. These include phytobezoar, lactobezoar, pharmacobezoar, trichobezoar, and polybezoar. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461568PMC
April 2019
3 Reads

Unusual Cystic Fibrosis Transmembrane Conductance Regulator Mutations and Liver Disease: A Case Series and Review of the Literature.

Transplant Proc 2019 Apr 7;51(3):790-793. Epub 2019 Jan 7.

Transplant Institute, Medstar Georgetown University Hospital, Washington, DC, USA. Electronic address:

Cystic fibrosis (CF) is caused by a mutation in the CF transmembrane conductance regulator (CFTR) gene, deranging the activity of chloride channels on the epithelial cell surface. Herein we describe end-stage liver disease in 3 infants with rare CFTR gene mutations; 2 of them were heterozygous. Case 1 was a premature male infant with negative CF screening at birth who developed a small bowel obstruction in the neonatal period requiring an ileostomy, with subsequent cholestatic liver disease and portal hypertension. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.11.007DOI Listing
April 2019
1 Read

[Slow Transit Constipation].

Authors:
Marco Sailer

Zentralbl Chir 2019 Apr 12;144(2):179-189. Epub 2019 Apr 12.

Chirurgie, Bethesda KH Bergedorf, Hamburg, Deutschland.

Slow transit constipation is a rare condition that is almost exclusively encountered in middle-aged women. The pathophysiology and aetiology are poorly understood, but a multi-factorial pathogenesis seems likely. In the course of the differential diagnosis, mechanical, drug-induced, degenerative, metabolic, endocrinological, neurological and psychiatric causes of constipation must be excluded by an interdisciplinary approach. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0860-5960
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http://dx.doi.org/10.1055/a-0860-5960DOI Listing
April 2019
3 Reads

Abdominal cocoon syndrome: an obstructive adhesiolytic metamorphosis.

BMJ Case Rep 2019 Apr 11;12(4). Epub 2019 Apr 11.

Department of Surgery, Milton S Hershey Medical Center, Hershey, Pennsylvania, USA.

Abdominal cocoon syndrome (ACS), also known as idiopathic sclerosing peritonitis and primary sclerosing peritonitis, is a rare condition causing small bowel obstruction first described in 1978 by Foo It is characterised by total or partial encasement of the small bowel in a fibrocollagenous cocoon-like sac accompanied by extensive intrinsic small bowel adhesions. While the aetiology of this condition remains largely unknown, ACS can be divided into two subtypes: primary or idiopathic, which is often accompanied by cryptorchidism, and secondary to another cause such as congenital dysplasia or medications. Definitive diagnosis can only be achieved following laparotomy with extensive lysis of adhesions to alleviate the obstruction. Read More

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http://dx.doi.org/10.1136/bcr-2018-228593DOI Listing
April 2019
1 Read

Laparoscopic mesh repair of an incarcerated Spigelian hernia causing small bowel obstruction.

ANZ J Surg 2019 Apr 11. Epub 2019 Apr 11.

Colorectal Surgical Unit, Department of General Surgery, Fiona Stanley Hospital, Perth, Western Australia, Australia.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ans.15094
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http://dx.doi.org/10.1111/ans.15094DOI Listing
April 2019
2 Reads

Orbezoar: A Superabsorbent Polymer Causing Small Bowel Obstruction in a Toddler.

J Pediatr Gastroenterol Nutr 2019 Apr 1. Epub 2019 Apr 1.

Department of Surgery, Massachusetts General Hospital, Boston, MA.

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http://dx.doi.org/10.1097/MPG.0000000000002357DOI Listing
April 2019
1 Read

Desmoplastic Small Round Cell Tumor: Long-Term Complications After Cytoreduction and Hyperthermic Intraperitoneal Chemotherapy.

Ann Surg Oncol 2019 Apr 8. Epub 2019 Apr 8.

Division of Surgical Oncology, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, 38163, USA.

Background: Desmoplastic small round cell tumor (DSRCT) is a rare intra-abdominal soft tissue sarcoma affecting adolescents and young adults. Cytoreduction, hyperthermic intraperitoneal chemotherapy (CRS/HIPEC), and adjuvant radiotherapy may improve local control. We review our experience with patients who undergo CRS/HIPEC and adjuvant radiotherapy for DSRCT. Read More

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http://dx.doi.org/10.1245/s10434-019-07339-2DOI Listing
April 2019
1 Read

Recurrent Intestinal Obstruction after Radiation Therapy: A Case Report and Review of the Literature.

Case Rep Surg 2019 6;2019:5198958. Epub 2019 Mar 6.

Department of Surgery, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, USA.

Introduction: In patients who have undergone resection for rectal cancer after neoadjuvant radiotherapy, loop ileostomy is commonly performed with few serious complications. In rare cases, if this irradiated small bowel is strictured, reversal of the affected ileostomy can have dire consequences. We present a case of a 62-year-old male with recurrent intestinal obstruction after closure of his loop ileostomy. Read More

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http://dx.doi.org/10.1155/2019/5198958DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431390PMC
March 2019
1 Read

Bowel obstruction caused by colonic metastasis of lung adenocarcinoma: a case report and literature review.

World J Surg Oncol 2019 Apr 8;17(1):63. Epub 2019 Apr 8.

Department of Anatomical and Clinical Pathology, Wesley Medical Center, 550 N. Hillside St, Wichita, KS, 67214, USA.

Introduction: Lung cancer is the most common cause of cancer-related deaths globally. Metastatic disease is often found at the time of initial diagnosis in the majority of lung cancer patients. However, colonic metastases are rare. Read More

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http://dx.doi.org/10.1186/s12957-019-1611-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454752PMC
April 2019
1 Read

Small-bowel obstruction from Gorilla Glue ingestion.

Gastrointest Endosc 2019 Apr 5. Epub 2019 Apr 5.

Department of Oncology/Hematology, Marshfield Clinic, Weston WI, USA.

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http://dx.doi.org/10.1016/j.gie.2019.04.199DOI Listing
April 2019
2 Reads

Intramural duodenal haematoma with mucosal prolapse causing intestinal obstruction.

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Department of Paediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

Intramural small bowel haematoma is a rare cause of intestinal obstruction in children. Coagulation disorders or anticoagulant therapy are the most common cause followed by blunt trauma. A one and half-year-old boy, with known case of gastro-oesophageal reflux disease had undergone upper gastrointestinal endoscopy and biopsy. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22827
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http://dx.doi.org/10.1136/bcr-2018-228276DOI Listing
April 2019
5 Reads

Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes.

Acta Med Port 2019 Mar 29;32(3):240-243. Epub 2019 Mar 29.

Departamento de Cirurgia. Centro Hospitalar Tondela-Viseu. Viseu. Portugal.

Internal hernias are a rare cause of bowel obstruction (1%) and can be caused by broad ligament defects in 4% to 7% of the cases. These defects may be congenital or acquired and are classified according to its anatomical location. This paper reports three cases of small bowel obstruction by broad ligament hernia. Read More

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http://dx.doi.org/10.20344/amp.10951DOI Listing
March 2019
3 Reads

Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine.

BMC Gastroenterol 2019 Apr 3;19(1):49. Epub 2019 Apr 3.

Division of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Ren-Ji Hospital, Shanghai Jiao-Tong University School of Medicine, 145 Middle Shandong Road, Shanghai, 200001, China.

Background: CMUSE is a rare disease whose diagnosis remains difficult because the lesion is confined to the small bowel.

Case Presentation: Here, we present a case of 43-year-old female patient suffered chronic abdominal pain for 20 years, and finally diagnosed with CMUSE. Capsule endoscopy was performed when general endoscopic investigation failed to find the lesion, but the capsule was stranded in the small intestine. Read More

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http://dx.doi.org/10.1186/s12876-019-0962-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448319PMC
April 2019
4 Reads

Analysis of the factors involved in procedural failure: Endoscopic retrograde cholangiopancreatography using a short-type single-balloon enteroscope for patients with surgically altered gastrointestinal anatomy.

Dig Endosc 2019 Apr 3. Epub 2019 Apr 3.

Community Health Science Center, Saitama Medical University, Saitama, Japan.

Aim: To analyze factors involved in procedural failure and to discuss responses to procedural failure by using the outcomes of endoscopic retrograde cholangiopancreatography (ERCP) carried out using a short-type single-balloon enteroscope (short SBE) in patients with surgically altered gastrointestinal anatomy.

Methods: The study sample included patients who underwent ERCP-related procedures using a short SBE between September 2011 and September 2018 at our hospital. Outcomes, including procedural success rate, were studied retrospectively to analyze the factors involved in procedural failure. Read More

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http://dx.doi.org/10.1111/den.13414DOI Listing
April 2019
3 Reads

Florid Vascular Proliferation of the Small Bowel and Colon, a Potential Masquerader of Malignancy: Report of Three Cases.

Int J Surg Pathol 2019 Apr 3:1066896919837665. Epub 2019 Apr 3.

1 University of Rochester Medical Center, Rochester, NY, USA.

Vascular abnormalities and lesions of the small bowel and colon are rare. A florid vascular proliferation (FVP) associated with colon obstruction and intussusception has been described and can mimic malignant vascular tumors such as angiosarcoma. In this article, we report a case of colonic FVP associated with colon obstruction, a case of small bowel FVP associated with a Meckel's diverticulum, and a case of small bowel FVP with intussusception. Read More

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http://dx.doi.org/10.1177/1066896919837665DOI Listing
April 2019
4 Reads

Peritoneal sarcoidosis mimicking peritoneal carcinomatosis.

Ann Ital Chir 2019 Jan 10;8. Epub 2019 Jan 10.

Aim: Describtion of a rare case of intestinal obstruction due to peritoneal sarcoidosis mimicking peritoneal carcinomatosis, and of the literature review about its surgical management.

Material Of Study: A 69 year-old woman was referred to our emergency department with diffuse abdominal pain, enteric vomiting and constipation. Abdominal CT showed a dilatated small bowel loops extended to the jejunum with a mechanical obstruction. Read More

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January 2019
3 Reads

[Advantages of Kasai procedure through minimally invasive approach in children with biliary atresia (in Russian only)].

Khirurgiia (Mosk) 2019 (3):48-59

Pirogov Russian National Research Medical University, Moscow, Russia; Filatov Munitsipal Children's Hospital, Moscow, Russia.

Aim: To compare early and long-term results of different surgical interventions in children with biliary atresia.

Material And Methods: Retrospective analysis included medical records of children with biliary atresia who were treated at the Filatov Munitsipal Children's Hospital and National Medical Research Center for Obstetrics, Gynecology and Perinatology from 2000 to 2018. There were 91 patients. Read More

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http://dx.doi.org/10.17116/hirurgia201903148DOI Listing
January 2019
1 Read

Laparoscopic management of adhesive small bowel obstruction with strangulation: when to resect and how to distinguish reversible from nonreversible bowel ischaemia - a video vignette.

Colorectal Dis 2019 Apr 1. Epub 2019 Apr 1.

Tripler Army Medical Center, Tripler, Hawaii, USA.

Small bowel obstruction (SBO) is one of the commonest reasons for admission to a surgical service in developed countries, accounting for 4% of all emergency admissions and up to 20% of surgical admissions for acute abdomen.. The most common aetiology is abdominal adhesions which account for 60- 70% of all the cases of SBO [1]. Read More

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http://dx.doi.org/10.1111/codi.14627DOI Listing
April 2019
2 Reads

An ileo-ileal intussusception secondary to polypoid lipoma in a child, a case report and review of the literature.

Int J Surg Case Rep 2019 Mar 20;57:88-90. Epub 2019 Mar 20.

South Egypt Cancer Institute, Assiut University, Egypt. Electronic address:

Background: Intramuscular intestinal lipoma is one of the rare benign tumours of the small intestine in children and acts as a lead point of intussusception.

Presentation Of Case: We describe a case in which a 4-year-old boy presented with recurrent attacks of colicky abdominal pain and non-bilious vomiting. Abdominal examination was irrelevant. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441738PMC
March 2019
2 Reads

Rare case of gallbladder mucocele causing gastric outlet obstruction treated with cholecystectomy.

Int J Surg Case Rep 2019 Mar 21;57:84-87. Epub 2019 Mar 21.

Department of Hepato-Pancreato-Biliary and Transplant Surgery, Academia Level 5, 20 College Road, Singapore, 169856, Singapore. Electronic address:

Introduction: Gallstone(s) impacted at the distal small bowel causing intestinal obstruction as a result of cholecystoenteric fistula is a well-known, albeit uncommon surgical condition. The rare Bouveret's Syndrome, which refers to the proximal impaction of gallstone(s) in the duodenum or pylorus resulting in the gastric outlet obstruction (GOO), has also been described in the literature. However, gallbladder mucocele with extrinsic compression of the duodenum and/or pylorus causing GOO is a separate entity that is extremely rare. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439269PMC
March 2019
3 Reads

The endoscopic retromuscular repair of ventral hernia: the eTEP technique and early results.

Authors:
V G Radu M Lica

Hernia 2019 Mar 28. Epub 2019 Mar 28.

Life Memorial Hospital, Bucharest, Romania.

Purpose: The aim of this article is to describe the technique and early follow-up results of abdominal wall reconstruction (AWR) by minimally invasive surgery (MIS); it concerns the already described endoscopic (retromuscular) Rives procedure (e-Rives) and posterior component separation with transversus abdominis release (TAR) by endoscopic approach (eTEP-TAR).

Method: This is a prospective study which consists of 60 patients operated on between May 2016 and December 2017 by a single surgeon and monitored until July 2018. This is a heterogenic cohort with different hernia types (lateral, median, combined) which were also treated with different meshes. Read More

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http://dx.doi.org/10.1007/s10029-019-01931-xDOI Listing
March 2019
1 Read

Internal hernia beneath the left external iliac artery after robotic-assisted laparoscopic prostatectomy with extended pelvic lymph node dissection: a case report.

Surg Case Rep 2019 Mar 28;5(1):49. Epub 2019 Mar 28.

Department of Surgery, Cosmos Hospital, 1131-1 Tomuro, Usuki, 875-0051, Japan.

Background: Formation of an internal hernia beneath a skeletonized pelvic vessel after pelvic lymph node dissection is extremely rare. We report a case of an internal hernia formation beneath the left external iliac artery after a robotic-assisted laparoscopic prostatectomy with extended pelvic lymph node dissection.

Case Presentation: A 72-year-old man visited our hospital complaining of severe lower abdominal pain. Read More

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http://dx.doi.org/10.1186/s40792-019-0609-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439070PMC
March 2019
1 Read

Gastrografin reduces the need for additional surgery in postoperative small bowel obstruction patients without long tube insertion: A meta-analysis.

Ann Gastroenterol Surg 2019 Mar 17;3(2):187-194. Epub 2018 Dec 17.

Department of Gastroenterological Surgery Dokkyo Medical University Tochigi Japan.

Background: Small bowel obstruction (SBO) is a well-known major postoperative complication requiring immediate diagnosis and treatment to avoid additional invasive surgical procedures. Water-soluble contrast medium is often given not only for diagnosis but also for treatment. Although numerous studies have investigated the significance of this treatment, no consensus has yet been established regarding its indications and efficacy. Read More

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http://dx.doi.org/10.1002/ags3.12223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422814PMC

Complete ileal transection: A rare complication of adhesive bowel disease-A case report.

Int J Surg Case Rep 2019 Mar 20;57:74-80. Epub 2019 Mar 20.

H. No. 473, St. 62, G-9/4, Islamabad, Pakistan. Electronic address:

Introduction: Adhesive bowel disease is a sequel of abdominal surgeries and has come forth as the leading cause of small bowel obstruction (SBO). It may also lead to chronic abdomino-pelvic pain and infertility in women. Adhesions form as a result of peritoneal irritation, giving rise to an inflammatory process. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438903PMC
March 2019
1 Read

Better Function With a Colonic J-Pouch or a Side-to-end Anastomosis?: A Randomized Controlled Trial to Compare the Complications, Functional Outcome, and Quality of Life in Patients With Low Rectal Cancer After a J-Pouch or a Side-to-end Anastomosis.

Ann Surg 2019 05;269(5):815-826

Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH.

Background Information: We aimed to compare prospectively the complications and functional outcome of patients undergoing a J-Pouch (JP) or a side-to-end anastomosis (SE) for treatment of low rectal cancer at a 2-year time point after resection for rectal cancer.

Methods: A multicenter study was conducted on patients with low rectal cancer who were randomized to receive either a JP or SE and were followed for 24 months utilizing SF-12 and FACT-C surveys to evaluate the quality of life (QOL). Fecal incontinence was evaluated using the Fecal Incontinence Severity Index (FISI). Read More

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http://dx.doi.org/10.1097/SLA.0000000000003249DOI Listing
May 2019
2 Reads

Small bowel adenocarcinoma as a complication of celiac disease: clinical and diagnostic features.

BMC Gastroenterol 2019 Mar 27;19(1):45. Epub 2019 Mar 27.

Department of Medical Sciences, University of Ferrara, St. Anna Hospital, Via Aldo Moro, 8, 44124, Ferrara, Cona, Italy.

Background: Small bowel adenocarcinoma (SBA) is a rare neoplasm, which can occur in a sporadic form or can be associated with a number of predisposing conditions such as hereditary syndromes and immune-mediated intestinal disorders, e.g. celiac disease (CD). Read More

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http://dx.doi.org/10.1186/s12876-019-0964-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437995PMC
March 2019
1 Read

Praxagoras of Cos (4th Century BC) and His Innovative Method of a Diverting Enterocutaneous Fistula to Relieve Small Bowel Obstruction.

Surg Innov 2019 Mar 27:1553350619834836. Epub 2019 Mar 27.

2 University of Crete, Crete, Greece.

Born in an island with huge medical tradition in ancient Greece, Praxagoras of Cos became an esteemed medico-philosopher and surgeon. The evolution made by the Hippocratic School of Medicine further boosted his talent and helped him perform surgical operations, which were believed impossible for his era. Praxagoras introduced an innovative surgical technique to confront small bowel obstruction, by creating an enterocutaneous fistula. Read More

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http://dx.doi.org/10.1177/1553350619834836DOI Listing
March 2019
1 Read

Plastic bread clip impacted in gastrointestinal tract: a case report and review of the literature.

Clin J Gastroenterol 2019 Mar 26. Epub 2019 Mar 26.

Colorectal Surgery Unit, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.

A 79-year-old initially presented to her general practitioner for a 6-week history of nausea, intermittent abdominal pain and altered bowel habits. Colonoscopy was performed to investigate her symptoms and revealed a bread clip that was adherent to the sigmoid colon mucosa, unable to be retrieved. A CT scan was performed to exclude any associated complication, which showed no evidence of perforation or collection. Read More

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http://dx.doi.org/10.1007/s12328-019-00962-2DOI Listing

Obstruction reduction: Use of water-soluble contrast challenge to differentiate between partial and complete small bowel obstruction.

Am J Surg 2019 Feb 28. Epub 2019 Feb 28.

Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

Differentiating SBO that will resolve conservatively from those requiring surgery remains challenging. Water-soluble contrast administration may be diagnostic and therapeutic. Our study evaluated use of a WSC challenge protocol. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.02.034DOI Listing
February 2019
2 Reads

B-lymphocyte-intrinsic and -extrinsic defects in secretory immunoglobulin A production in the neural crest-conditional deletion of endothelin receptor B model of Hirschsprung-associated enterocolitis.

FASEB J 2019 Mar 25:fj201801913R. Epub 2019 Mar 25.

Division of Pediatric Surgery, Department of Surgery, University of Tennessee Health Sciences Center, Memphis, Tennessee, USA.

Hirschsprung disease (HSCR) is a common cause of intestinal obstruction in the newborn. Hirschsprung-associated enterocolitis (HAEC) is a significant and life-threatening complication of HSCR, affecting up to 60% of patients. Animal models of endothelin receptor B ( EdnrB) mutation reliably model human HSCR and HAEC. Read More

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https://www.fasebj.org/doi/10.1096/fj.201801913R
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http://dx.doi.org/10.1096/fj.201801913RDOI Listing
March 2019
10 Reads

Outcomes in adhesive small bowel obstruction from a large statewide database: What to expect after nonoperative management.

J Trauma Acute Care Surg 2019 Apr;86(4):651-657

From the Trauma Service (L.E.W., R.Y.C., C.E.D., J.M.B., W.J.B., V.B., C.B.S., M.J.S.), Scripps Mercy Hospital, San Diego, California.

Background: Although adhesive small-bowel obstruction (ASBO) is frequently managed nonoperatively, little is known regarding outcomes on readmission following this approach. Using a large population-based dataset, we evaluated risk factors for operative intervention and mortality at readmission in patients with ASBO who were initially managed nonoperatively.

Methods: The ASBO patients were identified in the California Office of Statewide Health Planning and Development 2007 to 2014 patient discharge database. Read More

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http://dx.doi.org/10.1097/TA.0000000000002196DOI Listing
April 2019
2 Reads

A Rare Case of Medullary Carcinoma of the Ileum.

Cureus 2018 Dec 11;10(12):e3721. Epub 2018 Dec 11.

Gastroenterology, Boca Raton Regional Hospital, Boca Raton, USA.

Medullary carcinoma of the small intestine is an exceedingly rare tumor. These tumors account for less than 0.04% of all colorectal cancers and only one case to date has been reported in the ileum. Read More

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http://dx.doi.org/10.7759/cureus.3721DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428359PMC
December 2018
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Failure to rescue as a source of variation in hospital mortality after rectal surgery: The Italian experience.

Eur J Surg Oncol 2019 Mar 16. Epub 2019 Mar 16.

Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy. Electronic address:

Introduction: Failure to rescue (FTR) patients from postoperative complications could contribute to the variability in surgical mortality seen among hospitals with different volumes. We sought to examine the impact of complications and FTR on mortality following rectal surgery.

Methods: The National Italian Hospital Discharge Dataset allowed to identify 75,280 patients who underwent rectal surgery between 2002 and 2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07487983193031
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http://dx.doi.org/10.1016/j.ejso.2019.03.006DOI Listing
March 2019
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Case 268.

Radiology 2019 Apr;291(1):259-260

From the Department of Radiology, Norfolk and Norwich University Hospitals, Colney Lane, Norwich NR4 7UY, England.

History A 65-year-old man presented to the emergency department with a 1-week history of constipation, which was associated with increasing abdominal distention and not passing flatus. Four weeks prior to the current admission he had been diagnosed with metastatic primary adenocarcinoma of the appendix. One week ago, he had been hospitalized with small-bowel obstruction, for which he required laparotomy and loop ileostomy. Read More

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http://dx.doi.org/10.1148/radiol.2019170367DOI Listing
April 2019
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Small bowel obstruction in a virgin abdomen.

Am J Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Surgery, Mayo Clinic, Rochester, MN, USA.

Introduction: Surgical exploration is still considered mandatory in the setting of small bowel obstruction (SBO) and a virgin abdomen by some large centers. The aim of this study is to determine the etiology of SBO in patients without prior abdominal operation.

Methods: Retrospective review of the patients treated for SBO and virgin abdomen at the Mayo Clinic between 2006 and 2016 was performed. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.02.011DOI Listing
February 2019
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Prediction of surgical management for operated adhesive postoperative small bowel obstruction in a pediatric population.

Medicine (Baltimore) 2019 Mar;98(11):e14919

Department of Pediatric General Surgery and Liver Transplantation.

Abdominal surgery might contribute to postoperative intraperitoneal adhesions, with a high rate of recurrence. In the present study, we aimed to analyze potential factors for the surgical intervention of operated adhesive postoperative small bowel obstruction (SBO) in pediatric patients and compare the outcomes of patients managed by conservative treatment or surgical operation for an episode of SBO.From January 2007 to January 2017, the records of 712 patients admitted with SBO to Children's Hospital, Chongqing Medical University, were reviewed retrospectively. Read More

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http://dx.doi.org/10.1097/MD.0000000000014919DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426593PMC
March 2019
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Recurrent intestinal obstruction in a patient of Peutz-Jeghers syndrome.

J Cancer Res Ther 2019 Jan-Mar;15(1):252-254

Department of General Surgery, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India.

Peutz-Jeghers syndrome is a rare hamartomatous polyposis syndrome characterized by the presence of intestinal polyps and mucocutaneous melanotic pigmentations. It is associated with various gastrointestinal and extraintestinal malignancies. This case report deals with the clinical presentation, investigations, operative findings, and outcome of a patient harboring this disease. Read More

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http://dx.doi.org/10.4103/jcrt.JCRT_866_17DOI Listing
March 2019
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Vitamin D and vitamin B deficiencies in patients with small intestinal carcinoid tumour: is opioid use disorder a confounding factor in the diagnosis?

BMJ Case Rep 2019 Mar 16;12(3). Epub 2019 Mar 16.

Allama Iqbal Medical College, Lahore, Pakistan.

Carcinoid tumours have the ability to secrete various peptides and bioamines that lead to carcinoid syndrome manifested as cutaneous flushing, diarrhoea, bronchial constriction and cardiac involvement. The deficiencies of vitamins D and B have previously been reported in patients with carcinoid tumours presumably due to chronic diarrhoea associated with the carcinoid syndrome. Herein, we chronicle the case of a patient with opioid use disorder who presented with small bowel obstruction that was found to be caused by a midgut carcinoid tumour. Read More

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http://dx.doi.org/10.1136/bcr-2018-227430DOI Listing
March 2019
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Ovarian dermoid cyst complicated by small bowel obstruction, entero-ovarian fistula formation, and malignant degeneration.

Clin Imaging 2019 Mar 8;56:47-51. Epub 2019 Mar 8.

Department of Radiology, Northwell Health System, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address:

Dermoid cysts, or mature cystic teratomas, are complicated by malignant degeneration in only 1-2% of cases. Rarely, dermoid cysts result in complications of small bowel obstruction or entero-ovarian fistula formation. In the current report we present the case of a 59-year-old female with a known dermoid cyst who presented with leukocytosis and was discovered to have a small bowel obstruction at the level of an ileo-ovarian fistula. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.03.005DOI Listing
March 2019
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Simultaneous small and large bowel obstruction as a consequence of internal hernia: A case report.

Int J Surg Case Rep 2019 Feb 27;57:28-32. Epub 2019 Feb 27.

Department of General Surgery, Jordanian Royal Medical Services (JRMS), Amman, Jordan. Electronic address:

Introduction: Intestinal obstruction ascribed to internal hernia is quite rare, especially in adults. There are no differentiating features in the presentation of intestinal obstruction due to internal hernia as compared to other causes. Delay in the diagnosis of this condition carries a considerable risk especially in a virgin abdomen. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423352PMC
February 2019
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Laparoscopic subtotal colectomy with double-end ileosigmoidostomy in right iliac fossa facilitates second-stage surgery in patients with inflammatory bowel disease.

Surg Endosc 2019 Mar 14. Epub 2019 Mar 14.

Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, Université Paris VII, 100 Boulevard du Général Leclerc, 92110, Clichy, France.

Background: There is no consensus about the most appropriate management of rectal stump in laparoscopic subtotal colectomy (STC) performed for inflammatory bowel disease (IBD). The objective is to report our experience of laparoscopic STC with double-end ileosigmoidostomy in the right iliac fossa for IBD.

Methods: All patients undergoing laparoscopic STC and double-end ileosigmoidostomy in the right iliac fossa for IBD in 2 European expert centres were included. Read More

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http://dx.doi.org/10.1007/s00464-019-06749-3DOI Listing
March 2019
2 Reads