18,214 results match your criteria Small Bowel Obstruction


Clinical and CT findings of small bowel obstruction caused by rice cakes in comparison with bezoars.

Jpn J Radiol 2019 Jan 16. Epub 2019 Jan 16.

Department of Diagnostic and Interventional Radiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-cho, Abeno-ku, Osaka, Osaka, 545-8585, Japan.

Purpose: Rice cakes have not been recognized as a cause of small bowel obstruction (SBO) worldwide. We compared clinical and CT findings of rice cake SBO versus SBO due to bezoars, the most common cause of food-induced SBO.

Methods: Twenty-four patients with rice cake SBO (n = 17) or bezoar SBO (n = 7) were retrospectively evaluated for clinical findings and the following multi-detector CT (MDCT) features: identification of the transition zone, presence of intraluminal lesions, degree of obstruction, and length and attenuation of obstructing materials. Read More

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http://dx.doi.org/10.1007/s11604-019-00811-9DOI Listing
January 2019

Milk Curd Obstruction in Human Milk-Fed Preterm Infants.

Neonatology 2019 Jan 15;115(3):211-216. Epub 2019 Jan 15.

Background: Milk curd obstruction as a cause of intestinal obstruction has been known since 1959, but has nearly disappeared. However, in recent years it has experienced a revival in small premature infants.

Objective: The aim of this study was to evaluate the clinical characteristics of milk curd obstruction (lactobezoar) in preterm infants. Read More

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https://www.karger.com/Article/FullText/494625
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http://dx.doi.org/10.1159/000494625DOI Listing
January 2019
3 Reads

Meckel's enterolith : a rare cause of mechanical small bowel subobstruction.

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):534-537

Department of Gastroenterology, AZ Klina, Brasschaat, Belgium.

Meckel's diverticulum is the most common congenital gastrointestinal malformation and may present with bleeding, obstruction and diverticulitis. Symptomatic Meckel's diverticulum is associated with age <50 years, male gender, diverticular length > 2 cm and ectopic mucosa. Formation of enteroliths is a rare complication of Meckel's diverticulum and the majority of stones will remain in the diverticulum. Read More

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January 2019

A Comparison of Emergency First Presentations of Colorectal Cancer in Under-50 and Over-50 Year-Old Patients.

J Invest Surg 2019 Jan 15:1-6. Epub 2019 Jan 15.

b Department of General Surgery , West Suffolk Hospital , Bury Saint Edmunds , UK.

Introduction: Colorectal cancer (CRC) is the second commonest malignancy related death in Western Europe with incidence increasing in young adults. 31% of UK patients with CRC present as emergencies. We compare the incidence, characteristics, management and outcomes in two cohorts presenting as CRC emergencies; under-50 and over-50 years old. Read More

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http://dx.doi.org/10.1080/08941939.2018.1545060DOI Listing
January 2019

Intraluminal Apple as a Rare Cause of Small Bowel Obstruction.

Case Rep Gastrointest Med 2018 13;2018:1304519. Epub 2018 Dec 13.

Department of Acute Care Surgery, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka 593-8304, Japan.

Small bowel obstruction due to ingested foreign bodies is rare in adults. A 48-year-old male visited our hospital with abdominal pain and vomiting. Computed tomography revealed intestinal obstruction by a 3 × 4 cm apple-shaped foreign body. Read More

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http://dx.doi.org/10.1155/2018/1304519DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311299PMC
December 2018

Malignant gastrointestinal neuroectodermal tumor (clear cell sarcoma-like tumor of the gastrointestinal tract) of the small intestine in a 12-year-old boy.

Dev Period Med 2018 ;22(4):358-363

Department of General Pathomorphology, Medical University of Białystok, Białystok, Poland.

The aim of this paper is a clinical and anatomopathological demonstration of a malignant lesion, a gastrointestinal neuroectodermal tumor (GNET), as an exceedingly rare cause of ileus in the pediatric population. Specifically, we present the case of a 12-year-old boy who showed dramatic weight loss, hypochromic anemia, fever, dehydration, exaggerated granulation of the terminal ileum, and mechanical ileus due to the obstruction by an intramural tumor of the small intestine. A 50cm-long part of the small intestine with pathological stricture was surgically removed, sampled and routinely fixed and stained with hematoxylin and eosin. Read More

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January 2018

Outcomes in Adhesive Small Bowel Obstruction from a Large Statewide Database: What to Expect after Non-Operative Management.

J Trauma Acute Care Surg 2019 Jan 10. Epub 2019 Jan 10.

Trauma Service, Scripps Mercy Hospital, San Diego, California.

Background: Although adhesive small bowel obstruction (ASBO) is frequently managed non-operatively, 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 non-operatively.

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

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http://dx.doi.org/10.1097/TA.0000000000002196DOI Listing
January 2019

Small bowel obstruction due to internal hernia through sigmoid epiploica.

J Surg Case Rep 2019 Jan 8;2019(1):rjy342. Epub 2019 Jan 8.

Section of Burns and Trauma, MedStar Washington Hospital Center, and Department of Surgery, Georgetown University School of Medicine.

Internal hernia is a rare cause of small bowel obstruction; even more rare is one that occurs through a sigmoid epiploica defect. There have been only two previously reported cases from this etiology, but both were without the advantage of high-resolution imaging. We report the first color representation of this pathology, along with the first video recording of the internal hernia reduction. Read More

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http://dx.doi.org/10.1093/jscr/rjy342DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324651PMC
January 2019

A Rare Cause of Abdominal Pain in Adults: Meckel's Diverticulitis.

Case Rep Gastroenterol 2018 Sep-Dec;12(3):709-714. Epub 2018 Nov 28.

Department of Medicine, BronxCare Hospital Center, Bronx, New York, USA.

A 42-year-old man presented to the emergency room with complaints of periumbilical abdominal pain. A contrast-enhanced computed tomography revealed mucosal thickening in the small bowel of the right abdomen. There was a fairly large small bowel diverticulum associated with this segment. Read More

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http://dx.doi.org/10.1159/000494752DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323367PMC
November 2018
1 Read

Crohn's Disease Manifesting as a Duodenal Obstruction: An Unusual Case.

Gastroenterology Res 2018 Dec 17;11(6):436-440. Epub 2018 Dec 17.

Department of Anatomic Pathology, The Brooklyn Hospital Center, Academic Affiliate of The Icahn School of Medicine at Mount Sinai, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Avenue, Brooklyn, NY 11201, USA.

We describe a case of a 31-year-old man who presented with a 3-year history of worsening upper abdominal pain, nausea, and vomiting: symptoms that were resistant to medical treatment and unexplained despite a thorough diagnostic evaluation. Then, an upper gastrointestinal series with small bowel follow-through showed proximal duodenal dilation and distal decompression of the duodenum, suggestive of a partial duodenal obstruction. An abdominal computed tomography (CT) scan revealed a transition point in the distal duodenum. Read More

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http://dx.doi.org/10.14740/gr1105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306109PMC
December 2018
1 Read

This too shall pass: Standardized Gastrografin protocol for partial small bowel obstruction.

Am J Surg 2019 Jan 3. Epub 2019 Jan 3.

The University of Texas at Austin, Dell Medical School, Department of Surgery & Perioperative Care, 1313 Red River Street, Austin, TX, 78701, USA. Electronic address:

Background: One of the most common reasons for admission to a surgical service is for a partial small bowel obstruction. There is considerable variation in management. Several studies suggest that the use of diatrizoate (Gastrografin), a hyperosmolar contrast agent, can be helpful as a diagnostic agent as well as possibly therapeutic, reducing the need for operative intervention. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.12.063DOI Listing
January 2019
1 Read

Laparoscopic resection of a gastrointestinal stromal tumour in a Meckel's diverticulum.

J Minim Access Surg 2019 Jan 4. Epub 2019 Jan 4.

Department of General Surgery, Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, London, England.

A Meckel's diverticulum (MD) is a congenital abnormality of the gastrointestinal tract which is estimated to be present in 2% of the population. Gastrointestinal stromal tumours (GISTs) are rare, soft-tissue tumours which represent 0.1%-3% of all gastrointestinal tumours. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_239_18DOI Listing
January 2019
1 Read

Fracture and dislocation of lumbar vertebrae with entrapment of small bowel: A case report and literature review.

J Int Med Res 2019 Jan 8:300060518816205. Epub 2019 Jan 8.

1 Department of Orthopaedic Surgery, Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu, Zhejiang Province, China.

Traumatic incarceration of the small bowel accompanied by vertebral fractures and dislocation is rare and usually misdiagnosed until laparotomy. This report presents a rare case of jejunum entrapment between lumbar spine fractures. A 43-year-old man was clamped between two railway tracks on the upper abdomen and lower back. Read More

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http://dx.doi.org/10.1177/0300060518816205DOI Listing
January 2019
1 Read

The Safety and Efficacy of Procedureless Gastric Balloon: a Study Examining the Effect of Elipse Intragastric Balloon Safety, Short and Medium Term Effects on Weight Loss with 1-Year Follow-Up Post-removal.

Obes Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Surgery, Kuwait University, Kuwait City, Kuwait.

Introduction: The Ellipse intragastric balloon (EIGB) is a new swallowable balloon that does not require endoscopy at insertion or removal. The aim of this study is to investigate the safety of EIGB and its efficiency in weight reduction even after 1 year of expulsion.

Method: Prospective study on our initial experience with a consecutive group of patients who underwent the insertion of EIGB in the period between September 2016 and February 2017. Read More

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http://dx.doi.org/10.1007/s11695-018-03671-wDOI Listing
January 2019
2 Reads

Capecitabine Induced Enteritis Leading to Small Bowel Obstruction.

Gastroenterology 2019 Jan 2. Epub 2019 Jan 2.

Division of Gastroenterology, City of Hope National Medical Center, Duarte, California, USA. Electronic address:

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http://dx.doi.org/10.1053/j.gastro.2018.11.076DOI Listing
January 2019

Long-term outcome of laparoscopic rectopexy for full-thickness rectal prolapse.

Tech Coloproctol 2019 Jan 2. Epub 2019 Jan 2.

Department of Surgery, St. Mark's Hospital, Harrow, UK.

Background: The aim of this study was to assess the long-term outcomes of laparoscopic rectopexy for full-thickness rectal prolapse (FTRP).

Methods: Data of a prospectively maintained database were analysed. A structured telephone interview was conducted to assess a consecutive series of long-term outcomes of an unselected population who had laparoscopic rectopexy at a single centre between April 2006 and April 2014. Read More

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http://dx.doi.org/10.1007/s10151-018-1913-zDOI Listing
January 2019

Gastric remnant perforation due to trocar site herniation after laparoscopic Roux-en-Y gastric bypass.

Ann R Coll Surg Engl 2019 Jan 3:e1-e3. Epub 2019 Jan 3.

Minimally Invasive Surgery Research Center, Iran University of Medical Sciences , Tehran , Iran.

A 39-year-old woman was admitted with colicky left upper-quadrant pain, dyspnoea, low-grade fever, tachycardia and a subtle left upper-quadrant tenderness without leucocytosis. Computed tomography revealed a distended gastric remnant due to small-bowel loop herniation at the trocar site. The patient underwent a diagnostic laparoscopy as her general condition worsened. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0216DOI Listing
January 2019

Pregnancy As a Risk Factor for Small Bowel Obstruction After Laparoscopic Gastric Bypass Surgery.

Ann Surg 2018 Dec 20. Epub 2018 Dec 20.

Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.

Objective: To evaluate whether pregnancy is associated with increased risk for small bowel obstruction after laparoscopic gastric bypass surgery.

Background: Small bowel obstruction is a common and feared long-term complication to laparoscopic gastric bypass surgery that may be more common during pregnancy. It is unclear if the risk truly increases during pregnancy. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003163DOI Listing
December 2018
1 Read

[Valor predictivo de la procalcitonina para la necesidad de cirugía y la presencia de isquemia y necrosis en pacientes con obstrucción del intestino delgado].

Cir Cir 2019 ;87(1):45-52

Departamento de Cirugía General, Hospital Regional Dr. Valentín Gómez Farías, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Zapopan, Jalisco, México.

Introduction: The purpose of this prospective cohort study was to evaluate whether serum procalcitonin (PCT) levels predict the need for surgery and the presence of ischemia and/or necrosis (I/N) in small bowel obstruction.

Method: Of 54 patients included, conservative management was performed in 31 (non-surgical group) and an exploratory laparotomy in 23 (surgical group). The reference value of the PCT was between 0. Read More

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http://dx.doi.org/10.24875/CIRU.18000420DOI Listing
January 2019

Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature.

World J Gastrointest Oncol 2018 Dec;10(12):522-527

Department of Gastroenterology, Northern Jiangsu Province People's Hospital, Yangzhou 225001, Jiangsu Province, China.

Background: Mesenteric lymphangioma (ML) in adults is a very rare disease. We report six hospitalized adult patients with ML in our hospital between January 2013 and July 2018 to investigate the characteristics and prognosis of ML in adults.

Case Summary: The male-to-female ratio was 3:3, and the median age at diagnosis was 55. Read More

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http://dx.doi.org/10.4251/wjgo.v10.i12.522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304307PMC
December 2018
1 Read

Resection of lesions in the ileum of patients with IgG4-related disease may ameliorate disease progression without steroid administration.

Surg Case Rep 2018 Dec 29;4(1):148. Epub 2018 Dec 29.

Department of Gastrointestinal and General Surgery, Koga General Hospital, Miyazaki, Japan.

Background: IgG4-related disease (IgG4-RD) is a pathological condition that is characterized by an infiltrate composed of IgG4-positive plasma cells and recently recognized as an immune-mediated condition. It causes tissue throughout the body to become stiff and thickened due to autoimmune reactions that cause fibrosis and scarring. Disease-related changes commonly occur in the salivary glands, bile duct, pancreas, and lungs, but are seldom seen in the small bowel. Read More

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http://dx.doi.org/10.1186/s40792-018-0546-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311175PMC
December 2018

Persistent fecal incontinence into adulthood after repair of anorectal malformations.

Int J Colorectal Dis 2018 Dec 28. Epub 2018 Dec 28.

Department of Pediatric Surgery, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.

Purpose: Persistent fecal incontinence beyond childhood is common in ARM patients. The aim of this study was to analyze a consecutive series of adult patients with persistent incontinence, establish the causes, and evaluate whether further treatment could be offered.

Methods: Forty-four adult ARM patients with reported incontinence were invited. Read More

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http://dx.doi.org/10.1007/s00384-018-3220-6DOI Listing
December 2018

Multiple neuroendocrine tumor of the small bowel: a case report and a review of literature.

Vnitr Lek 2018 ;64(10):966-969

Primary malignant tumors of small bowel constitute only about 1-2% of all gastrointestinal neoplasms. Although neuroendocrine tumors (NETs) are relatively rare, they still represent the second most common malignancy of the small bowel (after adenocarcinoma). Clinical manifestations include abdominal pain, bowel obstruction, diarrhea, weight loss and bleeding. Read More

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January 2018
5 Reads

Traction Diverticulum of the Small Bowel with Enterolith as a Cause of Intestinal Obstruction.

Clin Med Res 2018 Dec;16(3-4):92-94

Department of Surgery named after N.D. Monastyrski, North-Western State Medical Academy named after I.I. Mechnikov, Saint Petersburg, Russia.

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http://dx.doi.org/10.3121/cmr.2018.1436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306149PMC
December 2018
1 Read

Intestinal metastasis from breast invasive ductal carcinoma after a long latency: case report and literature review.

Onco Targets Ther 2018 3;11:8599-8603. Epub 2018 Dec 3.

Department of Radiation Oncology, The First Hospital, Jilin University, Changchun 130021, China,

Intestinal metastasis from breast cancer (BC) is rarely encountered in clinical practice. Nonspecific symptoms and long latency result in misdiagnosis as a primary intestinal tumor. Therefore, increased awareness of bowel metastasis secondary to BC and a thorough understanding of the clinical and molecular features, and intervention of bowel metastasis are fundamental to avoid the delay of correct diagnosis and management. Read More

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http://dx.doi.org/10.2147/OTT.S180949DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284526PMC
December 2018

Operative treatment for intussusception: Should an incidental appendectomy be performed?

J Pediatr Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of Surgery, Naval Medical Center San Diego, San Diego, CA 92134, USA. Electronic address:

Background/objectives: An incidental appendectomy is performed by some surgeons during operative treatment for intussusception to eliminate future appendicitis as a diagnostic consideration. However, an appendectomy can increase the risk of infection and other noninfectious complications making an incidental appendectomy controversial. We examined outcomes for surgical intervention for intussusception with appendectomy (SWA) compared to surgical reduction alone (SRA). Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.099DOI Listing
November 2018
1 Read

Crystalloid fluid suspension results in decreased adhesion burden when compared to bioresorbable membranes in a rat model.

Am J Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of General Surgery, Madigan Army Medical Center, Tacoma, WA, USA. Electronic address:

Introduction: Adhesion formation represents a major cause of long-term morbidity. Suspension of intra-abdominal contents in fluid medium may effectively prevent adhesion formation. We compare saline hydro-flotation (NS) to hyaluronate bioresorbable membranes (HBM) for adhesion prevention following surgery. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.12.014DOI Listing
December 2018

Small Bowel Mucosal Involvement and Mesenteric Mass Formation in a Young Female with Type 3 Gaucher Disease. A Case Report.

J Gastrointestin Liver Dis 2018 Dec;27(4):459-463

Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC., USA.

Gaucher Disease arises due to a deficiency in the enzyme glucocerebrosidase and is the most common lysosomal storage disease. This enzyme deficiency leads to the accumulation of glucocerebroside within macrophages (Gaucher cells) and the resulting infiltration of these cells into organs can cause clinical symptoms. There are three types of Gaucher Disease that differ based on the clinical course and the presence or absence of neurological involvement, but classically, Gaucher cell infiltrates impact a patient's spleen, liver, bone marrow and cortex. Read More

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http://dx.doi.org/10.15403/jgld.2014.1121.274.bowDOI Listing
December 2018
2 Reads

Same-day colon capsule endoscopy is a viable means to assess unexplored colonic segments after incomplete colonoscopy in selected patients.

United European Gastroenterol J 2018 Dec 15;6(10):1556-1562. Epub 2018 Sep 15.

Trinity Academic Gastroenterology Group, Trinity College Dublin & Tallaght University Hospital, Dublin, Ireland.

Background: Same-day colon capsule endoscopy (CCE) immediately following incomplete optical colonoscopy (OC) would have a number of advantages for patients, while also presenting unique procedural challenges including the effect of sedation on capsule propulsion and patient tolerance of protracted preparation and fasting.

Aim: The aim of this article is to prospectively assess the efficacy of same-day CCE after incomplete OC in an unselected patient cohort.

Methods: This was an observational, prospective, single-centre study of CCE post-incomplete colonoscopies. Read More

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http://dx.doi.org/10.1177/2050640618800629DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297922PMC
December 2018
2 Reads

Closed loop small bowel obstruction due to paracaecal internal herniation: a lesson in rarity.

BMJ Case Rep 2018 Dec 19;11(1). Epub 2018 Dec 19.

Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.

A 40-year-old man presented to the emergency department of our tertiary hospital with acute abdominal pain since 1 day, which responded to conservative measures initially. On further investigation and abdominal CT, he was diagnosed with closed loop small bowel obstruction with an encapsulated lesion with small bowel loops within, in the right iliac fossa, which was initially missed. On exploration, the patient had a sac in the right iliac fossa (paracaecal incarcerated internal hernia) with distended bowel loops within, the sac was excised after reduction of the contents. Read More

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http://dx.doi.org/10.1136/bcr-2018-227461DOI Listing
December 2018
3 Reads

Strangulated sliding spigelian hernia: A case report.

Int J Surg Case Rep 2018 16;53:475-478. Epub 2018 Nov 16.

Department of Surgery, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos State, Nigeria.

Introduction: Spigelian hernia is uncommon and frequently presents with features of intestinal obstruction. Clinical diagnosis is difficult in patients without obvious abdominal mass and a computed tomography scan is very helpful in making diagnosis. We report a patient who presented with a strangulated sliding left sided spigelian hernia who was pre-operatively diagnosed and successfully managed surgically. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.043DOI Listing
November 2018

Effective of laparoscopy for post-operative small bowel adhesion in children.

G Chir 2018 Nov-Dec;39(6):388-390

Aim: The aim of this paper is to report a case of a child with adhesive small bowel obstruction treated by laparoscopic ap-proach.

Case Report: A 13-year old patient developed a small bowel obstruction caused by adhesion. He was successfully treated by laparoscopic adhesiolysis and was discharged from the hospital on the 7th post-operative day in satisfacto-ry condition. Read More

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December 2018

Small bowel adenocarcinoma in a patient with a 5-year history of untreated Crohn's disease: a case report.

G Chir 2018 Nov-Dec;39(6):383-387

Aim: Complication of Crohn's disease (CD) of the small intestine is small bowel adenocarcinoma (SBA). A lot of studies on Crohn's disease have estimated the increased relative risk of small bowel carcinoma compared to the general population. In clinical settings, it is difficult to detect SBA in CD, therefore most of cases are diagnosed after surgery for strictures without suspicion of malignancy. Read More

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December 2018

Internal hernia with incarceration of the cecum through a loop created by an elongated fallopian tube.

Radiol Case Rep 2019 Feb 28;14(2):282-286. Epub 2018 Nov 28.

WWAMI Medical Education Program and Department of Biological Sciences, University of Idaho, 875 Perimeter Drive, Moscow, ID 83844-3051, USA.

We describe a case of a 61-year-old female who presented to the emergency department with a 2-week history of severe right and left lower abdominal quadrant abdominal pain that radiated to the back and was accompanied by nausea and vomiting. An initial computed tomography scan with contrast demonstrated unusual loops of small bowel in the left paracentral pelvis. Follow-up computed tomography scans revealed worsening dilation of the cecum. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.11.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288712PMC
February 2019

Small Bowel Hemangioma in a 2-Year-Old Female With Recurrent Anemia.

Ochsner J 2018 ;18(4):428-432

The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.

Background: Hemangiomas of the small bowel are rare tumors that present with melena, hematochezia, or signs of anemia. Because of the rarity of gastrointestinal hemangiomas, they are not commonly considered in the differential diagnosis for pediatric patients with anemia.

Case Report: We present a case of small bowel hemangioma in a 2-year-old female with recurrent episodes of severe anemia. Read More

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http://dx.doi.org/10.31486/toj.18.0099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292466PMC
January 2018
1 Read

Obstructive ileus caused by metal staples 6 years after the initial surgery: A case report.

Medicine (Baltimore) 2018 Dec;97(49):e13426

Department of Colorectal Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Complete small bowel obstruction (SBO) is a common surgical emergency often resulting from adhesive bands installed after a surgical procedure. However, SBO caused by surgical staples used in a previous operation is unusual. Herein, we report a rare case of adhesive ileus induced by surgical staples. Read More

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http://dx.doi.org/10.1097/MD.0000000000013426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310562PMC
December 2018

Surgical outcome of jejunum-jejunum intussusception secondary to Rapunzel syndrome: a case report.

J Med Case Rep 2018 Dec 7;12(1):362. Epub 2018 Dec 7.

Departament of General Surgery, Centro de Investigación y Docencia en Ciencias de la Salud de la Universidad Autónoma de Sinaloa en el Hospital Civil de Culiacán, Culiacán, Mexico.

Background: Adult intestinal intussusception is a rare condition caused by the mechanical disruption of bowel motility. A bezoar is defined as indigestible material inside the gastrointestinal tract that develops into a trapped mass; the most frequent bezoar is a trichobezoar. When a trichobezoar extends into the small intestine it is defined as Rapunzel's syndrome. Read More

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http://dx.doi.org/10.1186/s13256-018-1883-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284286PMC
December 2018

Impact of postcolectomy adhesion-related complications on healthcare utilization.

Clinicoecon Outcomes Res 2018 14;10:761-771. Epub 2018 Nov 14.

Medical Devices-Epidemiology, Johnson and Johnson, New Brunswick, NJ 08901, USA,

Objective: The objective of this study was to explore adhesion-related complications (ARCs) within 1 year after colectomy.

Methods: Using Truven MarketScan® Commercial and Medicare databases, the first inpatient colectomies during 2009-2013 (index) were identified: left, right, partial, transverse, or total. One-year continuous enrollment was required pre and postindex. Read More

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http://dx.doi.org/10.2147/CEOR.S167741DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241541PMC
November 2018
1 Read

Emergency Medicine Evaluation and Management of Small Bowel Obstruction: Evidence-Based Recommendations.

J Emerg Med 2018 Dec 6. Epub 2018 Dec 6.

Department of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas.

Background: Small bowel obstruction (SBO) is a commonly diagnosed disease in the emergency department (ED). Recent literature has evaluated the ED investigation and management of SBO.

Objective: This review evaluates the ED investigation and management of adult SBO based on the current literature. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.10.024DOI Listing
December 2018
1 Read

Is liquid-based hyaluronic acid equivalent to sodium hyaluronate-based bioresorbable membrane to reduce small bowel obstruction in patients undergoing colorectal surgery.

Asian J Surg 2018 Oct 24. Epub 2018 Oct 24.

Department of Surgery, Gil Medical Center, Gachon University, Incheon, South Korea. Electronic address:

Objective: We performed a prospective randomized study to assess whether the use of sodium hyaluronate-based bioresorbable membrane (Seprafilm) and liquid-based hyaluronic acid and carboxymethyl cellulose solution (Guardix) to reduce postoperative small bowel small bowel obstruction in patients undergoing colorectal surgery. This study aimed to compare the incidence of postoperative bowel obstruction.

Methods: One hundred seven patients were assigned to the Seprafilm group and 155 were assigned to the Guardix group during the study period. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10159584183039
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http://dx.doi.org/10.1016/j.asjsur.2018.09.009DOI Listing
October 2018
6 Reads

Encapsulating Peritoneal Sclerosis: The Abdominal Cocoon.

Radiographics 2019 Jan-Feb;39(1):62-77. Epub 2018 Dec 7.

From the Departments of Radiology (M.S., A.L., N.K.), Histopathology (A.B.), General Surgery (T.D.Y.), and Gastroenterology (R.K., S.K.S.), PGIMER, Chandigarh, India; and the Abdominal Imaging Section, Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, Ont, Canada (S.K., S.N., A.M.S.).

Encapsulating peritoneal sclerosis (EPS) is a rare but serious condition that results in (a) encapsulation of bowel within a thickened fibrocollagenous peritoneal membrane and (b) recurrent episodes of bowel obstruction. Although described by various names in the literature, the preferred term is encapsulating peritoneal sclerosis because it best describes the morphologic and histologic changes in this disorder. The etiology of EPS is multifactorial, with a wide variety of implicated predisposing factors that disrupt the normal physiologic function of the peritoneal membrane-prime among these factors being long-term peritoneal dialysis and bacterial peritoneal infections, especially tuberculosis. Read More

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http://dx.doi.org/10.1148/rg.2019180108DOI Listing
December 2018
5 Reads

[Histological study on the safety of the controllable ileostomy with pipe].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1291-1295

Department of Gastrointestinal Surgery, Provincial Clinical College, Fujian Medical University, Fuzhou 350001, China.

Objective: To investigate the safety of the controllable ileostomy with pipe in view of histology.

Methods: Twenty-eight Beagle dogs undergoing controllable ileostomy with pipe were studied. The special fistula tube with balloon was placed into the hole locating at the cecal root opposing the mesenteric side, and fixed by double knot compression method. Read More

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November 2018
5 Reads

[Imaging characteristics of gastrointestinal neoplastic acute abdomen].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1223-1229

Department of Radiology, Chinese PLA General Hospital, Beijing 100853, China.

Both malignant tumors derived from gastrointestinal tract and metastasis from peritoneal spread, hematogenous dissemination and lymph node can lead to acute abdomen. Such acute abdomen patients have poor prognosis, high mortality, and complex clinical manifestations. It is difficult to make a correct diagnosis in clinical practice. Read More

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November 2018
1 Read

Band adhesions not related to previous abdominal surgery - A retrospective cohort analysis of risk factors.

Ann Med Surg (Lond) 2018 Dec 13;36:185-190. Epub 2018 Nov 13.

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.

Background: Postoperative intra-abdominal adhesion formation is a common cause of small bowel obstruction (SBO). Adhesions causing SBO are classed as either matted adhesions or solitary band adhesions. The aim of this study was to investigate the prevalence of previous abdominal surgery in a cohort of patients operated for bowel obstruction and to analyze the causes of obstruction discovered at surgery. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.11.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249350PMC
December 2018
2 Reads

A Significant Proportion of Small Bowel Obstructions Require >48 Hours to Resolve After Gastrografin.

J Surg Res 2019 Jan 18;233:408-412. Epub 2018 Sep 18.

Division of Surgery, Trauma and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, University of Miami Miller School of Medicine and Ryder Trauma Center, Miami, Florida.

Background: Gastrografin (GG)-based nonoperative approach is both diagnostic and therapeutic for partial small bowel obstruction (SBO). Absence of X-ray evidence of GG in the colon after 8 h is predictive of the need for operation, and a recent trial used 48 h to prompt operation. We hypothesize that a significant number of patients receiving the GG challenge require >48 h before an effect is seen. Read More

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http://dx.doi.org/10.1016/j.jss.2018.08.019DOI Listing
January 2019
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Can the Laparoscopic Approach for Adhesive Small Bowel Obstruction be Used in Octogenarians? An Observational Study Using ACS NSQIP.

J Surg Res 2019 Jan 7;233:345-350. Epub 2018 Sep 7.

Department of Surgery, Hofstra Northwell School of Medicine, Hempstead, New York.

Background: With the population of octogenarians projected to increase fourfold by 2050, we sought to compare outcomes of laparoscopic versus open approach in octogenarians requiring surgery for adhesive small bowel obstruction (SBO).

Methods/materials And Methods: Using 2006-2015 American College of Surgeons National Surgical Quality Improvement Project, we identified patients aged ≥80 y who underwent emergency surgery within 1 d of admission for SBO. Risk variables of interest included age, sex, race, body mass index, preoperative sepsis, and American Society of Anesthesiologists (ASA) classification. Read More

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http://dx.doi.org/10.1016/j.jss.2018.07.064DOI Listing
January 2019
3 Reads
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Time-Dependent Alterations of Gut Wall Integrity in Small Bowel Obstruction in Mice.

J Surg Res 2019 Jan 3;233:249-255. Epub 2018 Sep 3.

Department of Surgery, Vivantes Hospital Neukölln, Berlin, Germany.

Background: Small bowel obstruction (SBO) is one of the most common disorders in surgical emergency departments. Without resolution of the obstructed bowel segments, patients may develop multiorgan failure. The aim of this study was to investigate whether morphological damage of the intestinal wall during SBO may lead to molecular translocation and how this may impair intestinal motility. Read More

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http://dx.doi.org/10.1016/j.jss.2018.07.038DOI Listing
January 2019
2 Reads

Case Report: Seaweed Bezoar Masquerading as a Malignant Obstruction.

Authors:
E C Abboud B Babic

Case Rep Surg 2018 28;2018:3829271. Epub 2018 Oct 28.

New York-Presbyterian/Queens, Weill Cornell Medical College, Flushing, NY 11355, USA.

Bezoars represent a rare cause of small bowel obstruction (SBO). Nonoperative management of bezoars includes use of endoscopy with mechanical or chemical dissolution methods. When obstruction persists, surgical intervention becomes necessary. Read More

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https://www.hindawi.com/journals/cris/2018/3829271/
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http://dx.doi.org/10.1155/2018/3829271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230413PMC
October 2018
7 Reads

Primary small bowel mesentery de-differentiated liposarcoma causing torsion with no recurrence for 5 years: A case report and review of the literature.

Medicine (Baltimore) 2018 Nov;97(48):e13446

Department of General and Gastroenterological Surgery, Osaka Medical College, Daigaku-machi, Takatsuki.

Rationale: Liposarcoma (LPS) is a rare malignant soft-tissue tumor. Management of LPS is relatively difficult, because there are no characteristic symptoms, or biomarkers, nor any established effective treatment. Hence, the report of the accumulation of each LPS case is necessary. Read More

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http://dx.doi.org/10.1097/MD.0000000000013446DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283127PMC
November 2018
6 Reads

Population Level Analysis of Adhesive Small Bowel Obstruction: Sustained Advantage of a Laparoscopic Approach.

Ann Surg 2018 Nov 29. Epub 2018 Nov 29.

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

Objective: The objective of this study was to determine the effects of open versus laparoscopic surgery on the development of adhesive small bowel obstruction (aSBO).

Summary Background Data: aSBO is a significant contributor to short and long-term postoperative morbidity. Laparoscopy has demonstrated a protective effect in colorectal surgery, but these effects have not been generalized to other abdominal procedures. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003107DOI Listing
November 2018