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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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Gastrointest Endosc 2019 Apr 5. Epub 2019 Apr 5.

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

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

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

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

Dig Endosc 2019 Apr 3. Epub 2019 Apr 3.

Saitama Medical University, Community Health Science Center.

Objectives: To analyze factors of procedural failure and to discuss responses to procedural failure, by using the outcomes of endoscopic retrograde cholangiopancreatography (ERCP), performed 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 the procedural success rate, were studied retrospectively to analyze the factors of procedural failure. Read More

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Int J Surg Case Rep 2019 Mar 5;57:15-18. Epub 2019 Mar 5.

General and Emergency Surgery Unit of Fucito Hospital, University Hospital of Salerno, Italy. Electronic address:

Background: Obesity is showing a constant increase worldwide, making it the major public health problem. Bariatric surgery seems to be the best treatment for these to achieve a good excess weight loss. Gastric by-pass (GBP) is one the most important bariatric procedure, but there are a lot of complications as bowel obstruction for internal hernia, fistula and intussusception. Read More

Surg Endosc 2019 Mar 13. Epub 2019 Mar 13.

The Whiteley-Martin Research Centre, Discipline of Surgery, The University of Sydney, Nepean Hospital, Penrith, NSW, Australia.

Background: Over the last three decades, laparoscopic appendicectomy (LA) has become the routine treatment for uncomplicated acute appendicitis. The role of laparoscopic surgery for complicated appendicitis (gangrenous and/or perforated) remains controversial due to concerns of an increased incidence of post-operative intra-abdominal abscesses (IAA) in LA compared to open appendicectomy (OA). The aim of this study was to compare the outcomes of LA versus OA for complicated appendicitis. Read More

Curr Opin Gastroenterol 2019 May;35(3):235-242

AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, RPA Medical Centre, Camperdown, Sydney, New South Wales, Australia.

Purpose Of Review: Strictures of the small bowel are an underdiagnosed entity with significant morbidity because of obstruction and risk of perforation and penetrating disease.

Recent Findings: Recent advances in imaging, enteroscopy, and therapeutic advances particularly in Crohn's disease have enabled gastroenterologists to target and individualize management of small bowel strictures, preventing untimely surgery and complications.

Summary: All patients with obstructive symptoms, suspected small bowel disease, and negative panendoscopy should be evaluated for small intestinal strictures with cross-sectional imaging and considered for capsule endoscopy. Read More