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Surg Obes Relat Dis 2022 May 21. Epub 2022 May 21.

Department of Surgery, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Biomedical and Clinical Sciences, University of Linköping, Norrköping, Sweden.

Background: Mechanical problems at the level of the jejunojejunostomy (JJ) have been identified as a cause of small bowel obstruction (SBO) after laparoscopic Roux-en-Y gastric bypass (RYGB).

Objectives: The objective of the study was to investigate associations between specific surgical techniques used to construct the JJ and the subsequent risk of SBO.

Setting: Nationwide Registry, Sweden. Read More

ANZ J Surg 2022 Jun 25. Epub 2022 Jun 25.

Mater Adults Hospital, Raymond Terrace, South Brisbane, Queensland, 4101, Australia.

Plastic bread clips cause significant morbidity and mortality if accidentally ingested. A review of all existing case reports published in medical literature was conducted in PubMed, MedLine and Google Scholar. Key words included but was not limited to; clip, tag, tab, closure, kwik lok, bread, bag, ingestion, bowel, obstruction, perforation, plastic and foreign body. Read More

Am J Surg 2022 Jun 16. Epub 2022 Jun 16.

Department of Surgery, Weill Cornell Medicine, New York Presbyterian Brooklyn Methodist Hospital, 506 6th Street, Brooklyn, New York, 11215, USA(1). Electronic address:

Pediatr Surg Int 2022 Jun 23. Epub 2022 Jun 23.

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

Acute appendicitis is the most common surgical emergency in children. Diagnosis and management are often straightforward. However, familial Mediterranean fever is an important condition to consider in the assessment of children with acute abdominal pain, particularly in children with an origin in eastern Mediterranean basin where the disease is common. Read More

Ann Med Surg (Lond) 2022 Jun 6;78:103907. Epub 2022 Jun 6.

Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, India.

Squamous cell carcinoma (SCC) of the colon is a rare malignancy and usually a pathological surprise. Clinical presentation is usually very similar to adeno carcinoma variety. We report a case of a 56 year old male with primary SCC of caecum presenting as small bowel obstruction and managed with surgery and adjuvant chemotherapy. Read More

Ann Med Surg (Lond) 2022 Jun 18;78:103807. Epub 2022 May 18.

General Surgery Department, Security Force Hospital, Riyadh, Saudi Arabia.

Introduction: and Importance: Meckel's diverticulum band is an uncommon cause of intestinal obstruction in adults.

Case Presentation: We report the case of a 57-year-old diabetic and hypertensive male who presented with sudden onset of vomiting and abdominal pain. Initial laboratory and imaging investigations, including an abdominal X-ray and computed tomography scan, were suggestive of an intestinal obstruction; however, these were not helpful in assigning a presumptive cause. Read More

Pan Afr Med J 2022 1;41:269. Epub 2022 Apr 1.

Department of Surgery, Potchefstroom Hospital, Potchefstroom, South Africa.

The vitelline circulation connects the fetus and yolk sac in the first few weeks of fetal development. Its components are the vitelline duct, vitelline arteries and vitelline vein. This gradually breaks down as the placenta grows and overtakes the function of yolk sac as the primary nutrition source. Read More

BMC Gastroenterol 2022 Jun 22;22(1):304. Epub 2022 Jun 22.

Fujian Medical University, No.1 Xuefu bei Road, Fuzhou, 350122, Fujian Province, China.

Background: Distinguishing strangulated bowel obstruction (StBO) from simple bowel obstruction (SiBO) still poses a challenge for emergency surgeons. We aimed to construct a predictive model that could distinctly discriminate StBO from SiBO based on the degree of bowel ischemia.

Methods: The patients diagnosed with intestinal obstruction were enrolled and divided into SiBO group and StBO group. Read More

Arq Bras Cir Dig 2022 17;35:e1654. Epub 2022 Jun 17.

Department of Surgery, University Hospital, University of Chile - Santiago - Chile.

Aim: Small bowel obstruction (SBO) is a frequent cause of emergency department admissions. This study aimed to determine risk factors of reoperations, postoperative adverse event, and operative mortality (OM) in patients surgically treated for SBO.

Methods: This is a retrospective study conducted between 2014 and 2017. Read More

BMC Gastroenterol 2022 Jun 20;22(1):300. Epub 2022 Jun 20.

Department of Surgery, Valleywise Health Medical Center, Phoenix, AZ, USA.

Background: Small intestinal bacterial overgrowth (SIBO) is a condition of unknown prevalence characterized by an excessive amount of bacteria in the small bowel, typically resulting in vague gastrointestinal symptoms with bloating being most commonly reported. Here we describe a severe case of SIBO leading to small bowel necrosis requiring surgical intervention.

Case Presentation: A 55-year-old Hispanic female with gastric outlet obstruction secondary to a newly diagnosed gastric adenocarcinoma, receiving neoadjuvant chemotherapy, developed bloody gastrostomy output and rapidly progressing nausea and abdominal distention 3 days after jejunostomy tube placement and initiation of jejunal enteral nutrition. Read More

J Surg Case Rep 2022 Jun 15;2022(6):rjac282. Epub 2022 Jun 15.

Department of Surgery, Self-Defence Forces Central Hospital, Setagaya, Japan.

Endometriosis is characterized by the presence of an ectopic endometrial gland. Intestinal endometriosis with small bowel obstruction is uncommon. In this case, a 37-year-old woman with no history of endometriosis presented with a chief complaint of abdominal pain. Read More

J Surg Case Rep 2022 Jun 15;2022(6):rjac285. Epub 2022 Jun 15.

Department of General Surgery, Ipswich Hospital, QLD, Australia.

Intestinal volvulus is defined as a twisting of the bowel on its mesentery. It itself is a rare occurrence, with documented incidence of 1% as the cause of all small bowel obstruction, with further 0.82% of them being associated with intestinal malrotation. Read More

J Surg Res 2022 Jun 16;279:33-41. Epub 2022 Jun 16.

Department of Minimally Invasive Digestive Surgery, Antoine-Béclère Hospital, Paris-Saclay University, Orsay, France. Electronic address:

Introduction: Nonoperative treatment can be attempted for uncomplicated adhesive small bowel obstruction (ASBO), but carries a risk of delayed surgery. Highlighting initial parameters predicting risk of failure of nonoperative management would be of great interest.

Methods: Patients initially managed conservatively for uncomplicated ASBO were retrospectively analyzed. Read More

Cureus 2022 May 15;14(5):e25013. Epub 2022 May 15.

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Gynecologists are familiar with procidentia, a severe form of pelvic organ prolapse (POP) that includes herniation of the anterior, posterior, and apical compartments of the vagina, through the introitus. Usually, women with POP present with concerns of something coming out of the vagina, heaviness, discharge through the vagina, urinary complaints, and, rarely bowel, complaints. Intestinal obstruction secondary to procidentia is a rare complication and is seldom reported in the literature. Read More

Therap Adv Gastroenterol 2022 11;15:17562848221100946. Epub 2022 Jun 11.

Neurogastroenterology and Motility, Division of Gastroenterology, University Hospital Zurich, Zurich, Switzerland.

Introduction: Linaclotide is approved for adults with moderate-to-severe irritable bowel syndrome (IBS) with constipation (IBS-C). Linaclotide is not indicated for weight loss or for patients with inflammatory bowel disease (IBD); it is contraindicated in patients with mechanical bowel obstruction (MBO). Some patients with obesity or eating disorders (ED) may use linaclotide off-label for weight loss or as a laxative. Read More

Zentralbl Chir 2022 Jun 15;147(3):270-280. Epub 2022 Jun 15.

Chirurgische Klinik Campus Charité Mitte | Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Deutschland.

Neuroendocrine neoplasias comprise a heterogenous group of malignant tumours, mostly arising from the gastro-entero-pancreatic system (GEP). Most of these tumours develop from the small intestine and pancreas and the liver is the predominant site for distant metastases. Patients may be asymptomatic for a long time and liver metastases are frequently diagnosed by chance or during operations for bowel obstruction, for example, during emergency surgery. Read More

Am Surg 2022 Jun 11:31348221101593. Epub 2022 Jun 11.

Department of Surgery, 26385Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.

Purpose: Barbed suture provides a rapid and effective method for closure in minimally invasive surgery. However, postoperative complications involving barbed suture have been reported in recent years. The aim of this study is to introduce a novel hidden stitching technique for peritoneal closure in laparoscopic hernia repair. Read More

Nihon Shokakibyo Gakkai Zasshi 2022 ;119(6):566-572

Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences.

A 55-year-old man presented with vomiting and upper abdominal pain. Two months later, computed tomography revealed jejunal wall thickening and contrast enhancement. Double-balloon endoscopy revealed severe jejunal stenosis and mucosal prolapse. Read More

Cureus 2022 May 7;14(5):e24810. Epub 2022 May 7.

Oncology, Bayonne Medical Center, Bayonne, USA.

Meckel's diverticulum (MD) is one of the most common congenital abnormalities of the gastrointestinal tract, affecting approximately two percent of the population. Rarely, Meckel's diverticula have been found to harbor various tumors, which go unnoticed until later in their course. The clinical presentation varies among each individual, and tumors have often metastasized or caused diverticular rupture at the time of diagnosis. Read More

Pan Afr Med J 2022 10;41:195. Epub 2022 Mar 10.

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.

A small bowel obstruction is one of the most prevalent life-threatening situations. The most common clinical signs are vomiting, stomach discomfort, abdominal distension, and severe constipation. A 23-year-old girl presented to the multispecialty hospital with stomach pains that had persisted for two days. Read More

Intern Med 2022 Jun 7. Epub 2022 Jun 7.

Department of Gastroenterology, Faculty of Medicine, Yamagata University, Japan.

We herein report a very unusual case of small bowel obstruction caused by phytobezoar in a 69-year-old woman who consumed a large amount of bracken. The patient presented with nausea and vomiting. Computed tomography revealed an air-filled foreign body in the jejunum that had likely caused the small bowel obstruction. Read More

ANZ J Surg 2022 Jun 8. Epub 2022 Jun 8.

Discipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.

Background: One-third of Australia's population reside in rural and remote areas. This audit aims to describe all-causes of mortality in rural general surgical patients, and identify areas of improvement.

Methods: This is a retrospective multi-centre study involving four South Australian hospitals (Mt Gambier, Whyalla, Port Augusta, and Port Lincoln). Read More

Dis Colon Rectum 2022 May 25. Epub 2022 May 25.

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.

Background: After abdominoperineal resection, low anterior resection, and end-colostomy for lower rectal cancer, it is necessary to reconstruct the pelvic peritoneum to avoid small bowel obstruction, perineal hernia, and radiation enteritis in patients for whom postoperative radiotherapy is planned. However, pelvic peritoneal closure is technically difficult in patients who lack enough peritoneum to cover the defect or have received neoadjuvant radiation and have a rigid pelvis.

Impact Of Innovation: The impact of this innovation is to reconstruct the pelvic peritoneum with the distal ileal mesentery laparoscopically. Read More

Colorectal Dis 2022 Jun 4. Epub 2022 Jun 4.

Department of Surgery, Medisch Spectrum Twente, Enschede, The Netherlands.

J Surg Case Rep 2022 May 31;2022(5):rjac254. Epub 2022 May 31.

Department of Anesthesiology, Gunma University Graduate School of Medicine, Maebashi City, Japan.

Craniopharyngioma surgery is frequently associated with the occurrence of central diabetes insipidus, and oral rehydration therapy is reliable for postoperative management if the patient's thirst is normal. A 61-year-old Japanese male patient underwent extended endoscopic transsphenoidal surgery for craniopharyngioma. He was undergoing acute treatment for postoperative central diabetes insipidus and hypopituitarism in the intensive care unit. Read More

World J Gastrointest Surg 2022 Apr;14(4):352-361

Department of General Surgery, The First Hospital of Nanchang, Nanchang 330008, Jiangxi Province, China.

Background: Primary encapsulating peritoneal sclerosis (EPS) is a rare but devastating disease that causes fibrocollagenous cocoon-like encapsulation of the bowel, resulting in bowel obstruction. The pathogenesis, prevention, and treatment strategies of EPS remain unclear so far. Since most patients are diagnosed during exploratory laparotomy, for the non-surgically diagnosed patients with primary EPS, the surgical timing is also uncertain. Read More

Cureus 2022 May 2;14(5):e24663. Epub 2022 May 2.

General and Bariatric Surgery, West Suburban Hospital, Oak Park, USA.

Recurrent abdominal pain in the adult population is a complex symptom with a broad spectrum of diagnoses. The diagnosis of intussusception in the elderly is considerably rarer than in the younger population. High clinical suspicion is required, and imaging is needed for confirmation. Read More

Mayo Clin Proc 2022 Jun;97(6):1209-1210

Department of Pathology, Kanazawa Municipal Hospital, Kanazawa, Ishikawa, Japan.

Int J Surg Case Rep 2022 Jun 25;95:107246. Epub 2022 May 25.

Department of General Surgery, Calvary Mater Hospital, Waratah, NSW 2298, Australia; Discipline of Surgery, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.

Introduction And Importance: Ectopic varices of the small bowel are a rare complication of portal hypertension. There are various aetiologies that can cause portal vein hypertension such as portal vein obstruction. Each of these pathologies has their own management strategies. Read More

Am J Case Rep 2022 Jun 4;23:e935413. Epub 2022 Jun 4.

Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.

BACKGROUND Internal hernias are a rare cause of small bowel obstruction in patients, which usually have a long history of mild abdominal symptoms, sometimes leading to emergency surgery due to acute abdominal pain. Occasionally, it takes a long time to make the correct diagnosis because of symptoms vagueness and transience of typical imaging findings; at times, a definitive diagnosis is possible only through surgery, especially in cases of acute presentations in a low-resource setting where high-performance diagnostic equipment may be unavailable. CASE REPORT We report the case of a young male patient with a long history of mild abdominal symptoms and some episodes of acute abdominal pain. Read More