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Small bowel

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55 papers 100 to 500 followers
By Giovanni Gambino M.D. Ph.D.
Arnaud Pasquer, Thomas Walter, Valérie Hervieu, Julien Forestier, Jean-Yves Scoazec, Catherine Lombard-Bohas, Gilles Poncet
BACKGROUND: Small bowel neuroendocrine tumors (SB-NETs) are characterized by two main features: they usually are metastatic at diagnosis and multiple in 30 % of cases. As such, SB-NETs require specific surgical management. This retrospective study examined local recurrence, survival, and prognosis of SB-NETs after adapted surgery. METHODS: All consecutive patients with SB-NETs who underwent resection of at least one primary tumor between 1 January 2000 and 1 January 2013 were analyzed...
December 2015: Annals of Surgical Oncology
S T K Yauw, K E Wever, A Hoesseini, M Ritskes-Hoitinga, H van Goor
BACKGROUND: The contribution of animal research to a reduction in clinical intestinal anastomotic leakage is unknown, despite numerous experimental studies. In view of the current societal call to replace, reduce and refine animal experiments, this study examined the quality of animal research related to anastomotic healing and leakage. METHODS: Animal studies on intestinal anastomotic healing were retrieved systematically from PubMed and Embase. Study objective, conclusion and animal model were recorded...
June 2015: British Journal of Surgery
Jason Robertson, Hannah Linkhorn, Ryash Vather, Rebekah Jaung, Ian P Bissett
BACKGROUND/AIMS: The optimal timing for the closure of loop ileostomies remains controversial. The aim of the current study was to investigate whether early ileostomy closure (EC) (<2 weeks post-formation) results in significant healthcare savings as against late closure (LC). METHODS: Patients with available cost data that underwent EC between January 2008 and December 2012 were compared against matched patients undergoing LC during the same period. Direct hospital costs for the two groups were compared...
2015: Digestive Surgery
Mesut Sipahi, Kasim Caglayan, Ergin Arslan, Mustafa Fatih Erkoc, Faruk Onder Aytekin
Background. The diagnosis of intestinal malrotation is established by the age of 1 year in most cases, and the condition is seldom seen in adults. In this paper, a patient with small intestinal malrotation-type intraperitoneal hernia who underwent surgery at an older age because of intestinal obstruction is presented. Case. A 73-year-old patient who presented with acute intestinal obstruction underwent surgery as treatment. Distended jejunum and ileum loops surrounded by a peritoneal sac and located between the stomach and transverse colon were determined...
2014: Case Reports in Surgery
Tsunekazu Mizushima, Kiyokazu Nakajima, Hiroshi Takeyama, Atsushi Naito, Hideki Osawa, Mamoru Uemura, Junichi Nishimura, Taishi Hata, Ichiro Takemasa, Hirofumi Yamamoto, Yuichiro Doki, Masaki Mori
PURPOSE: Single-incision laparoscopic surgery (SILS) is a promising new technique that is potentially applicable to Crohn's disease (CD). However, there is no consensus on the application of SILS for penetrating CD due to its complex pathology. METHODS: We investigated the feasibility of SILS in 24 CD patients (12 with stricturing and 12 with penetrating CD) and compared the results between the two groups. RESULTS: There were 17 males and seven females [median age at the time of surgery, 41 (range 20-61) years old] included in the study...
February 2016: Surgery Today
Hidetoshi Katsuno, Koutarou Maeda, Tsunekazu Hanai, Koji Masumori, Yoshikazu Koide, Toru Kono
INTRODUCTION: Anastomotic surgical recurrence after bowel resection is a major problem in patients with Crohn's disease. The aim of this prospective observational study was to evaluate the efficacy of a novel technique for restoring bowel continuity after resection involving either the small or the large intestine. METHODS: The first case was instructed by Dr. Kono at Fujita Health University. The involved bowel segment was divided transversely with a linear stapler...
2015: Digestive Surgery
Min Li, Jianan Ren, Weiming Zhu, Yousheng Li, Yunzhao Zhao, Jun Jiang, Jieshou Li, Ning Li
BACKGROUND: The aim of this study was to identify if long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. METHODS: A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO between December 2001 and 2008 at our unit. According to the risk factors of recurrent ASBO, all patients were divided into high-risk recurrence group and low-risk recurrence group regardless of whether they received tube splinting...
February 2015: American Journal of Surgery
Naeem Goussous, Kevin M Kemp, Michael P Bannon, Michael L Kendrick, Boris Srvantstyan, Mohammad A Khasawneh, Martin D Zielinski
BACKGROUND: The window for safe reoperation in early postoperative (<6 weeks) small bowel obstruction (ESBO) is short and intimately dependent on elapsed time from the initial operation. Laparoscopic procedures create fewer inflammatory changes than open laparotomies. We hypothesize that it is safer to reoperate for ESBO after laparoscopic procedures than open. METHODS: Review of patients who underwent re-exploration for ESBO from 2003 to 2009 was performed...
February 2015: American Journal of Surgery
Jennifer Klasen, Anna Wenning, Federico Storni, Eliane Angst, Beat Gloor
Small-intestine adhesiolysis can be very time consuming and may be associated with bowel wall damage. The risk for injuries to the small or large bowel resulting in increased morbidity and costs is considerable. Both efficient and gentle dissection of adhesions is important in order to avoid intraoperative perforation or, worse, postoperative intestinal leaks. We present a technique using drops of body-warm isotonic saline solution to create an edematous swelling of the adhesions. This procedure not only protects the bowel from cooling and drying, but also simplifies the dissection and, thus, lowers the risk of intestinal lesions...
2014: Digestive Surgery
J Abrisqueta, I Abellan, J Luján, Q Hernández, P Parrilla
BACKGROUND: Postoperative ileus is the most common complication after ileostomy closure with an increase in morbidity, hospital stay, and health care costs. OBJECTIVE: The aim of this study is to assess the utility of a new technique for reducing postoperative ileus after protective ileostomy closure. DESIGN: This is a prospective randomized study registered at (NCT01881594). Patients were randomly assigned to undergo either stimulation through the efferent limb of the ileostomy before surgery or nonstimulation before surgery...
December 2014: Diseases of the Colon and Rectum
Hanju Hua, Jiahe Xu, Wenbin Chen, Xile Zhou, Jinhai Wang, Qinsong Sheng, Jianjiang Lin
BACKGROUND AND OBJECTIVE: Most surgeons suggest the use of fecal diversion in patients undergoing low anterior resections of rectal tumors at high risk for anastomotic leakage. We describe an exploratory study to evaluate the efficacy and safety of a new diversion method called a spontaneously closing cannula ileostomy, which was designed to protect rectal anastomoses in patients at high risk for anastomotic leakage. The outcomes of patients treated with cannula ileostomy were compared to those of patients treated with loop ileostomy...
November 2014: Diseases of the Colon and Rectum
W Bugiantella, F Rondelli, L Mariani, M Boni, F Ermili, N Avenia, E Mariani
Conventional loop ileostomy (CLI) is a suitable procedure for transitory faecal diversion after colocolic or colorectal anastomosis, but it causes relevant morbidities (dehydration, discomfort, peristomal infections) and requires a second operation to be closed. We already described an alternative technique of temporary percutaneous ileostomy (TPI), which can be removed without surgery, as faecal diversion in low colorectal anastomosis. Now we report our experience with the TPI in protecting colocolic and colorectal anastomosis in urgency in elderly...
2014: International Journal of Surgery
S K Tiwari, Pawanindra Lal
Onlay mesh hernioplasty is the gold standard technique in the management of inguinal hernias. We report a rare case of intraperitoneal mesh migration with bowel entrapment causing acute intestinal obstruction in an elderly patient.
October 2014: Annals of the Royal College of Surgeons of England
Sung Il Kang, Jeonghyun Kang, Min Ju Kim, Im-Kyung Kim, Jungseob Lee, Kang Young Lee, Seung-Kook Sohn
Most bowel intussusceptions in adults have a leading point. However, there have been few reports of jejunojejunal intussusception secondary to a solitary juvenile polyp in adult. We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception. Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.
2014: Case Reports in Surgery
A Alves, Y Panis, B Lelong, B Dousset, S Benoist, E Vicaut
BACKGROUND: Temporary faecal diversion is recommended with a low colorectal, coloanal or ileoanal anastomosis (LA). This randomized study evaluated early (EC; 8 days) versus late (LC; 2 months) closure of the temporary stoma. METHODS: Patients undergoing rectal resection with LA were eligible to participate. If there was no radiological sign of anastomotic leakage after 7 days, patients were randomized to EC or LC. The primary endpoints were postoperative morbidity and mortality 90 days after the initial resection...
June 2008: British Journal of Surgery
Art Hiranyakas, Badma Bashankaev, Christina J Seo, Marat Khaikin, Steven D Wexner
As the population of the Western world ages, the number of major surgical procedures performed in the elderly population will by necessity increase. Within virtually every surgical specialty, studies have shown that patients should not be denied surgery on the basis of chronological age alone. It has recently been recognized that physiological age is far more important within the decision-making algorithm as to whether or not to proceed with major surgery in the septuagenarian and octogenarian populations and beyond...
February 1, 2011: Drugs & Aging
Farhad Zeinali, Jonah J Stulberg, Conor P Delaney
The duration of postoperative ileus following abdominal surgery is quite variable, and prolonged postoperative ileus is an iatrogenic phenomenon with important influence on patient morbidity, hospital costs and length of stay in hospital. Adequate treatment for prolonged postoperative ileus is important to improve patient morbidity and clinical efficiency. Both clinical and pharmacological management strategies have improved rapidly over the last decade, and appropriate and timely management using multimodal techniques should be used for optimal care...
April 2009: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Deborah S Keller, Brian Swendseid, Sadaf Khan, Conor P Delaney
BACKGROUND: Our objective was to evaluate ileostomy reversal patients managed with a standardized enhanced recovery pathway to identify factors associated with readmissions. METHODS: Prospective review database identified ileostomy reversal patients. Variables for the index admission and readmission were evaluated. RESULTS: Three hundred thirty-two patients were analyzed. The primary diagnosis was colorectal cancer (57.6%). Thirteen percent of the patients were discharged by postoperative day (POD) 1, 47% by POD 2, and 65% by POD 3...
October 2014: American Journal of Surgery
Thorsten Löffler, Inga Rossion, Thomas Bruckner, Markus K Diener, Moritz Koch, Moritz von Frankenberg, Julius Pochhammer, Oliver Thomusch, Thomas Kijak, Thomas Simon, André L Mihaljevic, Matthias Krüger, Erwin Stein, Gerald Prechtl, René Hodina, Walter Michal, Roland Strunk, Karl Henkel, Jörg Bunse, Gregor Jaschke, Dirk Politt, Hans Peter Heistermann, Mathis Fußer, Claas Lange, Achim Stamm, Andreas Vosschulte, Ralf Holzer, Lars Ivo Partecke, Emanuel Burdzik, Hubert M Hug, Steffen P Luntz, Meinhard Kieser, Markus W Büchler, Jürgen Weitz
OBJECTIVES: The objective of the HASTA trial was to compare hand suture versus stapling loop ileostomy closure in a randomized controlled trial. BACKGROUND: Bowel obstruction is one of the main and the clinically and economically most relevant complication following closure of loop ileostomy after low anterior resection. The best surgical technique for closure of loop ileostomy has not been defined yet. METHODS: HASTA trial is a multicenter pragmatic randomized controlled surgical trial with 2 parallel groups to compare hand suture versus stapling for closure of loop ileostomy...
November 2012: Annals of Surgery
Carlos V R Brown
For patients with small bowel and colonic perforations, a definitive diagnosis of the cause of perforation is not necessary before operation. Bowel obstruction and inflammatory bowel disease are the most common causes of nontraumatic intestinal perforations in industrialized countries, whereas infectious causes of intestinal perforations are more common in developing countries. Treatment of small bowel and colonic perforations generally includes intravenous antibiotics and fluid resuscitation, but the specific management of the bowel depends on the underlying cause of the perforation...
April 2014: Surgical Clinics of North America
2014-07-29 18:39:06
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