Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0021843 (bowel obstruction)
 9,927 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The necessity of a cecostomy in the management of large-bowel obstruction continues to be debated. Recent reviews have tended to discredit or disregard this therapeutic method in favor of the colostomy. Past criticism has focused on three central issues. First, local stomal care is difficult. Second, satisfactory bowel preparation cannot be accomplished. Third, a high incidence of surgical closure of the cecostomy is reported. In light of this continuous controversy, a retrospective review of tube cecostomies was conducted to assess the indications, morbidity, and success or failure associated with this treatment modality.
Dis Colon Rectum 1987 Dec
PMID:Cecostomy revisited. Still a useful operation. 369 Dec 70

The function and complications associated with temporary ileostomies were reviewed in patients undergoing ileal pouch-anal anastomosis. A series of 180 patients had temporary ileostomies established (157 loop, 23 Brooke). Patients with incomplete fecal diversion had a significantly higher incidence of pouch-anal anastomotic complications (44 percent) than did those with complete diversion (14 percent). Patients with loop ileostomies were more likely than patients with Brooke ileostomies to develop technique-related complications (18 percent vs. 13 percent) and peristomal irritation (54 percent vs. 26 percent). The most frequent complications after take-down of the ileostomy were transient bowel obstruction (13 percent) and peritonitis (7 percent). These complications could not be related to the type of stoma used or the interval to closure. Temporary diversion of a pouch-anal anastomosis decreased the incidence of anastomotic complications. These ileostomies, however, are associated with a significant risk of complications, which can be minimized by meticulous surgical technique.
Dis Colon Rectum 1986 May
PMID:Temporary ileostomy for ileal pouch-anal anastomosis. Function and complications. 369 52

Hepatodiaphragmatic interposition of the colon is a rare anomaly described by Chilaiditi in 1910. Usually this syndrome presents as an asymptomatic roentgen finding, although occasionally it is associated with a broad range of gastrointestinal symptoms. The hallmark of therapy is conservative, and rarely has surgical intervention been indicated. This is the only case report of the Chilaiditi syndrome associated with colonic volvulus. It also illustrates the rare progression of colonic interposition from mild abdominal discomfort to intermittent bowel obstruction requiring surgical intervention.
Dis Colon Rectum 1986 Oct
PMID:The Chilaiditi syndrome and associated volvulus of the transverse colon. An indication for surgical therapy. 375 6

A unique abdominal internal hernia is described. A 30-year-old man suffered intestinal obstruction and strangulation due to incarceration of the transverse colon in the subphrenic space. This phenomenon is contrasted with Chilaiditi's syndrome (hepatodiaphragmatic interposition).
Dis Colon Rectum 1986 Oct
PMID:Internal hernia of the transverse colon. A new syndrome. 375 7

Seven cases of colorectal (five of colonic and two of rectal) tuberculosis are presented. Only one of these patients had associated pulmonary tuberculosis. Radiologic signs of colorectal tuberculosis are nontypical, making the preoperative diagnosis difficult. All five patients with colonic tuberculosis presented with subacute intestinal obstruction and underwent resectional surgery followed by antitubercular chemotherapy. Both patients with rectal tuberculosis presented with rectal strictures and were treated by repeated dilatation combined with antitubercular drugs. All seven patients have been followed for two to ten years and have remained asymptomatic.
Dis Colon Rectum 1986 Nov
PMID:Colorectal tuberculosis. 376 89

During a two-year period, five patients were treated by us for acute intestinal obstruction caused by an incarcerated paracecal hernia. All patients underwent surgery early, so none required bowel resection. The possibility of an internal hernia as a cause of intestinal obstruction and a profound knowledge of the pericecal anatomy, however, are necessary for successful diagnosis and treatment of paracecal hernias.
Dis Colon Rectum 1986 Nov
PMID:Paracecal hernia: a cause of intestinal obstruction. 376 94

A variety of operations have been proposed for the treatment of radiation injuries of the rectum. In this study, the procedure advocated by the late Sir Alan Parks--resection of the diseased segment down to its points of fixation to the vagina, bladder or prostate; with perianal mucosal stripping of the anorectal segment and primary coloanal (pull-through) anastomosis--was performed in 11 patients. In two others, an attempt at colorectal anastomosis was abandoned because of extreme scarring in the pelvis. The procedures were done following definitive treatment of carcinoma of the rectum (seven patients), carcinoma of the cervix (two patients), carcinoma of the uterus (one patient), carcinoma of the ovary (one patient), seminoma (one patient), and carcinoma of the bladder (one patient). One patient died from a pulmonary embolus on the seventh postoperative day. Of the survivors with a coloanal anastomosis, all had successful closure of their temporary colostomies with follow-up from one to six years. In eight, continence was assessed as being good or excellent. Four patients required anastomotic dilation and another required a surgical procedure for anastomotic stricture. There was one instance each of reoperation for small bowel obstruction and ileocolic fistula. There were no instances of recurrence of hemorrhage, fistulas, perineal pain or tenesmus. The Parks procedure obviates the need for a difficult dissection of the lower rectum and separation of tissues damaged by radiation and avoids the need for eversion techniques. Its selective use is advocated for patients suffering from severe radiation injuries of the rectum.
Dis Colon Rectum 1985 Feb
PMID:Parks' coloanal pull-through anastomosis for severe, complicated radiation proctitis. 397 3

Two children were admitted for clinical and radiologic signs of small-bowel obstruction. Examination revealed an abdominal mass that was suspected of being a mass of intussusception. Bowel obstruction caused by Ascaris lumbricoides was found at surgery. The laboratory, radiologic, and surgical findings are presented with a short review of the literature with emphasis on diagnosis, incidence, complications, and treatment.
Dis Colon Rectum 1985 Apr
PMID:Intestinal obstruction due to Ascaris lumbricoides mimicking intussusception. 397 31

Volvulus of the splenic flexure is a rare cause of large-bowel obstruction. Three cases are presented and the features of 17 previously reported cases reviewed. Resection with or without primary anastomosis is the procedure of choice to prevent recurrence.
Dis Colon Rectum 1985 Aug
PMID:Volvulus of the splenic flexure of the colon. 401 23

The commonest cause of large-bowel obstruction in Nigeria is sigmoid volvulus. Patients usually present late, dehydrated, and in very poor condition. The mortality of emergency colonic surgery is undoubtedly high, more so in developing countries poorly equipped to cope with such a condition. To reduce the mortality rate and improve management of the patients, a four-year prospective study of detorsion followed by elective surgery after adequate resuscitation and bowel preparation was carried out between January 1979 and December 1982. Volvulus is classified into three groups: torsion, obstruction, and strangulation. Criteria for short colonoscopic detorsion of torsion and obstruction types are discussed, and the contraindication in the case of strangulation type mentioned. This article describes the management of 92 cases of sigmoid volvulus between 1979 and 1982.
Dis Colon Rectum 1985 Nov
PMID:Colonoscopy in the emergency treatment of colonic volvulus in Nigeria. 405 89


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>