Presentation
The most common presentation was pain and vomiting with abdominal distension, noted in 5 patients; but three patients presented only with abdominal pain. The strictures were solitary in all cases, with the most common site being the terminal ileum. [ncbi.nlm.nih.gov]
This paper that we would like to present has already been accepted and published by the Journal of Surgical Science in 2014. Email: [email protected] PDF HTML [omicsonline.org]
Delays in presentation from the time of blunt abdominal trauma to the time of presentation of obstructive symptoms have been documented to be as long as 26 years in European literature [1]. [file.scirp.org]
Gastrointestinal
- Acute Abdomen
J Med Sci 2018;38:135-6 Introduction Superior mesenteric vein thrombosis is the difficult diagnosis for acute abdomen at initial time. [jmedscindmc.com]
Merck Manual Professional Version. http://www.merckmanuals.com/professional/gastrointestinal-disorders/acute-abdomen-and-surgical-gastroenterology/ileus. Accessed Sept. 18, 2015. [mayoclinic.org]
"Gastrointestinal perforation and the acute abdomen". The Medical Clinics of North America. 92 (3): 599–625, viii–ix. doi:10.1016/j.mcna.2007.12.004. [en.wikipedia.org]
- Intestinal Disease
The radiographic findings associated with post-ischemic strictures mimicked those of various intestinal diseases such as Crohn's disease, NSAID-induced enteropathy and/or CMUSE (4). [kjronline.org]
Keywords: Crohn disease, Constriction, pathologic, Intestines, Diagnosis, Disease management INTRODUCTION Crohn's disease (CD), an IBD, is the chronic inflammation of unknown etiology involving any part of the gastrointestinal tract. [ncbi.nlm.nih.gov]
- Melena
[…] history & physical exam) Imaging (abdominal X-ray, abdominal CT) Patient made NPO (nothing by mouth) IV fluids as needed Nasogastric tube placement General surgery consultation Pain control Upper GI bleed[14] Abdominal pain (epigastric), hematochezia, melena [en.wikipedia.org]
After four EBD procedures, the patient had a melena and progression of anemia. Although the patient required blood transfusion, the bleeding was stopped by conservative treatment including fasting and infusion of hemostatic drugs. [hindawi.com]
- Flatulence
Signs and symptoms[edit] Signs and symptoms may include a sudden pain in the epigastrium to the right of the midline indicating the perforation of a duodenal ulcer, while a gastric ulcer perforation reveals itself by burning pain in epigastrium, with flatulence [en.wikipedia.org]
Cardiovascular
- Heart Failure
Reduced blood flow, due to heart failure, low blood pressure and shock. Previous abdominal surgery. Scar tissue that forms after surgery may cause reduced blood flow. [mayoclinic.org]
In 1958, Ende described the first cases of NOMI in 3 patients with heart-failure-associated low outputs [21]. [bmcsurg.biomedcentral.com]
Urogenital
- Kidney Failure
As a result of the swelling, the intestine cannot absorb as it typically does and this can cause dehydration and eventual kidney failure. The intestine wall can also tear, allowing the fluid inside the intestine to leak out leading to infection. [giassoc.org]
The hypokalemia is an indirect result of the kidney compensating for the loss of acid. With the loss of intake of food the individual may eventually become cachectic. [en.wikipedia.org]
Workup
A workup for intermittent porphyria was also pursued prior to her presentation, which likewise was negative. [karger.com]
CT enterography, MR enterography or capsule endoscopy in the workup before DBE. Endpoints included stricture description, dilatation parameters and response to treatment. Main outcome measurements were the safety and efficacy of DBE and dilatation. [ncbi.nlm.nih.gov]
[…] complete blood count, urine pregnancy test followed with quantitative blood beta-hCG Imaging: transvaginal ultrasound If patient is unstable: IV fluid resuscitation, urgent obstetrics and gynecology consultation If patient is stable: continue diagnostic workup [en.wikipedia.org]
X-Ray
- Colonic Stricture
We describe a patient with a benign stricture and volvulus of transverse colon, a life threatening but treatable complication of scleroderma bowel disease. [jhu.pure.elsevier.com]
A colon stricture is a narrowing of the passageway of the colon. As a result, waste cannot move properly through the digestive tract and becomes obstructed in front of the stricture. [colon-cleanse-constipation.com]
stricture is a narrowing of part of the colon. [wisegeekhealth.com]
Contrast examination of the large bowel demonstrated a recurrent transverse colon stricture and new ascending colon and small bowel strictures. [pmj.bmj.com]
Treatment
However, bowel stricture may develop due to intestinal ischemia which may require surgical treatment. This report describes a rare case of small bowel stricture occurring one month after successful treatment of SMV thrombosis. [ncbi.nlm.nih.gov]
94.4% failed treatment. [healio.com]
Intestinal StrictureHeal is a two-step treatment protocol; there is the oral (or internal) component and then there is the topical treatment. [listentoyourgut.com]
We considered that the first treatment of choice for malignant stenosis is surgery, including resection or bypass for palliative treatment. Indeed, we selected surgical treatment for malignant small-bowel strictures at 88% (14/16). [hindawi.com]
Prognosis
Of the 49 patients defined as having a good prognosis, 88.1% achieved treatment success; of the 77 patients defined as having a good or intermediate prognosis, 77.7% achieved treatment success; and of the 16 patients defined as having a poor prognosis [healio.com]
The prognostic score defined a good prognosis group with 43/49 successes, an intermediate prognosis group with 17/28 successes and a poor prognosis group with 1/16 successes. [ncbi.nlm.nih.gov]
Prognosis[edit] The prognosis for non-ischemic cases of SBO is good with mortality rates of 3–5%, while prognosis for SBO with ischemia is fair with mortality rates as high as 30%.[26] Cases of SBO related to cancer are more complicated and require additional [en.wikipedia.org]
Obstruction not associated with cancer has a very good prognosis, especially in otherwise healthy people. [womenshealthmag.com]
Etiology
Abstract Henoch-Schönlein purpura is a multisystem disorder of unknown etiology that primarily affects children. [ncbi.nlm.nih.gov]
[…] new chapters on the many advances in understanding and treatment options, this set of volumes represents the definitive reference on inflammatory bowel disease, a spectrum of diseases that is receiving increasing attention as our understanding of the etiological [books.google.com]
Third, small-bowel strictures were caused by several etiologies. Although we examined various etiologies of small-bowel strictures in the non-CD group, the list remains limited. [hindawi.com]
While this condition remains rare, there has been a substantial rise in the use of the most important etiologic factor; namely NSAIDs. [karger.com]
Epidemiology
In this book, leading experts from the USA, Europe and Israel present new data on the genetics, epidemiology, pathology and pathogenesis of pediatric IBD. Imaging and endoscopy in the diagnosis of IBD are also discussed. [books.google.com]
The epidemiology of irritable bowel syndrome. Dovepress 2014; 6: 71-80 Rey E, Tlley NJ. Irritable bowel syndrome: Novel views on the epidemiology and potential risk factors. Dig Liver Dis 2009;41(11):772- 780. Flik C E, van Rood Y R, de Wit N Y. [revistas.proeditio.com]
Epidemiology Affects primarily Western populations, equal gender incidence 3 per 100,000, peaks in teens / twenties and 50s / 60s RR: Whites 2 - 5:1, Jews 3:1 Associated with smoking Monozygotic twins have 30 - 50% concordance Sites Small bowel only [pathologyoutlines.com]
IBD与深静脉血栓形成:流行病学及预防策略 IBD and Deep Vein Thrombosis: Epidemiology and Prevention Strategies 肠道微生态与IBD发病的关系 Gut Microflora and IBD Pathogenesis 粪菌移植治疗IBD:证据及存在问题 FMT in the Management of IBD: Evidence and Issues IBD新疗法:新的生物制剂及小分子制剂 Novel IBD Therapy: New [medmeeting.org]
Epidemiological study of ulcerative colitis in Japan: incidence and familial occurrence. The Epidemiology Group of the Research Committee of Inflammatory Bowel Disease in Japan. J Gastroenterol. 1995;30(Suppl 8):5–8. [PubMed] [Google Scholar] 12. [ncbi.nlm.nih.gov]
Pathophysiology
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 123. Updated by: Debra G. [medlineplus.gov]
In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Sept. 10, 2015. Glancy DG. Intestinal obstruction. [mayoclinic.org]
Evaluation Index IBD病人的管理:提高依从性的关键因素 Management of IBD Patients: Keys to Improve Adherence GERD的症状谱:中国的前瞻性研究 The symptom spectrum of GERD: a perspective China study 幽门螺杆菌感染:中国的处理策略 The Hp infection: China strategies 功能性消化不良的十二指肠病理生理机制:新观点及其临床应用 The duodenal pathophysiologic [medmeeting.org]
The prevalence of mesenteric vein thrombosis has increased in the past two decades due to the convenient use of contrast-enhanced CT.[2],[3] The pathophysiology of mesenteric vein thrombosis is associated with an insufficiency of venous return from the [jmedscindmc.com]
Prevention
How can I prevent colon strictures? You may not be able to prevent strictures if you have certain chronic conditions, such as Crohn disease. The following may help to prevent colon strictures: Eat a variety of healthy foods. [drugs.com]
Since the cause of ischemic colitis isn't always clear, there's no certain way to prevent the disorder. [mayoclinic.org]
Rectal bleeding Formation of a narrowing of the colon that prevents easy passage of stool (called a stricture) Formation of a tract or tunnel to another organ or the skin (called a fistula). [fascrs.org]
Of course, if the colon stricture is caused by a serious condition such as cancer, the underlying cause must be treated first to prevent further damage to the colon or other parts of the body. [colon-cleanse-constipation.com]
Prevention You may be able to reduce your risk of some forms of bowel obstruction by modifying your diet and lifestyle. [womenshealthmag.com]