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Bowel Stricture


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]
  • We report a case of chronic small bowel obstruction due to an ischemic stricture of the distal ileum presenting 3 months after an episode of Henoch-Schönlein purpura.[ncbi.nlm.nih.gov]
  • The authors present a case of rheumatoid vasculitis associated with a small bowel stricture. The patient had a 3-week history of daily postprandial bloating, abdominal cramping, and vomiting.[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]
  • Patients usually present immediately after injury and require urgent laparotomy. An unusual case of delayed small-bowel stricture after conservative management of an injury resulting from blunt trauma is reported.[ncbi.nlm.nih.gov]
Rabies
  • Rabie¹, Ghazala Balhaj¹, Gabriel Ionescu², Sayenna A.[jpss.eu]
Cerebral Calcification
  • Manifestations that are frequently presenting in symptomatic CMV disease such as IUGR and periventricular cerebral calcification prompted us to substantiate the CMV etiology as the cause for GIT obstruction in this case.[jpss.eu]

Workup

Colonic Stricture
  • All colonic strictures developed in the "watershed zone." The pathologic features of post-ischemic stricture were deep ulceration, submucosal/subserosal fibrosis and chronic transmural inflammation.[ncbi.nlm.nih.gov]
  • Colonic strictures are nothing to take lightly. We have a friend who died from complications of a colonic stricture.[wisegeekhealth.com]
  • Manifestations include, typically colonic stricture but also bleeding, perforation, and cachexia.[pmj.bmj.com]
  • There have been reports in the literature in which congenital CMV cases presented with intestinal obstruction and the operative findings in those cases included colonic stricture, illeal ulceration and perforation [7].[jpss.eu]

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]
  • BACKGROUND: Patients with CD usually develop bowel strictures due to transmural edema of intestinal wall, which can potentially be managed with conservative medical treatment.[ncbi.nlm.nih.gov]
  • , 94.4% failed treatment.[healio.com]
  • In addition, the text addresses the complex interface exists between the medical and surgical management of IBD with important information on medical treatment, endoscopic evaluation, pathology, radiology, and etiology.[books.google.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]

Prognosis

  • 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]
  • 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]
  • AIM: Gastroschisis with prenatal gastric perforation and intestinal stenosis is a rare and serious anomaly. although there are several case reports, no case series exists to suggest the prognosis for these infants.[ncbi.nlm.nih.gov]
  • 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]
  • In addition, the text addresses the complex interface exists between the medical and surgical management of IBD with important information on medical treatment, endoscopic evaluation, pathology, radiology, and etiology.[books.google.com]
  • Further, the CMV specific IgM antibody persistence was supportive of the etiologic cause. This case illustrate the importance of gastrointestinal involvement of this virus is more frequent than previously recognized.[jpss.eu]
  • Luminal contrast studies computed tomography (CT scan) ultrasonography (US) Once the diagnosis of bowel obstruction is entertained, location, severity and etiology are to be determined.[ddc.musc.edu]

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]
  • Review and meta-analysis of the epidemiology of congenital cytomegalovirus (CMV) infection. Rev Med Virol. 2007;17:253-276 Red Book 2000: Report of the Committee of Infectious Diseases,27thed.[jpss.eu]
  • 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]
  • ., Svensson, P. and Ekberg, O, “Epidemiology, risk and prognostic factors in mesenteric venous thrombosis,” Br J Surg, 95. 1245-1251. 2008.[pubs.sciepub.com]
Sex distribution
Age distribution

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. . Accessed Sept. 10, 2015. Glancy DG. Intestinal obstruction. Surgery. 2014;34:204.[mayoclinic.org]

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]
  • 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]
  • Prevention You may be able to reduce your risk of some forms of bowel obstruction by modifying your diet and lifestyle.[womenshealthmag.com]
  • Intestinal obstruction refers to complete or partial obstruction of the small or large intestine, which prevents the normal movements of solid, fluid or gas within the intestines.[consumerhealthdigest.com]
  • The intestines stop functioning, preventing the patient from eating or eliminating waste.[clearpassage.com]

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