Long term complication of feeding jejunostomy – small bowel volvulus

2020 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
GK Adithya ◽  
Varun Madaan ◽  
Rigved Gupta ◽  
SatyaPrakash Jindal ◽  
Deepak Govil
Keyword(s):  
Small Bowel ◽  
Feeding Jejunostomy ◽  
Small Bowel Volvulus

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
David Muchuweti ◽  
Hopewell Mungani ◽  
Hopewell Mungani ◽  
Farai Mahomva ◽  
Edwin Gamba Muguti ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Acute Abdomen ◽  
Bowel Obstruction ◽  
Bowel Wall ◽  
Haemodynamic Instability ◽  
Small Bowel Volvulus ◽  
General Surgeons ◽  
Heavy Infestation ◽  
Emergency Abdominal Surgery

Oftentimes general surgeons working in poorly resourced communities carry out emergency abdominal surgery in patients with acute abdomen with no definitive preoperative diagnosis. The definitive diagnosis is made at laparotomy. Perforated small bowel obstruction secondary to heavy Infestation with Ascaris Lumbricoides brings a number of intraoperative challenges requiring correct intraoperative surgical management decisions. We present a case of a 17 year-old patient who was admitted with a diagnosis of small bowel obstruction who at laparotomy was found to have perforated gangrenous small bowel volvulus with heavy worm load visible through the bowel wall. Because of faecal peritoneal contamination and haemodynamic instability she underwent a two staged procedure with good outcome.

scholarly journals Adhesive Small Bowel Obstruction and the six w’s: Who, How, Why, When, What, and Where to diagnose and operate?

2021 ◽  
pp. 145749692098276
Author(s):  
M. Podda ◽  
M. Khan ◽  
S. Di Saverio
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Conservative Management ◽  
Bowel Ischemia ◽  
Current Evidence ◽  
First Episode ◽  
Adhesive Small Bowel Obstruction ◽  
Highly Effective

Background and Aims: Approximately 75% of patients admitted with small bowel obstruction have intra-abdominal adhesions as their cause (adhesive small bowel obstruction). Up to 70% of adhesive small bowel obstruction cases, in the absence of strangulation and bowel ischemia, can be successfully treated with conservative management. However, emerging evidence shows that surgery performed early during the first episode of adhesive small bowel obstruction is highly effective. The objective of this narrative review is to summarize the current evidence on adhesive small bowel obstruction management strategies. Materials and Methods: A review of the literature published over the last 20 years was performed to assess Who, hoW, Why, When, What, and Where diagnose and operate on patients with adhesive small bowel obstruction. Results: Adequate patient selection through physical examination and computed tomography is the key factor of the entire management strategy, as failure to detect patients with strangulated adhesive small bowel obstruction and bowel ischemia is associated with significant morbidity and mortality. The indication for surgical exploration is usually defined as a failure to pass contrast into the ascending colon within 8–24 h. However, operative management with early adhesiolysis, defined as operative intervention on either the calendar day of admission or the calendar day after admission, has recently shown to be associated with an overall long-term survival benefit compared to conservative management. Regarding the surgical technique, laparoscopy should be used only in selected patients with an anticipated single obstructing band, and there should be a low threshold for conversion to an open procedure in cases of high risk of bowel injuries. Conclusion: Although most adhesive small bowel obstruction patients without suspicion of bowel strangulation or gangrene are currently managed nonoperatively, the long-term outcomes following this approach need to be analyzed in a more exhaustive way, as surgery performed early during the first episode of adhesive small bowel obstruction has shown to be highly effective, with a lower rate of recurrence.

scholarly journals Comparative short-term and long-term outcomes between internal and external intestinal plication in the management of small bowel obstruction

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Song Liu ◽  
Qiongyuan Hu ◽  
Lihua Shao ◽  
Xiaofeng Lu ◽  
Xiaofei Shen ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Short Term ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Gut Dysfunction ◽  
Gut Function

Abstract Background Small bowel obstruction (SBO) is common and usually requires surgical intervention. Intestinal plication is a traditional but critical strategy for SBO in certain scenarios. This study is to compare the short-term and long-term outcome between internal and external plications in the management of SBO. Methods All patients receiving intestinal plication in our hospital were retrospectively collected. Short-term outcome including postoperative complications, reoperation, postoperative ICU stay, starting day of liquid diet and postoperative hospitalization, as well as long-term outcome including recurrence of obstruction, readmission, reoperation and death were compared between groups. Gut function at annual follow-up visits was evaluated as well. Results Nine internal and 11 external candidates were recruited into each group. The major causes of plication were adhesive obstruction, abdominal cocoon, volvulus and intussusception. Lower incidence of postoperative complication (p = 0.043) and shorter postoperative hospitalization (p = 0.049) was observed in internal group. One patient receiving external plication died from anastomosis leakage. During the 5-year follow-up period, the readmission rate was low in both groups (22.2 % vs. 9.1 %), and none of patients required reoperation or deceased. None of patients exhibited gut dysfunction, and all patients restored normal gut function after 4 years. Patients in external group demonstrated accelerated recovery of gut function after surgery. Conclusions This study compares short-term and long-term outcome of patients receiving internal or external intestinal plication. We suggest a conservative attitude toward external plication strategy. Surgical indication for intestinal plication is critical and awaits future investigations.

Long-Term Outcome of Total Colonic Aganglionosis Extended to the Small Bowel

2017 ◽  
Vol 101 ◽  
pp. S148
Author(s):  
Cecile Talbotec ◽  
Elise Payen ◽  
Virginie Colomb ◽  
Christophe Chardot ◽  
Naziha Khen Dunlop ◽  
...  
Keyword(s):  
Small Bowel ◽  
Total Colonic Aganglionosis ◽  
Term Outcome ◽  
Long Term Outcome

scholarly journals Long-term prognosis after major resection of small bowel in early infancy.

1969 ◽  
Vol 44 (236) ◽  
pp. 465-470 ◽  
Author(s):  
W. F. Young ◽  
V. A. Swain ◽  
E. M. Pringle
Keyword(s):  
Small Bowel ◽  
Early Infancy ◽  
Major Resection ◽  
Long Term Prognosis

Long-Term Endoscopic Follow-up in Small Bowel Transplant Recipients: Single-Center Series

2014 ◽  
Vol 46 (7) ◽  
pp. 2325-2328 ◽  
Author(s):  
A. Lauro ◽  
A.D. Pinna ◽  
S. Pellegrini ◽  
A. Bagni ◽  
C. Zanfi ◽  
...  
Keyword(s):  
Small Bowel ◽  
Transplant Recipients ◽  
Single Center ◽  
Small Bowel Transplant

Laparoscopic Meckel's diverticulectomy for small bowel volvulus - a video vignette

2016 ◽  
Vol 18 (11) ◽  
pp. 1109-1110
Author(s):  
F. Narouz ◽  
T. Manzoor ◽  
J. O. Larkin
Keyword(s):  
Small Bowel ◽  
Small Bowel Volvulus ◽  
Video Vignette

Small bowel volvulus among adults.

2005 ◽  
Vol 20 (12) ◽  
pp. 1906-1912 ◽  
Author(s):  
JEN-CHIEH HUANG ◽  
JENG-SHIANN SHIN ◽  
YUE-TING HUANG ◽  
CHE-JEN CHAO ◽  
SHIH-CHI HO ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Volvulus
Sign in / Sign up

Export Citation Format

Share Document