scholarly journals Acquired Diverticulosis of the Entire Colon in a Cadaver

Cureus ◽  
2020 ◽  
Author(s):  
Jean-Marc P Lucas ◽  
Carey A Roberts ◽  
Carly A Gunderson ◽  
Francis J Liuzzi ◽  
Oren D Rosenthal
Keyword(s):  
Entire Colon

Two Siblings with Total Colonic Aganglionosis Extended to the Ileum

Swiss Surgery ◽  
2003 ◽  
Vol 9 (4) ◽  
pp. 187-189
Author(s):  
Aslan ◽  
Caglar ◽  
Karagüzel ◽  
Melikoglu
Keyword(s):  
Intestinal Obstruction ◽  
Loop Ileostomy ◽  
Good Condition ◽  
Disease Type ◽  
Definitive Treatment ◽  
Entire Colon ◽  
Total Colonic Aganglionosis ◽  
Protective Ileostomy ◽  
Definitive Surgery ◽  
Partial Intestinal Obstruction

Total colonic aganglionosis (TCA) extended to the ileum is seen quite rare among infants with Hirschsprung's disease. Type and timing of definitive surgery in these patients are controversial. This report was presented to discuss the management of two siblings with TCA. Case 1: A two-day-old girl was operated for partial intestinal obstruction. During laparotomy, serial frozen biopsies proved TCA extended to the terminal ileum and a loop ileostomy was performed. At five months of age, a modified Duhamel-Martin procedure without protective ileostomy was performed. An endo-GIA stapler was transanally used for colo-ileal anastomosis. She is doing well for the last five years. Case 2: A one-day-old boy admitted to the hospital with similar findings to his sister. Frozen biopsies during first laparotomy proved that majority of ileum and entire colon was aganglionic and a proximal ileostomy was performed. At 10 months of age, he underwent a similar Duhamel-Martin operation. He is in a good condition for the last four years. Conclusion: In infants, our modification on Duhamel-Martin procedure, which is based on the use of an endo-GIA stapler transanally for colo-ileal anastomosis without protective ileostomy, may be utilized as an alternative method in the definitive treatment of patients with TCA.

scholarly journals Prospective study of factors important to achieve observation of the entire colon on colon capsule endoscopy

2016 ◽  
Vol 10 (1) ◽  
pp. 20-31
Author(s):  
Junichi Sato ◽  
Masanao Nakamura ◽  
Osamu Watanabe ◽  
Takeshi Yamamura ◽  
Kohei Funasaka ◽  
...  
Keyword(s):  
Water Intake ◽  
Capsule Endoscopy ◽  
Entire Colon ◽  
Independent Predictive Factor ◽  
Logistic Analysis ◽  
Air Supply ◽  
Colon Capsule Endoscopy ◽  
Colon Capsule ◽  
Patient Stress ◽  
Written Informed Consent

Background: Colon capsule endoscopy (CCE) is a procedure in which capsule swallowing facilitates observation of the lumen of the entire digestive tract. It does not require an air supply, and is a noninvasive procedure with a markedly low risk of adverse events in comparison with conventional colonoscopy (CS). It reduces patient stress, and may be acceptable to patients. A limitation of this procedure is that the entire colon observation rate (CCE excretion rate, completed CCE rate) is not 100%. In this study, we prospectively investigated clinical factors important to achieve observation of the entire colon on CCE. Methods: The participants were 70 patients for whom CCE was scheduled, and from whom written informed consent regarding participation in this study was obtained. We selected patient background/examination factors, and analyzed all factors involved in observation of the entire colon and factors for completion of the CCE within 4 h after the start of examination using multivariate analysis. Results: Of the 70 enrolled patients, 64 were analyzed, excluding 6. On multiple logistic analysis, only a water intake of ⩾12.0 ml/min during examination [ p = 0.025, odds ratio (OR): 46.753, 95% confidence interval (CI): 1.630–1341.248] was identified as an independent predictive factor involved in observation of the entire colon. With respect to factors involved in the completion of CCE within 4 h, multiple logistic analysis showed that a body mass index (BMI) of ⩾25 ( p = 0.039, OR: 13.723, 95% CI: 1.135–165.913), the absence of constipation ( p = 0.030, OR: 13.988, 95% CI: 1.287–152.047), and a water intake of ⩾12.0 ml/min during examination ( p = 0.004, OR: 12.028, 95% CI: 2.225–65.029) were independent predictive factors. Conclusions: Completion of a CCE was most closely related to water intake per hour. In addition to water intake, CCE-promoting factors included a high BMI and the absence of constipation.

scholarly journals Restorative Proctocolectomy: When to Propose and When to Avoid

2021 ◽  
Author(s):  
Marisa D. Santos
Keyword(s):  
Ulcerative Colitis ◽  
Familial Adenomatous Polyposis ◽  
Restorative Proctocolectomy ◽  
Ileal Pouch ◽  
Adenomatous Polyposis ◽  
Entire Colon ◽  
Anal Anastomosis ◽  
Colon And Rectum ◽  
Complex Surgery ◽  
Over Time

Restorative proctocolectomy with ileal pouch-anal anastomosis (RPC-IPAA) is a surgical procedure performed when excising the entire colon and rectum is need and reconstitution of the intestinal transit through an ileal pouch is made with anastomosis to the anus. It is mainly used to treat patients with familial adenomatous polyposis (FAP) and ulcerative colitis (UC). It is a complex surgery with potential complications, and the functional outcomes can be worse over time. So, it is essential to select the appropriate patient, proceed to a correct surgical technique, and know-how to deal with and solve the main ileal pouch complications. This chapter intends to be a reflection on this subject.

scholarly journals Colon Capsule Endoscopy: Review and Perspectives

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
David Friedel ◽  
Rani Modayil ◽  
Stavros Stavropoulos
Keyword(s):  
Capsule Endoscopy ◽  
Prior Experience ◽  
Current Status ◽  
Entire Colon ◽  
Optical Colonoscopy ◽  
Colon Capsule Endoscopy ◽  
Colon Capsule

Colon capsule endoscopy utilizing PillCam COLON 2 capsule allows for visualization potentially of the entire colon and is currently approved for patients who cannot withstand the rigors of traditional optical colonoscopy (OC) and associated sedation as well as those that had an OC that was incomplete for technical reasons other than a poor preparation. We will then describe the prior experience and current status of colon capsule endoscopy.

Effect of 1,25-dihydroxyvitamin D3 on calcium absorption in the colon of healthy humans

1984 ◽  
Vol 247 (2) ◽  
pp. G189-G192 ◽  
Author(s):  
W. C. Grinstead ◽  
C. Y. Pak ◽  
G. J. Krejs
Keyword(s):  
Short Bowel Syndrome ◽  
Calcium Transport ◽  
Calcium Absorption ◽  
Calcium Deficiency ◽  
Entire Colon ◽  
Dihydroxyvitamin D3 ◽  
Short Bowel ◽  
1,25 Dihydroxyvitamin D3 ◽  
Healthy Humans ◽  
Perfusion Studies

Calcium absorption in patients with short bowel syndrome is significantly higher when the colon is left intact. To study calcium transport in the large bowel, we investigated whether exogenous 1,25-dihydroxyvitamin D3 [1,25(OH2)D3] can induce or enhance colonic calcium absorption in healthy subjects ingesting a normal diet. Steady-state colon perfusion studies were performed before and after 1 wk of 1,25(OH)2D3 administration (2 micrograms/day, 10 subjects). Serum 1,25-dihydroxyvitamin D concentration rose from 23.0 +/- 2.2 to 39.5 +/- 4.3 pg/ml (mean +/- SE, P less than 0.01). In the basal state the mean net movement of calcium was not significantly different from zero when a 5 mM calcium gluconate solution was perfused (100 +/- 84 mumol X h-1 X entire colon secreted-1). Vitamin D administration resulted in a significant change toward calcium absorption (106 +/- 47 mumol X h-1 X entire colon absorbed-1, P less than 0.02). 1,25(OH)2D3 had no effect on colonic magnesium, phosphate, water, and electrolyte movement. This study demonstrates that in healthy humans exogenous 1,25(OH)2D3 can change colonic calcium movement toward absorption. We suspect that similar changes in colonic calcium transport are caused by endogenous 1,25(OH)2D3 when calcium deficiency has occurred in short bowel syndrome.

scholarly journals Congenital Diverticular Disease of the Entire Colon

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
A. Patel ◽  
H. M. N. Joshi ◽  
C. Kaur ◽  
J. M. Wilson
Keyword(s):  
Diverticular Disease ◽  
Rare Condition ◽  
Entire Colon ◽  
Colonic Diverticulosis ◽  
Colonic Wall

Congenital or true colonic diverticulosis is a rare condition typified by the preservation of the colonic wall architecture within the diverticular outpouching. Cases of multiple jejunal diverticula have been reported as well as cases of solitary giant diverticula of the colon. There have been no reports in the literature of pancolonic congenital diverticulosis.

Duplication of Colon in a Labrador Retriever with Abnormal Spinal Column

1977 ◽  
Vol 14 (3) ◽  
pp. 256-260 ◽  
Author(s):  
R. M. Jakowski
Keyword(s):  
Spinal Column ◽  
Labrador Retriever ◽  
Simultaneous Occurrence ◽  
Entire Colon

A 9-week-old male Labrador Retriever had duplication of the entire colon and malformation of the bodies of vertebrae T4 and T5. Simultaneous occurrence of alimentary duplication and spinal abnormalities have been reported in man, and several theories have been proposed to explain these embryonic defects.

scholarly journals Once-Daily MMX Mesalamine in the Management of Ulcerative colitis

2011 ◽  
Vol 4 ◽  
pp. CGast.S4276
Author(s):  
Wojciech Blonski ◽  
Anna M. Buchner ◽  
Gary R. Lichtenstein
Keyword(s):  
Ulcerative Colitis ◽  
Maintenance Treatment ◽  
Review Article ◽  
Active Ulcerative Colitis ◽  
Efficacy And Safety ◽  
Entire Colon ◽  
Once Daily ◽  
Gradual Release

Mesalamine (5-ASA) has been the mainstay therapy of mild to moderate active ulcerative colitis both as an induction and maintenance treatment. Multimatrix system (MMX) 5-ASA is a recently developed formulation of 5-ASA allowing for slow and gradual release of 5-ASA throughout the entire colon. This review article discusses the structure, pharmacokinetics, efficacy and safety of this new 5-ASA formulation.

Sign in / Sign up

Export Citation Format

Share Document