scholarly journals A case of intestinal obstruction due to inflammatory changes in the small intestine from alkaline ingestion

2018 ◽  
Vol 5 (3) ◽  
pp. 285-288 ◽  
Author(s):  
Takaaki Maruhashi ◽  
Tasuku Hanajima ◽  
Kento Nakatani ◽  
Jun Hattori ◽  
Ichiro Takeuchi ◽  
...  
2020 ◽  
pp. 16-18
Author(s):  
V. M. Lykhman ◽  
O. M. Shevchenko ◽  
Ye. O. Bilodid ◽  
Igor Vladimirovich Volchenko ◽  
I. A. Kulyk ◽  
...  

Among urgent surgical diseases of abdominal cavity, an acute intestinal obstruction is the most difficult to be diagnosed and treated. Leading factor, determining the development of pathophysiological processes is considered to be the progressive manifestations of enteric insufficiency syndrome, resulting in intestinal barrier impairment, negative changes in ecology of intestinal flora, increased endotoxins. To identify the small intestine microflora in acute intestinal obstruction and determine the role of dysbiotic disorders in clinical manifestations of main pathological process, a study was conducted in 60 patients with mechanical intestinal obstruction. The small intestine has a relatively rare microflora, consisting mainly of gram−positive facultative aerobic microorganisms, streptococci, lactobacilli. The distal ileum in nearly 30−55 % of healthy people contains scanty microflora, and yet the flora of this area differs from the microbial population of the higher gastrointestinal tract due to higher concentration of gram−negative bacteria. Optional−anaerobic coliform bacilli, anaerobic bifidobacteria and fusobacteria, bacteroids, the number of which starts exceeding the one of gram−positive species, are presented in significant quantities. Distal to the ileocecal valve there are significant changes in the microflora quantitative and species composition. Obligatory anaerobic bacteria become the predominant part of microflora, exceeding the number of aerobic and facultative anaerobic bacteria. The bacterial flora in different parts of gastrointestinal tract has its own specifics and is quite constant, as a result of the interaction of many factors, regulating the bacterial population in small intestine. The most important among them are: acidity of gastric juice, normal peristaltic activity of the intestine, bacterial interactions and immune mechanisms. Disorders of the intestine motor and evacuation function with its obstruction lead to slow passage of the chyme and contamination of the upper gastrointestinal tract with new types of microbes. There is a syndrome of small intestine excessive colonization, which means an increased concentration of bacterial populations in it, similar in species composition to the colon microflora. Pathological intra−intestinal contents become a source of endogenous infection and re−infection of the patient, leads to internal digestive disorders, which is manifested by syndrome of malabsorption of proteins, carbohydrates and vitamins. Key words: acute intestinal obstruction, small intestinal microflora, conditionally pathogenic microorganisms, intestinal biocenosis.


2021 ◽  
pp. 1-3
Author(s):  
Abhishek Chaudhary ◽  
Kanchan Sone Lal Baitha ◽  
Yasir Tajdar

Background:The small intestine is the longest and convoluted portion in the digestive tract. It starts from pylorus and ends at ileocaecal valve. The small bowel consists of three parts measuring about 5 to 6 meters. The rst 25cm is the duodenum. Out of the rest part of small gut, jejunum th th. constitute the proximal 2/5 and ileum distal 3/5 The jejunum and ileum extend from the peritoneal fold that supports the duodeno-jejunal junction (Ligament of Treitz) down to ileocaecal valve. Material and Methods:All the patients admitted to PMCH, Patna and KMC, Katihar as intestinal obstruction was included for the study. The time period of study was from October 2014 to November 2016 in PMCH and December 2016 to January 2019 in KMC, Katihar. Out of all Intestinal obstruction 59 cases only of adult small gut obstruction were recorded for comparison and conclusive study.Conclusion: Small bowel obstruction remains a frequently encountered problem in abdominal surgery. Although modern day surgical management continues to focus appropriately on avoiding delayed operation, whatever surgery is indicated, not every patient is always best served by immediate operation


2012 ◽  
Vol 45 (7) ◽  
pp. 758-765
Author(s):  
Satoshi Nomura ◽  
Takeshi Shioya ◽  
Tetsuo Shibuya ◽  
Yosimasa Watanabe ◽  
Kotaro Nanbu ◽  
...  

1962 ◽  
Vol 104 (3) ◽  
pp. 395-404 ◽  
Author(s):  
Louis P. River ◽  
John W. Tope ◽  
William F. Ashley

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Seyed Abdollah Mousavi ◽  
Hassan Karami

Introduction. Intestinal obstruction in the setting of Meckel’s diverticulum in young age and with orange and meat bezoar is a rare, previously unreported condition. Since the obstruction point is located immediately after Meckel’s diverticulum in our patients, we attempt to introduce “localized peristalsis insufficiency” as a new etiology for small intestine obstruction while reviewing the findings of previous studies.Conclusion. Intestinal obstruction in the setting of Meckel’s diverticulum and with orange and meat bezoar is a rare, previously unreported condition. Considering the previous reports, we may present the theory oflocalized peristalsis insufficiencyin patients with Meckel’s diverticulum.


2018 ◽  
Vol 5 (3) ◽  
pp. 117-120
Author(s):  
B. Abdullajonov ◽  
F. Nishanov ◽  
B. Madvaliyev ◽  
A. Nuriddinov ◽  
A. Rustamjonov ◽  
...  

INTESTINAL INVAGINATION OF ADULTSAbdullajonov B., Nishanov F., Madvaliyev B.,Nuriddinov А., Rustamjonov A., Mishenina K. Authors presents analyze with literature for questions about spread, etiology, pathogenesis, main clinic and treats intestinal invagination of adults – less forms of acute intestinal obstruction. Given research work of patient with intestinal invagination. Key words: intestinal obstruction, invagination of small intestine, acute peritonitis, emergency surgery. РезюмеІНВАГІНАЦІЯ КИШКІВНИКА У ДОРОСЛИХАбдуллажанов Б., Нішанов Ф., Мадавлієв Б.,Нуріддін А., Рустамжонов А., Мішеніна К.Авторами представлені аналіз літератури з питань поширення, етіології, патогенезу, особливостей клініки та лікування інвагінації кишківника у дорослих - рідкісної форми гострої кишкової непрохідності.Наведено аналіз історії хвороби хворого наінвагінацію тонкого кишківника.Ключові слова: кишкової непрохідності, інвагінації тонкого кишківника, гострий перитоніт, екстрена хірургія. РезюмеИНВАГИНАЦИЯ КИШЕЧНИКА У ВЗРОСЛЫХАбдуллажанов Б., Нишанов Ф., Мадавлиев Б., Нуриддинов А., Рустамжонов А., Мишенина Е.Авторами представлены анализ литературы по вопросам распространения, этиологии, патогенеза, особенностей клиники и лечения инвагинации кишечника у взрослых - редкой формы острой кишечной непроходимости. Приведен анализ истории болезни больной с инвагинацией тонкого кишечника. Ключевые слова: кишечной непроходимости, инвагинацией тонкого кишечника, острый перитонит, экстренная хирургия. 


2018 ◽  
Vol 5 (3) ◽  
pp. 121-125
Author(s):  
F. Nishanov ◽  
B. Abdullajanov ◽  
N. Bozorov ◽  
M. Nishanov ◽  
F. Hamidov ◽  
...  

PEUTS-JEGHERS TOURINE SYNDROMENishanov F., Abdullajanov B., Bozorov N.,Nishanov М., Hamidov F., Mishenina E.Authoris present two clinical observations syndrome Peutz-Jeghers Touraine, wich is hereditary and appears periorifitsial lentiginosis multiple polyposis of the small intestine (jejunum mainly)and it complications such as intestinal obstruction invaginated which combines intra colonic bleeding. The authors concluded that abdominal surgery should know and remember about the syndromePeutz-Jeghers Touraine,in order to avoid diagnostic and tactical errors and promptly provide expert surgical treatment for the.Key words: syndrome, emergency surgery, perioficial lentinginosis, invagination intestinal obstruction. РезюмеСИНДРОМ ПЕЙТЦА-ЕГЕРСА-ТУРЕНАНішанов Ф., Абдуллажанов Б., Бозоров Н.,Нішанов М., Хамідов Ф., Мішеніна Е. Автори наводять два клінічних спостереження синдрому Пейтца-Егерса-Турена, який має спадковий характер і проявляється періоріфіціальним лентігінозом, множинним поліпозом тонкої кишки (переважно порожньої) і його ускладнень у вигляді інвагінаційної кишкової непрохідності, яка поєднується з внутрішньокишковою кровотечею. Автори роблять висновок,що абдомінальним хірургам слід знати і пам'ятати про синдром Пейтца - Егерса - Турена, що дозволить уникнути діагностичних і тактичних помилок і своєчасно надати кваліфіковану екстрену хірургічну допомогу.Ключові слова: синдром, екстрена хірургія, періоріфіціальнийлентігіноз, інвагінаційна кишкова непрохідність. РезюмеСИНДРОМ ПЕЙТЦА-ЕГЕРСА-ТУРЕНАНишанов Ф., Абдуллажанов Б., Бозоров Н., Нишанов М., Хамидов Ф., Мишенина Е.Авторы приводят два клинических наблюдения синдрома Пейтца-Егерса-Турена, который имеет наследственный характер и проявляется периорифициальным лентигинозом, множественным полипозом тонкой кишки (преимущественно тощей) и его осложнений в виде инвагинационной кишечной непроходимости, которая сочетается внутрикишечным кровотечением. Авторы заключают что, абдоминальным хирургам следует знать и помнить о синдроме Пейтца – Егерса - Турена, что позволит избежать диагностических и тактических ошибок и своевременно оказать квалифицированную экстренную хирургическую помощь. Ключевые слова: синдром, экстренная хирургия, периорифициальный лентигиноз, инвагинационной кишечной непроходимости. 


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