Reconstitution of intestinal continuity after extended left colectomy

1993 ◽  
Vol 36 (2) ◽  
pp. 197-198 ◽  
Author(s):  
Tam H. Le ◽  
Byron J. Gathright
Keyword(s):  
Left Colectomy ◽  
Intestinal Continuity

Outcomes of elective left colectomy in renal-transplanted patients: a single-center case-control study (LECoRT study)

2021 ◽  
Author(s):  
Thomas Bardol ◽  
Regis Souche ◽  
Diane Genet ◽  
Charlotte Ferrandis ◽  
Françoise Guillon ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Single Center ◽  
Left Colectomy ◽  
Control Study

Intestinal Structure and Function after Small Bowel by-Pass in the Rat

1972 ◽  
Vol 43 (6) ◽  
pp. 731-742 ◽  
Author(s):  
M. H. Gleeson ◽  
J. Cullen ◽  
R. H. Dowling
Keyword(s):  
Small Bowel ◽  
Migration Rate ◽  
Morphological Changes ◽  
Intestinal Resection ◽  
Glucose Absorption ◽  
Turnover Time ◽  
Structure And Function ◽  
Major Influence ◽  
Intestinal Continuity ◽  
And Function

1. To study further the influence of luminal nutrition on small bowel structure and function, segments of rat jejunum and ileum were completely excluded from intestinal continuity by Thiry-Vella by-pass operations. The effect of partial deprivation of luminal nutrition was also studied in jejunal segments that had been surgically transposed to a distal position in the intestinal tract. 2. Macroscopically, by-passed jejunum and ileum both became narrowed and atrophic, whereas the intestine in continuity showed hypertrophic changes similar to those seen after intestinal resection. 3. In by-passed intestine the pattern of villi changed from mucosal ridges to ‘fingers’ and ‘leaves’. Although villous height and total mucosal thickness were both reduced, light microscopy showed that even 6 months after exclusion from intestinal continuity villous morphology was still retained. 4. Epithelial-cell migration rate and turnover time were diminished in both jejunum and ileum after by-pass. In intestine in continuity the migration rate was increased, but the turnover time remained the same as in controls. 5. In by-passed jejunum, in vivo glucose absorption diminished progressively with time, but did not change in excluded ileal segments. 6. After ileo-jejunal transposition, the jejunum showed no major morphological changes, but glucose absorption became significantly depressed. 7. These results further support the concept that intraluminal nutrition exerts a major influence on cell turnover, villous morphology and absorptive function in the small intestine.

Risk of anastomotic bleeding after left colectomy with preservation of inferior mesenteric artery for diverticular disease: preliminary results

2021 ◽  
Vol 76 (4) ◽  
Author(s):  
Umberto BRACALE ◽  
Roberto PELTRINI ◽  
Maria M. DI NUZZO ◽  
Gaia ALTIERI ◽  
Vania SILVESTRI ◽  
...  
Keyword(s):  
Diverticular Disease ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Left Colectomy ◽  
Preliminary Results ◽  
Anastomotic Bleeding

scholarly journals Restorative minimally invasive interventions in patients with colostomy

2018 ◽  
Vol 99 (6) ◽  
pp. 1004-1008
Author(s):  
F Sh Akhmetzyanov ◽  
N A Valiev ◽  
A N Daminov ◽  
B Sh Bikbov
Keyword(s):  
Surgical Intervention ◽  
Surgical Trauma ◽  
Distal Stump ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Intestinal Continuity ◽  
Intestinal Stoma ◽  
The Right ◽  
Medical Indications ◽  
Oncology Center

Aim. To show the benefits of performing mini-access restorative phase on the colon in patients with colostomy. Methods. A retrospective analysis of the results of closure stomy operations in 2011-2017 in two emergency cancer departments of Republican Clinical Oncology Center MH RT was conducted. The inclusion criteria of the study were: 1) surgical intervention for acute intestinal obstruction in colorectal cancer performed in RCOC; 2) mandatory removal of the primary tumor during the first surgery; 3) the presence of a functioning intestinal stoma formed during the first surgery; 4) fixation of both stumps in one stoma. The exclusion criteria were refusal to restore the continuity of the colon for medical indications and the patient's refusal to undergo the surgery. Results. The study included 11 males (44 %) and 14 females (56 %). The age interval was 49 to 81 years, of which 12 patients were over 70 years old (48 %), the average age was 67.7 ± 5.4 years. The tumor removed at the first stage was localized in the right parts of the colon in 5 patients (20 %), and in the left in 20 patients (80 %). By the stages of the malignant process, the patients were distributed as follows: stage B - 14 cases (56 %), stage C - 10 (40 %), stage D - 1 (4 %). The average duration of the surgery was 53 ± 14.38 minutes (40 to 123). The postoperative period was 10.8 ± 1.92 days on average (5 to 18). Conclusion. Restoration of intestinal continuity through mini-paracolostomy access is technically rational, as due to the mini-access the patient undergoes minor surgical trauma; the anatomical proximity of the anastomosed bowel stumps excludes the difficulties associated with the search for the distal stump in the traditional method of recovery; the duration of the postoperative hospital stay decreases significantly.

scholarly journals Laparoscopic left colectomy: surgical technique

2019 ◽  
Vol 4 ◽  
pp. 18-18
Author(s):  
Mackenzie C. Morris ◽  
Ian M. Paquette
Keyword(s):  
Surgical Technique ◽  
Left Colectomy ◽  
Laparoscopic Left Colectomy

Contamination After Disinfectant Rectal Washout in Left Colectomy as a Model for Transrectal NOTES: A Randomized Controlled Trial

2018 ◽  
Vol 232 ◽  
pp. 635-642 ◽  
Author(s):  
Philip C. Müller ◽  
Anand Dube ◽  
Daniel C. Steinemann ◽  
Jonas D. Senft ◽  
Tobias Gehrig ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Left Colectomy ◽  
Randomized Controlled ◽  
Rectal Washout

Left Colectomy for Cancer

2002 ◽  
pp. 397-418
Author(s):  
Carol E. H. Scott-Conner
Keyword(s):  
Left Colectomy
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