Morbidity and mortality due to Ascaris-induced intestinal obstruction

1997 ◽  
Vol 91 (1) ◽  
pp. 31-36 ◽  
Author(s):  
N.R. de Silva ◽  
H.L. Guyatt ◽  
D.A.P. Bundy
Keyword(s):  
Intestinal Obstruction ◽  
Morbidity And Mortality

Internal Hernia: Postoperative Complication of Roux-en-Y Gastric Bypass Surgery

2006 ◽  
Vol 72 (7) ◽  
pp. 581-585 ◽  
Author(s):  
Aaron Eckhauser ◽  
Alfonso Torquati ◽  
Yassar Youssef ◽  
Joan L. Kaiser ◽  
William O. Richards
Keyword(s):  
Gastric Bypass ◽  
Length Of Stay ◽  
Intestinal Obstruction ◽  
Internal Hernia ◽  
The United States ◽  
Morbidity And Mortality ◽  
Transverse Mesocolon ◽  
Surgical Morbidity ◽  
Internal Hernias ◽  
Clinical Awareness

Obesity surgery is becoming one of the most common general surgery procedures done in the United States. Internal hernias are a known and increasingly more common occurrence after laparoscopic roux-en-Y gastric bypass (LRYGB). Increased clinical awareness of this complication will lead to decreased surgical morbidity and mortality. We retrospectively reviewed our database of 529 patients who had undergone LRYGB from 2000 to 2005 and identified those presenting with intestinal obstruction from an internal hernia. The type of internal hernia (jejunojejunostomy, transverse mesocolon, roux limb mesentery [Peterson's hernia]), length of time from presentation to operative intervention, and length of stay were obtained for all patients. Of 529 laparoscopic retrocolic retrogastric LRYGBs, 13 internal hernias (2.5%) were identified in 13 different patients. Eight of the hernias were at the mesenteric defect created by the jejunojejunostomy (62%), 3 originated from the transverse mesocolon defect (23%), and 2 were a Peterson's hernia (15%). The median time from initial operation to repair was 150 days. The average time from presentation to operative repair was 29.2 hours (range, 5–67.5 hours). The median length of stay was 3 days (range, 1.5–45 days). Eleven hernias were repaired laparoscopically (85%). There were no mortalities associated with obstruction from the internal hernia. Intestinal obstruction from an internal hernia after LRYGB is becoming increasingly more common. General awareness of this condition and high clinical suspicion allow for prompt surgical intervention with decreased morbidity and mortality.

scholarly journals Obturator Hernia: A Rare Case of Acute Mechanical Intestinal Obstruction

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Ibrahim Aydin ◽  
Ahmet Fikret Yucel ◽  
Ahmet Pergel ◽  
Dursun Ali Sahin
Keyword(s):  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Mortality Rates ◽  
Obturator Hernia ◽  
Morbidity And Mortality ◽  
Common Symptom ◽  
Rare Type ◽  
Mechanical Intestinal Obstruction

Obturator hernia is a rare type of pelvic hernia which generally occurs in elderly patients with accompanying diseases. Because it is difficult to diagnose before surgery, the morbidity and mortality rates for obturator hernia are high. The most common symptom is strangulation combined with mechanical intestinal obstruction.

scholarly journals Surgical outcome and clinical profile of emergency versus elective cases of colorectal cancer in College of Medical Sciences, Nepal

2014 ◽  
Vol 9 (2) ◽  
pp. 25-30 ◽  
Author(s):  
Sujit Kumar ◽  
P Kafle ◽  
BN Patowary ◽  
N Belbase ◽  
S Agrawal ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Intestinal Obstruction ◽  
Rectal Bleeding ◽  
Surgical Outcome ◽  
Clinical Presentation ◽  
Morbidity And Mortality ◽  
Colorectal Cancers ◽  
Medical Sciences ◽  
Female Ratio ◽  
Left Hemicolectomy

Background: Patients who undergo emergency colorectal cancer surgery has poor outcome compared to elective surgery, both in terms of morbidity and mortality. Approximately 15 to 30% of colorectal cancers present as an emergency, most often as obstruction or perforation. Objective: To compare surgical outcome and clinical profiles of emergency and elective cases for colorectal cancer. Methods: Retrospective analysis of 34 cases who underwent surgery for colorectal cancer between December 2011 to January 2013was carried out and their surgical outcomes, clinical presentation, demographic profile were analyzed. Results: The total numbers of patients included in this study were 34. Out of which 52.94 %( n=18) were emergency cases and 47.05 %( n=16) were elective. Male female ratio was 3:1 in emergency cases and 2.6:1 in elective cases. Per rectal bleeding (56%) and altered bowel habit (31.25%) was predominant clinical presentation in elective cases whereas intestinal obstruction (55.55%) and peritonitis (22.22%) were predominant clinical presentation in emergency cases. In emergency cases most of the tumors were located in left side (77.77%) and in elective cases rectum was common site (37.5%). Left hemicolectomy was the commonest surgery performed (72.22%) in emergency set up. In elective cases, right hemicolectomy, left hemicolectomy, APR and LAR was done in 31.25%, 31.25%, 25% and 25% cases respectively. In the emergency group 11.11% (n=2) developed enterocutaneous fistula and early mortality within 30 days was observed in 5% (n=1) of emergency cases only. Conclusion: In emergency conditions, colorectal cancer presented with intestinal obstruction where as elective cases presented with per rectal bleeding and altered bowel habits. Compared with the elective patients, the emergency patients had higher rate of morbidity and mortality. Because of higher incidence of colorectal cancer in our institution, in all emergency cases who presents with features of intestinal obstruction and peritonitis, we have to rule out colorectal cancer especially if the patients are elderly. Therefore, we should encourage screening programme for early detection of colorectal cancers for better outcome of surgery. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-2, 25-30 DOI: http://dx.doi.org/10.3126/jcmsn.v9i2.9684

scholarly journals Postoperative Morbidity and Mortality in Intestinal Obstruction

1958 ◽  
Vol 147 (1) ◽  
pp. 33-38 ◽  
Author(s):  
John C. Turner ◽  
Wiluam H. Dearing ◽  
Edward S. Judd
Keyword(s):  
Intestinal Obstruction ◽  
Postoperative Morbidity ◽  
Morbidity And Mortality

scholarly journals Morbidity in an Infant by Superabsorbent Polymer Ingestion

2017 ◽  
Vol 8 (5) ◽  
pp. 33 ◽  
Author(s):  
Henry Tan Chor Lip ◽  
Tan Jih Huei ◽  
V Muthualhagi A/P Vellusamy
Keyword(s):  
Intestinal Obstruction ◽  
Anastomotic Leak ◽  
Morbidity And Mortality ◽  
Superabsorbent Polymer ◽  
Second Surgery ◽  
Dangerous Condition

Superabsorbent polymer (SAP) ingestion is a potentially dangerous condition and may lead to morbidity and mortality. A 22-month-old girl presented with intestinal obstruction. At operation a SAP was found as a cause of intestinal obstruction. The child underwent second surgery for anastomotic leak and ileostomy was made.

scholarly journals Long-term morbidity and mortality in patients diagnosed with an insulinoma

2021 ◽  
Author(s):  
Elina Peltola ◽  
Päivi Hannula ◽  
Heini Huhtala ◽  
Saara Metso ◽  
Juhani Sand ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Intestinal Obstruction ◽  
Cox Regression ◽  
Distant Metastases ◽  
Morbidity And Mortality ◽  
Endocrine Disorders ◽  
Kaplan Meier ◽  
Pancreatic Neuroendocrine Tumours ◽  
Long Term Prognosis

Objective: Insulinomas are rare functional pancreatic neuroendocrine tumours. As previous data on the long-term prognosis of insulinoma patients are scarce, we studied the morbidity and mortality in the Finnish insulinoma cohort. Design: Retrospective cohort study Methods: Incidence of endocrine, cardiovascular, gastrointestinal and psychiatric disorders, and cancers was compared in all the patients diagnosed with an insulinoma in Finland during 1980–2010 (n=79, including two patients with multiple endocrine neoplasia type 1 syndrome), vs. 316 matched controls, using the Mantel-Haenszel method. Overall survival was analysed with Kaplan-Meier and Cox regression analyses. Results: The median length of follow-up was 10.7 years for the patients and 12.2 years for the controls. The long-term incidence of atrial fibrillation [rate ratio, RR 2.07 (95% CI 1.02–4.22)], intestinal obstruction [18.65 (2.09–166.86)], and possibly breast [4.46 (1.29–15.39)] and kidney cancers (RR not applicable) was increased among insulinoma patients vs. controls, p<0.05 for all comparisons. Endocrine disorders and pancreatic diseases were more frequent in the patients during the first year after insulinoma diagnosis, but not later on. The survival of patients with a non-metastatic insulinoma (n=70) was similar to that of controls, but for patients with distant metastases (n=9), the survival was significantly impaired (median 3.4 years). Conclusions: The long-term prognosis of patients with a non-metastatic insulinoma is similar to the general population, except for an increased incidence of atrial fibrillation, intestinal obstruction, and possibly breast and kidney cancers. These results need to be confirmed in future studies. Metastatic insulinomas entail a markedly decreased survival.

scholarly journals STUDY OF CLINICAL EVALUATION OF INTESTINAL OBSTRUCTION

2019 ◽  
Vol 3 (7) ◽  
Author(s):  
Dr. Aseem Majumdar ◽  
Dr. Ajay Kumar Agarwal
Keyword(s):  
Intestinal Obstruction ◽  
Early Recognition ◽  
Primary Anastomosis ◽  
Age Groups ◽  
Morbidity And Mortality ◽  
Electrolyte Imbalance ◽  
Age Group ◽  
Presenting Symptoms ◽  
Surgical Emergency ◽  
Mode Of Presentation

Introduction: All over world Intestinal obstruction is a common surgical emergency.  Intra-abdominal problems are one of the most common as Intestinal Obstruction by general surgeons in their practice. Intestinal obstruction is defined as obstruction in forward propulsion of contents of the intestine either due to active or inactive or pseudo-obstruction. It is predisposed by varying underlying abnormality diseases that are difficult to define pre-operatively. About 12% to 16% of acute abdominal emergencies may be contributed to intestinal obstruction. With multiple etiologies for intestinal obstruction of either the small or large bowel which become to be a major cause of morbidity and mortality. There are various Mode of presentation for intestinal obstruction underlying various cause in each age group. In ancients period mortality and morbidity was very high. Nowadays due to improvement and understanding of pathophysiology,  diagnosis techniques of radiology, electrolyte imbalance and high degree of refinement in correction of fluid, introduction of antibiotics to effective bacteriological control, introduction of techniques in gastrointestinal decompression, introduction of new surgical principles and primary anastomosis has replaced staged procedures and number of days stay in hospital with caring  and with Improvement in field of anesthesia has all contributed to decreasing the morbidity and mortality. About 5 to 15% of cases of severe abdominal pain were due to Mechanical obstruction acquiring sudden onset requiring admission to hospital. Therefore all factors are making difference in outcome of any operative procedure in relation to morbidity and mortality. Patient with acute intestinal obstruction depends largely upon early diagnosis which is useful for success in treatment. Most of the mortality occurs in elderly age with late treatment and who are having associated pre-existing diseases like, diabetes mellitus, COPD and cardiac diseases. However intestinal obstruction is most often the result of colorectal malignancies and lesions usually arise in the sigmoid or recto sigmoid area.  Aim: The main aim of this study is to explore different modes of presentations of intestinal obstruction in different age group. Material and method: All patients are informed consents. Total 50 patients having intestinal obstruction with various problems were taken in this study attending to hospital as in patient department (IPD) and outpatient department (OPD) of our hospital. A clinical study of intestinal obstruction were selected has to come across this surgical emergency and treatment and skillful management in surgery department of our hospital. The patients with age group 0-80 years were included in this study. Result:  In this study of 50 cases of intestinal obstruction was studied during period of 1 year. The study was done in all age groups with a mean age of 35 years. Occurrence of intestinal obstruction was common in male (72%) as compare to female (28%). Maximum presenting symptoms in this study was pain abdomen (80%) followed by vomiting (72%), Tenderness (86%), distension of abdomen (56%) and constipation (52%), most of patients with overlapping of symptoms. Conclusion: Intestinal obstruction is more common in males compared to females. Mode of presentation also differs in different levels of intestinal obstruction. Adhesions accounted for majority of intestinal obstruction.  Intestinal obstruction was found more common in children than other age groups. Malignancies are also common causes of intestinal obstruction. The clinical examination stressed upon vital signs and abdominal examination and Routine necessary investigations were carried out. Hence early recognition and timely intervention is important to prevent the intestinal obstruction.  Keywords:  Intestinal obstruction, Intussusception, adhesions, hernia, intraperitoneal malignancy.

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