Large bowel obstruction from a full‐thickness resection device clip: rare complication of a novel technique

2020 ◽  
Vol 90 (11) ◽  
pp. 2370-2372
Author(s):  
Wai Keong (Keith) Choong ◽  
Madhu Bhamidipaty ◽  
Michael J. Johnston
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Rare Complication ◽  
Large Bowel Obstruction ◽  
Full Thickness ◽  
Novel Technique

scholarly journals A rare complication of laparoscopic adjustable gastric band: acute large bowel obstruction

2020 ◽  
Vol 10 (6) ◽  
pp. 177-179
Author(s):  
Ajay Menon ◽  
Lisa E Pedevillano ◽  
Melissa L Gott ◽  
Timothy S Pilla ◽  
Gus J Slotman
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gastric Band ◽  
Rare Complication ◽  
Laparoscopic Adjustable Gastric Band ◽  
Exploratory Laparotomy ◽  
Large Bowel Obstruction ◽  
Adjustable Gastric Band ◽  
Life Saving ◽  
Bowel Perfusion

With many thousands patients carrying laparoscopic adjustable gastric band (LAGB), long-term complications can appear emergently to any surgeon. We present a 64 year-old male who underwent placement of a laparoscopic adjustable gastric band (LAGB) years prior presented to the emergency department with concerning signs of an acute abdomen. Upon imaging review a large bowel obstruction at the level of the sigmoid colon, with ischemic changes, was discovered, caused by the patient’s LAGB catheter. The patient was taken emergently for an exploratory laparotomy during which the LAGB catheter was removed, resulting in restored bowel perfusion. Bowel obstructions are infrequent complications of LAGB. However most commonly they are limited to the small bowel. LAGB catheters resulting in large bowel obstructions are an extremely rare finding. Our review of the literature indicates that this is the first reported cause of a sigmoid obstruction caused by a LAGB. This case brings into view potential complications LAGB that can confront not only bariatric surgeons, but general and acute care surgeons as well. This report illustrates LAGB danger to the colon, and suggests how to manage, perhaps leading to early, life-saving intervention

scholarly journals Large Bowel Obstruction, a Delayed Complication of Severe Gallstone Pancreatitis

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Neeraj Lal ◽  
John Whiting ◽  
Rahul Hejmadi ◽  
Sudarsanam Raman
Keyword(s):  
Bowel Obstruction ◽  
High Mortality ◽  
Large Bowel ◽  
Bowel Resection ◽  
Rare Complication ◽  
Large Bowel Obstruction ◽  
Emergency Laparotomy ◽  
Gallstone Pancreatitis ◽  
Colonic Involvement ◽  
Colonic Stenting

Colonic complications are rare after acute pancreatitis but are associated with a high mortality. Possible complications include mechanical obstruction, ischaemic necrosis, haemorrhage, and fistula. We report a case of large bowel obstruction in a 31-year-old postpartum female, secondary to severe gallstone pancreatitis. The patient required emergency laparotomy and segmental bowel resection, as well as cholecystectomy. Presentation of obstruction occurs during the acute episode or can be delayed for several weeks. The most common site is the splenic flexure owing to its proximity to the pancreas. Initial management may be conservative, stenting, or surgical. CT is an acceptable baseline investigation in all cases of new onset bowel obstruction. Although bowel obstruction is a rare complication of pancreatitis, clinicians should be aware of it due to its high mortality. Obstruction can occur after a significant delay following the resolution of pancreatitis. Those patients with evidence of colonic involvement on pancreatic imaging warrant further large bowel evaluation. Bowel resection may be required electively or acutely. Colonic stenting has an increasing role in the management of large bowel obstruction but is a modality of treatment that needs further evaluation in this setting.

EFFICACY OF UNCOVERED COLONIC STENTS FOR EXTRINSIC VERSUS INTRINSIC MALIGNANT LARGE BOWEL OBSTRUCTION

2020 ◽  
Author(s):  
BR Weston ◽  
JM Patel ◽  
M Pande ◽  
PJ Lum ◽  
WA Ross ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Colonic Stents

Colonoscopic resection of giant colonic lipoma causing subacute large bowel obstruction

2019 ◽  
Vol 90 (1-2) ◽  
Author(s):  
Amy Donovan ◽  
Sandun Abeyasundara ◽  
Hajir Nabi
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Colonic Lipoma

Large-bowel obstruction: CT findings, pitfalls, tips and tricks

2020 ◽  
Vol 130 ◽  
pp. 109155
Author(s):  
Cécile Verheyden ◽  
Céline Orliac ◽  
Ingrid Millet ◽  
Patrice Taourel
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Tips And Tricks ◽  
Ct Findings

CR12�*SELF-EXPANDABLE METALLIC STENT VS SURGERY IN MANAGEMENT OF ACUTE MALIGNANT LARGE BOWEL OBSTRUCTION

2009 ◽  
Vol 79 ◽  
pp. A11-A11
Author(s):  
W. V. Braun ◽  
I. S. Abdool ◽  
A. Lim ◽  
B. Frenkiel ◽  
S. I. White
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Metallic Stent ◽  
Expandable Metallic Stent

scholarly journals Appendicitis and Benign Appendiceal Mucocele Presenting as Large Bowel Obstruction

2012 ◽  
Vol 17 (3) ◽  
pp. 609-610 ◽  
Author(s):  
Razvan C. Opreanu ◽  
Justin Sobinsky ◽  
Marc D. Basson
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Appendiceal Mucocele

scholarly journals What to do with a non-rolling stone? Surgical on-table dilemma in large bowel obstruction due to an impacted gallstone

2014 ◽  
Vol 2014 (7) ◽  
pp. rju042-rju042 ◽  
Author(s):  
N. Das ◽  
N. R. Plummer ◽  
H. Raja ◽  
A. Vashist
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Rolling Stone

Tu1689 - Long-Term Outcomes of Colorectal Cancer Patients with and without Malignant Large-Bowel Obstruction

2018 ◽  
Vol 154 (6) ◽  
pp. S-1352
Author(s):  
Riku Yamamoto ◽  
Shinya Munakata ◽  
Tomoyuki Kushida ◽  
Hajime Orita ◽  
Mutsumi Sakurada ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Patients ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Long Term Outcomes ◽  
Colorectal Cancer Patients
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