Management of Small Intestinal Volvulus in a District Hospital

1995 ◽  
Vol 25 (1_suppl) ◽  
pp. 54-57
Author(s):  
Ayalaw Tegegne
Keyword(s):  
Intestinal Obstruction ◽  
Developing World ◽  
District Hospital ◽  
Early Operation ◽  
Intestinal Volvulus ◽  
Common Causes ◽  
The Common ◽  
Small Intestinal

Primary small intestinal volvulus is one of the common causes of intestinal obstruction in various localities of the developing world. Although the general principles of management of intestinal obstruction apply to it, its diagnosis is dependent on a clinical exclusion of other causes of intestinal obstruction with overt features, and awareness of patterns of obstruction in a given locality. Moreover, in nearly all the cases early operation is recommended for a confirmation of the diagnosis and relief of the obstruction. However, lacking the necessary precautions on operation, sometimes a relief of the obstruction without a diagnostic confirmation may be the result.

scholarly journals Postvaginal Delivery Caecal Volvulus and Perforation

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
M. M. Abdullah Agha
Keyword(s):  
Intestinal Obstruction ◽  
Vaginal Delivery ◽  
Adverse Outcomes ◽  
High Index ◽  
Initial Presentation ◽  
Common Causes ◽  
The Common ◽  
High Index Of Suspicion ◽  
Caecal Perforation ◽  
Uncommon Complication

Intestinal obstruction is an uncommon complication of pregnancy and pueperium. It has different etiologies and voluvlus is one of the common causes. High index of suspicion is needed to diagnose it as initial presentation is nonspecific and that is critical to avoid adverse outcomes. We presented here one of these cases that followed vaginal delivery and ended with caecal perforation and hemicolectomy.

scholarly journals A clinical study on the surgical management of intestinal obstruction

2019 ◽  
Vol 7 (1) ◽  
pp. 150
Author(s):  
Jyotsna Choudary Gogineni ◽  
Trupti Tonape ◽  
V. S. Athavale ◽  
Sree Kumar ◽  
Shweta Achuthan Kutty ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Management ◽  
Signs And Symptoms ◽  
Abdominal Distension ◽  
Abdominal Adhesions ◽  
Medical College ◽  
Common Causes ◽  
General Surgeons ◽  
The Common ◽  
A Prospective Study

Background: Intestinal obstruction remains one of the common emergencies encountered by general surgeons all over the world. Acute intestinal obstruction occurs when there is a disruption in the frontward flow of intestinal contents.Methods: This study is a prospective study conducted in Dr. D Y Patil Medical College and Hospital, Pimpri, Pune. Patients coming to the hospital with signs and symptoms suggestive of intestinal obstruction and willing for surgical management in our hospital were included after taking written and informed consent.Results: In our study, pain abdomen and abdominal distension was the most common presenting complaints in 90% and 92% of the patients respectively. On palpation, 96% of the patients had abdominal tenderness, 72% of the patients had guarding and 12% of the patients had rigidity. On auscultation, all patients had some abnormality with regard to bowel sounds. It has been noted that intestinal strictures and abdominal adhesions were amongst the most common causes of intestinal obstruction in our study.Conclusions: Prompt clinical assessment aided by radiological imaging is of crucial importance in reaching the diagnosis of intestinal obstruction. Decision regarding surgical intervention is taken based on the initial presentation of the patient, and his/her response to first line conservative management and fluid resuscitation

scholarly journals INTESTINAL OBSTRUCTION

2007 ◽  
Vol 14 (02) ◽  
pp. 355-359
Author(s):  
KHALID MAHMOOD ◽  
SHAHBAZ AHMED ◽  
SAJID HAMEED ◽  
Liaquat Ali
Keyword(s):  
Intestinal Obstruction ◽  
Average Duration ◽  
Early Recognition ◽  
Wound Dehiscence ◽  
Paediatric Surgery ◽  
Significant Morbidity ◽  
Duration Of Symptoms ◽  
Incarcerated Inguinal Hernia ◽  
Common Causes ◽  
The Common

Objective: To identify the various causes of intestinal obstruction ininfants. Design: Retrospective study. Period: July 1995 to March 2007. Setting: Department of Paediatric Surgery,Allied Hospital, Faisalabad. Patients and Methods: The record of all infants who presented with intestinal obstructionduring the study period was reviewed. Results: Two hundred infants presented with intestinal obstruction. It was thecommonest cause for admission (57%) from the emergency department and constituted 8.2% of the infants operatedin the unit. They were predominantly males. Average duration of symptoms was 3 days. Common causes wereintussusception (46.5%), adhesions (16%), bands (13.5%) and incarcerated inguinal hernia (8%). Wound infection(12%) and wound dehiscence (6%) were the common complications. Mortality rate was 5%. Conclusion: Intestinalobstruction is seen frequently in infants and is associated with significant morbidity. Early recognition and prompttreatment are needed.

scholarly journals From “Technical Newbies” to “Optimistic Politicians”

2019 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
James Prater ◽  
Konstantinos Kirytopoulos ◽  
Tony Ma
Keyword(s):  
Information Technology ◽  
Quantitative Research ◽  
Valuable Insight ◽  
Scheduling Problems ◽  
Information Technology Projects ◽  
Content Type ◽  
Common Causes ◽  
The Common ◽  
Project Estimation ◽  
Engineering Projects

Purpose Despite the advent of sophisticated control methods, there are still significant issues regarding late delivery of information technology projects. The purpose of this paper is to investigate the common causes of scheduling problems specifically in the information technology projects context. Design/methodology/approach Through a quantitative research, the importance of those causes, as well as the underpinning factors driving them, is explored. The causes are ranked according to their relative important index, and exploratory factor analysis is employed to reveal underlying dimensions (factors) of these causes. Findings From the analysis, four factors were extracted, namely, “Dataless Newbie,” “Technical Newbie,” “Pragmatic Futurist” and “Optimistic Politician.” These factors explain the different latent conditions that lead to scheduling problems in information technology projects. Practical implications The key contribution of this research is that it enlightens the latent conditions underpinning scheduling problems. Also, the evidence provides that schedule development for information technology projects is impacted by the same causes that impact engineering projects, and that applying a number of mitigation techniques widely used within the engineering area, such as reference class, would, no doubt, not only improve information technology schedules but also reduce the political pressures on the project manager. Originality/value This research provides a valuable insight into understanding the underlying factors for poor project estimation.

scholarly journals Ileal hypertrophy and associated true diverticulum as a cause of colic in a horse

2017 ◽  
Vol 88 ◽  
Author(s):  
Arnold T. Mahne ◽  
Driene Janse van Rensburg ◽  
Michael Hewetson
Keyword(s):  
Intestinal Obstruction ◽  
Post Mortem ◽  
Small Intestinal Obstruction ◽  
Post Mortem Examination ◽  
Mesenteric Side ◽  
Small Intestinal

A 4-year-old Thoroughbred gelding underwent an explorative celiotomy for a suspected small intestinal obstruction. During surgery, an impacted diverticulum of the ileum was suspected, necessitating a jejunocaecostomy. The owner opted for euthanasia. On post-mortem examination and histopathology, a true diverticulum on the mesenteric side of the ileum, with ileal hypertrophy, was diagnosed.

scholarly journals A NEW METHOD OF EPISTAXIS MANAGEMENT USING NASAL GEL: A SINGLE CENTER, RANDOMIZED CLINICAL TRIAL

2018 ◽  
Vol 11 (3) ◽  
pp. 104 ◽  
Author(s):  
Mehdi Torabi ◽  
Ava Roughani Esfahani ◽  
Shiva Moeinaddini ◽  
Mohammad Reza Baneshi
Keyword(s):  
Clinical Trial ◽  
Side Effects ◽  
Randomized Clinical Trial ◽  
Patients Satisfaction ◽  
Stop Time ◽  
Common Causes ◽  
Procedural Time ◽  
Nasal Bleeding ◽  
The Common ◽  
Discharge Length

 Objective: Epistaxis is one of the common causes of patients’ referral to the emergency departments. In the majority of cases, epistaxis is managed by traditional methods. We investigated the efficacy of nasal gel (NG) in comparison to anterior nasal packing (ANP) to stop mild-to-moderate anterior nasal bleeding.Methods: In this prospective, randomized clinical trial, patients were divided into two groups of ANP (n=60) and NG (n=40). We determined and compared the efficacy of treatment (bleeding stop time and recurrence), patients’ satisfaction at discharge (length of stay in the hospital, pain during the procedure, and procedural time), and safety (less side effects) in both groups.Results: The procedural time ≤2 min was observed in 90% and 58.33 % of NG group and ANP group, respectively (p<0.001). Pain score during procedure ≤4 and patients’ satisfaction ≥7 were, respectively, seen in 87.5% and 65% of NG group, but it was 43.33% and 41.7% in ANP group, respectively (p<0.001, p=0.02). The side effects in ANP group were 35%; however, no side effects were observed in NG group.Conclusion: In the management of mild-to-moderate anterior nasal bleeding although NG efficacy is equivalent to ANP, using NG may be more convenient and satisfactory for patients. In addition, the use of this gel may result in more safety and fewer side effects.

scholarly journals A Case of Small Intestinal Obstruction Caused by a Freed Leiomyosarcoma

2015 ◽  
Vol 76 (8) ◽  
pp. 1928-1932
Author(s):  
Naoki MOROHOSHI ◽  
Kazuki ASANUMA ◽  
Hyogo SAWAZAKI ◽  
Setsuji TAKANASHI ◽  
Motoya KASHIYAMA ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Small Intestinal Obstruction ◽  
Small Intestinal
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