scholarly journals Small bowel obstruction in the elderly: a plea for comprehensive acute geriatric care

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Ekin Ozturk ◽  
Marianne van Iersel ◽  
Martijn MWJ Stommel ◽  
Yvonne Schoon ◽  
Richard RPG ten Broek ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
The Elderly ◽  
Geriatric Care ◽  
Acute Geriatric Care

scholarly journals The Diagnostic Yields and Safety of Double-Balloon Enteroscopy in Obscure Gastrointestinal Bleeding and Incomplete Small Bowel Obstruction: Comparison between the Adults and Elderly

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Lei Wang ◽  
Mengfan Xie ◽  
Liwen Hong ◽  
Chen Zhang ◽  
Tianyu Zhang ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
The Elderly ◽  
Obscure Gastrointestinal Bleeding ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon

Background. Double-balloon enteroscopy (DBE) is widely used worldwide. However, comparisons between the diagnostic yields in adults and the elderly remain scarce. Aim. The aim of this study is to compare the diagnostic yields and safety of DBE between adults and elderly with obscure gastrointestinal bleeding and incomplete small bowel obstruction. Method. We retrospectively reviewed patients who underwent DBE with indication of obscure gastrointestinal bleeding or incomplete small bowel obstruction in Ruijin Hospital and classified them into adults (18–64 years old) and elderly (≥65 years old). Clinical characteristics, diagnostic yields, and postoperative complications were collected and further analyzed. Results. A total of 877 DBE procedures, 729 in adults and 148 in the elderly, were performed. In the patients with OGIB, the adults showed a higher frequency of Meckel’s diverticulum compared with the elderly (4.6% vs. 0.9%, P=0.032). Angioectasia was higher in frequency in the elderly than in the adults (25.9% vs. 17.9%, P=0.048). In patients with incomplete small bowel obstruction, the elderly were more likely to have adenocarcinoma than the adults (19.4% vs. 7.1%, P=0.038). The adults had higher tendency to have Crohn’s disease than the elderly (23.4% vs. 8.3%, P=0.045). Most of the postoperative complications were mild. The adults and elderly displayed comparable tolerance to DBE (P>0.05) Conclusion. DBE has a high diagnostic yield in small bowel disorders, and a slight difference in disease spectrum was observed between the adults and elderly. DBE can be well-tolerated in the elderly.

What is the Rate of Small Bowel Obstruction after Colectomy?

2008 ◽  
Vol 74 (10) ◽  
pp. 1001-1005 ◽  
Author(s):  
Janak A. Parikh ◽  
Clifford Y. Ko ◽  
Melinda A. Maggard ◽  
David S. Zingmond
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Group Versus ◽  
The Elderly ◽  
The United States ◽  
First Year ◽  
Surgery Group ◽  
History Of ◽  
Common Operation

The rate of small bowel obstruction (SBO) after colectomy is unknown. Given the large number of colectomies performed in the United States, elucidating SBO rates, outcomes, and identifying predictors of readmission is important. Using the California Inpatient File, we identified all patients readmitted with a principle diagnosis of SBO at least once in the 3 years after colectomy (n = 4555). Patients admitted with a diagnosis of SBO in the 3 years before surgery were excluded. Overall, 10 per cent of patients were readmitted for SBO at least once after colectomy. Approximately 58 per cent were readmitted in the first year and 22 per cent of these patients required surgery. The most common operation performed was lysis of adhesions. Median length of stay was twice as long in the surgery group versus the no surgery group (12 vs 6 days). Overall mortality was higher in the nonsurgery group compared with the surgery group (33% vs 21%, P < 0.001) and highest in the elderly (44% vs 30%, P < 0.001). One in 10 patients without a history of SBO who undergoes a colectomy will be readmitted at least once in the subsequent 3 years for SBO, and there is a high mortality rate in this group, especially in the elderly.

scholarly journals Left paraduodenal hernia: a rare cause of small bowel obstruction in the elderly

2016 ◽  
pp. bcr2015209678 ◽  
Author(s):  
L Barbosa ◽  
A Ferreira ◽  
A A Póvoa ◽  
J P Maciel
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
The Elderly ◽  
Paraduodenal Hernia

scholarly journals Diaphragm disease of the terminal ileum presenting as acute small bowel obstruction

2020 ◽  
Vol 13 (2) ◽  
pp. e233537
Author(s):  
Stephen Bennett ◽  
Jack Martin ◽  
Betania Mahler-Araujo ◽  
Stavros Gourgiotis
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Terminal Ileum ◽  
Histopathological Examination ◽  
The Elderly ◽  
Ageing Population ◽  
Diaphragm Disease ◽  
Acute Small Bowel Obstruction ◽  
Specific Symptoms

Diaphragm disease (DD) of the small bowel is a rarely reported complication of non-steroidal anti-inflammatory drug (NSAID) use, characterised by diaphragm-like strictures, most commonly in the ileum, causing varying degrees of obstruction. It typically presents in the elderly, over many years with non-specific symptoms. Diagnosis is challenging, the majority of cases relying on histopathology for confirmation. Treatment involves NSAID cessation and surgery through a combination of stricturoplasties and/or segmental resection. Very rarely DD presents as a surgical emergency. A case presenting as acute small bowel obstruction (SBO) is described, initially diagnosed as adhesions, later confirmed to be DD of the terminal ileum following histopathological examination. Given the widespread use of NSAIDs and an ageing population, it is likely the incidence of DD will increase. It is, therefore, important that surgeons are aware of this disease entity and consider it as a potential diagnosis in patients presenting with acute SBO.

scholarly journals An unusual case of phytobezoar-induced small bowel obstruction

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Yasser Taha ◽  
Khaled Salman ◽  
Fahad Alrayyes ◽  
Saad Alrayyes
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Plant Material ◽  
Unusual Case ◽  
Past History ◽  
Unknown Origin ◽  
Exploratory Laparotomy ◽  
The Elderly ◽  
Fibre Diet

Abstract Bezoars, and to lesser extent phytobezoars, are among the rare causes of small bowel obstruction. A bezoar generally describes retained concretions of indigestible foreign material that accumulate and conglomerate in the gastrointestinal tract, most commonly in the stomach. We present an unusual case of phytobezoar-induced sub-acute small bowel obstruction originating from unfamiliar plant material in a 74-year-old woman. The past history was insignificant regarding comorbidities other than depression. Presenting complaints were history of abdominal pain and vomiting. Imaging studies and physical examination suggested small bowel obstruction. The patient underwent exploratory laparotomy after 1 day of conservative treatment. We found a 4.5 cm obstructing phytobezoar intraoperatively. The undigested plant material caused the obstruction. Postoperatively, the plant was identified as Scorzonera papposa. The patient was discharged uneventfully. The elderly patients should avoid semi-cooked vegetables, plants of unknown origin and high-fibre diet.

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