scholarly journals Percutaneous caecostomy for the management of closed loop large bowel obstruction: A delayed complication of severe gallstone pancreatitis

2019 ◽  
Vol 101 (1) ◽  
pp. e17-e19
Author(s):  
J Aldoori ◽  
J Cast ◽  
IA Hunter
Keyword(s):  
Surgical Management ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Closed Loop ◽  
Large Bowel Obstruction ◽  
Morbidity And Mortality ◽  
Gallstone Pancreatitis ◽  
Significant Morbidity ◽  
Delayed Complication ◽  
General Surgeons

Colonic complications following pancreatitis are unusual events ranging from 1% to 15%. In a patient with a hostile abdomen and multiple previous laparotomies, surgical management of a closed-loop large-bowel obstruction risks significant morbidity and mortality for the patient, necessitating other strategies for management. Caecostomy in the management of large bowel obstruction is an often forgotten weapon in the general surgeons’ armoury.

On-table lavage in laparoscopic management of closed-loop large-bowel obstruction - a video vignette

2017 ◽  
Vol 19 (4) ◽  
pp. 398-398
Author(s):  
N. Naguib ◽  
M. Matar ◽  
S. Aslam ◽  
K. Thippeswamy ◽  
P. N. Haray ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Closed Loop ◽  
Large Bowel Obstruction ◽  
Laparoscopic Management ◽  
Video Vignette

scholarly journals Large Bowel Obstruction Due to a Big Gallstone Successfully Treated with Endoscopic Mechanical Lithotripsy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Marco Balzarini ◽  
Laura Broglia ◽  
Giovanni Comi ◽  
Calcedonio Calcara
Keyword(s):  
High Risk ◽  
Sigmoid Colon ◽  
Surgical Management ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Colonic Obstruction ◽  
Gallstone Ileus ◽  
Large Bowel Obstruction ◽  
Mechanical Lithotripsy ◽  
Mechanical Bowel Obstruction

Colonic gallstone ileus in an uncommon mechanical bowel obstruction caused by intraluminal impaction of one or more gallstones. The surgical management of gallstone ileus is complex and is potentially of high risk. There have been reports of gallstone extractions using various endoscopic modalities to relieve the obstruction. In this report we present the technique employed to successfully perform a mechanical lithotripsy and extraction of a large gallstone embedded in a sigmoid colon affected by diverticular stenosis. We passed through the stenosis with a 11.3 mm videoscope with 3.7 mm channel. A large lithotripsy extraction basket was used to catch and break up the stone and fragments were removed using the same basket. The patient was discharged asymptomatic three days after the procedure. Using appropriate devices mechanical lithotripsy is a safe and effective method to treat colonic obstruction and avoid surgery in the setting of gallstone ileus even in case of big stones.

scholarly journals How far is Covid-19 Pandemic Situation Influence Surgical Treatment in Gynecology Cancer? : Comprehensive Review for Indonesian

2020 ◽  
Vol 4 (2) ◽  
pp. 203-217
Author(s):  
Syamel Muhammad ◽  
Restu Susanti
Keyword(s):  
Surgical Management ◽  
Bowel Obstruction ◽  
Closed Loop ◽  
Medical Condition ◽  
Virus Disease ◽  
Large Bowel Obstruction ◽  
Vital Status ◽  
Treatment Services ◽  
Global Pandemic ◽  
Logistic Support

Corona virus disease 2019 (COVID-19) was declared as global pandemic and caused devastating crisis in society. Despite of the growing pandemic, high quality medical services toward gynaecologic oncology patients must continue without overlooking the safety of medical staffs. Reducing risk is crucial and achieved by limiting high risk situations. The decision to perform or postpone surgery should be made based on the type and stage of the disease, medical condition of the patient, area census of COVID-19 cases, COVID-associated risks, and available logistic support including adjuvant treatment services. There are several recommendation for gynaecology cancer treatment published by several countries. However, those guidelines cannot be applied to every country across the globe because of the different situations of COVID-19 therefore we proposed guidelines for Indonesia. Surgical management for confiermed COVID-19 case should be postponed for at least 15 days for nonemergency cases. Surgery must be performed immediately for emergency cases such as Haemorrhage with unstable vital status refractory to transfusion, viscus perforation, signs of bowel obstruction refractory to conservative treatment, closed loop bowel or large bowel obstruction, hydatiform mole for live saving procedure.  Keywords: COVID-19, gynaecology cancer, surgical management

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.

Malignant Large Bowel Obstruction

2021 ◽  
Vol 34 (04) ◽  
pp. 251-261
Author(s):  
Roberta L. Muldoon
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Treatment Plan ◽  
Treatment Options ◽  
Large Bowel Obstruction ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Comprehensive Knowledge ◽  
Clinical Scenarios ◽  
Diagnostic Modalities

AbstractLarge bowel obstruction is a serious and potentially life-threatening surgical emergency which is associated with high morbidity and mortality rate. The most common etiology is colorectal cancer which accounts for over 60% of all large bowel obstructions. Proper assessment, thoughtful decision-making and prompt treatment is necessary to decrease the high morbidity and mortality which is associated with this entity. Knowledge of the key elements regarding the presentation of a patient with a large bowel obstruction will help the surgeon in formulating an appropriate treatment plan for the patient. Comprehensive knowledge and understanding of the various treatment options available is necessary when caring for these patients. This chapter will review the presentation of patients with malignant large bowel obstruction, discuss the various diagnostic modalities available, as well as discuss treatment options and the various clinical scenarios in which they are most appropriately utilized.

scholarly journals How far is Covid-19 Pandemic Situation Influence Surgical Treatment in Gynecology Cancer? : Comprehensive Review for Indonesian

2020 ◽  
Vol 4 (2) ◽  
pp. 234-248
Author(s):  
Syamel Muhammad ◽  
Restu Susanti
Keyword(s):  
Surgical Management ◽  
Bowel Obstruction ◽  
Closed Loop ◽  
Medical Condition ◽  
Virus Disease ◽  
Large Bowel Obstruction ◽  
Vital Status ◽  
Treatment Services ◽  
Global Pandemic ◽  
Logistic Support

Corona virus disease 2019 (COVID-19) was declared as global pandemic and caused devastating crisis in society. Despite of the growing pandemic, high quality medical services toward gynaecologic oncology patients must continue without overlooking the safety of medical staffs. Reducing risk is crucial and achieved by limiting high risk situations. The decision to perform or postpone surgery should be made based on the type and stage of the disease, medical condition of the patient, area census of COVID-19 cases, COVID-associated risks, and available logistic support including adjuvant treatment services. There are several recommendation for gynaecology cancer treatment published by several countries. However, those guidelines cannot be applied to every country across the globe because of the different situations of COVID-19 therefore we proposed guidelines for Indonesia. Surgical management for confiermed COVID-19 case should be postponed for at least 15 days for nonemergency cases. Surgery must be performed immediately for emergency cases such as Haemorrhage with unstable vital status refractory to transfusion, viscus perforation, signs of bowel obstruction refractory to conservative treatment, closed loop bowel or large bowel obstruction, hydatiform mole for live saving procedure.  Keywords: COVID-19, gynaecology cancer, surgical management

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