scholarly journals Healing of colonic anastomosis in rats under obstructive ileus conditions

Discoveries ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. e129
Author(s):  
Kalliopi Despoudi ◽  
◽  
Ioannis Mantzoros ◽  
Orestis Ioannidis ◽  
Lydia Loutzidou ◽  
...  
Author(s):  
Ivona Đorđević ◽  
Anđelka Slavković ◽  
Zoran Marjanović ◽  
Dragoljub Živanović ◽  
Milan Petrović

We present an extremely rare case of gastroschisis associated with colonic atresia, anomaly seen in only 1.5-5% of all gastroschisis patients. Surgery for this anomaly can be very difficult due to the concomitant inflammation or other anomalies (mesenterium communae, volvulus, etc). Although prolonged intestinal dismotility is expected in these patients, mechanical obstruction must not be excluded in postoperative course, as it is explained in this case. Our case report demonstrates that primary colonic anastomosis is safe and well tolerated surgical procedure for these patients and that obstructive ileus is possible days after primary surgery and must not be overlooked.


2021 ◽  
pp. 1-8
Author(s):  
Ilan Kent ◽  
Cyrus Jahansouz ◽  
Amandeep Ghuman ◽  
Baruch Shpitz ◽  
Debora Kidron ◽  
...  

<b><i>Background:</i></b> Anastomotic leak is regarded as one of the most feared complications of bowel surgery; avoiding leaks is a major priority. Attempts to reduce or eliminate leaks have included alternate anastomotic techniques. Human oral mucosa stem cells (hOMSC) are self-renewing and expandable cells derived from buccal mucosa. Studies have shown that hOMSC can accelerate tissue regeneration and wound healing. The objective of this study was to evaluate whether hOMSC can decrease anastomotic leak rates in a murine model of colon surgery. <b><i>Methods:</i></b> Two experiments were performed. In the first study, mice underwent colonic anastomosis using five interrupted sutures. hOMSC (<i>n</i> = 7) or normal saline (NS; <i>n</i> = 17) was injected into the colon wall at the site of the anastomosis. To evaluate whether hOMSC can impact anastomotic healing, the model was stressed by repeating the first experiment, reducing the number of sutures used for the construction of the anastomosis from five to four. Either hOMSC (<i>n</i> = 8) or NS (<i>n</i> = 20) was injected at the anastomosis. All mice that survived were sacrificed on postoperative day 7. Anastomotic leak rate, mortality, daily weight, and daily wellness scores were compared. <b><i>Results:</i></b> In the five-suture anastomosis, there were no differences in anastomotic leak rate, mortality, or daily weight. Mice that received hOMSC had significantly higher wellness scores on postoperative day 2 (<i>p</i> &#x3c; 0.05). In the four-suture anastomosis, there was a significant decrease in leak rate (70% [NS] vs. 25% [hOMSC], <i>p</i> = 0.029) and higher wellness scores in mice that received hOMSC (<i>p</i> &#x3c; 0.05). <b><i>Conclusion:</i></b> Our study suggests that injecting hOMSC at the colonic anastomosis can potentially reduce anastomotic leak and improve postoperative wellness in a murine model of colon surgery.


2001 ◽  
Vol 14 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Seher Demirer ◽  
Neriman Sengül ◽  
Aydin Inan ◽  
Aydan Eroglu ◽  
Cihan Bumin ◽  
...  

2013 ◽  
Vol 20 (6) ◽  
pp. 559-565 ◽  
Author(s):  
Hasan Karanlik ◽  
Atilla Kurt ◽  
Enver Kunduz ◽  
Kursat Serin ◽  
Sezer Saglam ◽  
...  

2008 ◽  
Vol 21 (4) ◽  
pp. 177-181 ◽  
Author(s):  
Ilter Ozer ◽  
Murat Ulas ◽  
Metin Ercan ◽  
Yusuf B. Ozogul ◽  
Neslihan Zengin ◽  
...  
Keyword(s):  

2006 ◽  
Vol 392 (2) ◽  
pp. 197-202 ◽  
Author(s):  
C. Polat ◽  
Y. Arıkan ◽  
C. Gokce ◽  
F. Aktepe ◽  
G. Akbulut ◽  
...  

2004 ◽  
Vol 17 (4) ◽  
pp. 211-219 ◽  
Author(s):  
Turker Bulut ◽  
Yilmaz Bilsel ◽  
Hakan Yanar ◽  
Sumer Yamaner ◽  
Emre Balik ◽  
...  
Keyword(s):  

1993 ◽  
Vol 80 (11) ◽  
pp. 1450-1451 ◽  
Author(s):  
W. H. F. Thomson ◽  
M. H. E. Robinson
Keyword(s):  

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