scholarly journals Neonatal small bowel obstruction due to malrotation: a clinical study

2017 ◽  
Vol 4 (8) ◽  
pp. 2727 ◽  
Author(s):  
Srinivas S. ◽  
Reddy K. R. ◽  
Balraj T. A. ◽  
Gangadhar A.
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Pediatric Surgery ◽  
Clinical Presentation ◽  
Midgut Volvulus ◽  
Fatal Complication ◽  
Small Intestinal ◽  
High Index Of Suspicion

Background:This study was done at Niloufer hospital and institute of child health, Hyderabad with an aim of evaluating the clinical presentation, diagnostic evaluation, management and outcome of malrotation of intestines in the neonates.Methods: Cases of neonatal small intestinal obstruction due to malrotation presenting to the Department of Pediatric Surgery, Niloufer hospital over a period of two years were evaluated.Results: A total of 38 newborns presented to our department with intestinal obstruction due to malrotation. 3/38 patients presented with extensive gangrene of midgut. 4/38 patients died during the course of treatment.Conclusions: Malrotation is a relatively common cause of neonatal small bowel obstruction. A high index of suspicion is needed in neonates presenting with bilious vomiting. Early laparotomy prevents fatal complication of extensive gangrene due to midgut volvulus. 

scholarly journals INTESTINAL MALROTATION - A COMMON YET DEADLY CAUSE OF NEONATAL SMALL BOWEL OBSTRUCTION

2021 ◽  
Vol 9 (03) ◽  
pp. 472-475
Author(s):  
Saurav Sultania ◽  
◽  
Arvind Kumar Shukla ◽  
Pramila Sharma ◽  
Dinesh Kumar Barolia ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
High Index ◽  
Diagnostic Tools ◽  
Paediatric Surgery ◽  
Medical College ◽  
Bilious Vomiting ◽  
High Index Of Suspicion

Background: This study was done at SMS Medical College, Jaipur with an aim of emphasizing the need of having a high index of suspicion in newborn presenting with bilious vomiting for the diagnosis of malrotation. Methods: Cases of neonatal small intestinal obstruction due to malrotation presenting to the Department of Paediatric Surgery, SMS Medical College, Jaipur over a period of two years were evaluated. Results: A total of 48 newborns presented to our department with intestinal obstruction due to malrotation. Majority (82%) of the patients presented in the 2nd and 3rd week of life. 6 out of 48 patients presented with extensive gangrene of midgut. 9/48 patients died during the course of treatment and during follow-up. Conclusion: Malrotation is a relatively common cause of neonatal small bowel obstruction. A high index of suspicion is required in neonates presenting with bilious vomiting. Prompt diagnostic tools and early laparotomy prevents fatal complication of extensive midgut gangrene due to volvulus.

scholarly journals Causes and Management Outcome of Small Intestinal Obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia, 2017

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Tadeg Jemere ◽  
Berhanu Getahun ◽  
Mahlet Tesfaye ◽  
Geremew Muleta ◽  
Nega Yimer
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Logistic Regression Analysis ◽  
Multivariate Logistic Regression ◽  
Small Intestinal Obstruction ◽  
Small Intestinal

Background. Small bowel obstruction is a common and dangerous surgical emergency which is associated with high morbidity and mortality if not managed appropriately and timely. Objective. To determine the causes and management outcome of small bowel obstruction in Nekemte Referral Hospital, Nekemte, Ethiopia. Method. Institution-based retrospective cross-sectional study design was used. Three-year data (from January 1, 2014, to December 30, 2016) were collected from July 1 to August 30, 2017. Data were collected from medical records and checked for any inconsistency, coded, and entered into SPSS version 20 for analysis. Descriptive, binary, and multivariate logistic regression analyses were used. On binary logistic regression analysis, variables with p ≤ 0.25 were selected as a candidate for multivariate logistic regression analysis. The level of statistical significance was set at p ≤ 0.05 . Results. With 100% response rate, records of 211 patients with small intestinal obstruction were retrieved for analysis. One hundred thirty-seven (64.9%) were males. The commonest cause of small bowel obstruction was adhesion (35.1%). More than a quarter (26.5%) participants developed postoperative complications, and wound infection was the commonest postoperative complication (49.2%). A majority (84.8%) of patients improved and were discharged, and the rest 15.2% of patients died. Sex (AOR = 3.98, 95% CI: 1.51–10.52), duration of illness before surgical intervention (AOR = 4.4, 95% CI: 1.69–11.45), level of hematocrit (AOR = 4.25, 95% CI: 1.56–11.57), types of intestinal obstruction (AOR = 3.73, 95% CI: 1.09–12.64), and length of hospital stay (AOR = 4.69, 95% CI: 1.82–12.07) were independent predictors of the management outcome of patients with small bowl obstruction. Conclusion. Small bowel obstruction is a commonly encountered surgical emergency. Adhesion, small bowel volvulus, and intussusception were the leading causes of small bowel obstruction, respectively.

scholarly journals Small Bowel Obstruction Induced by Concurrent Postoperative Intra-Abdominal Adhesions and Small Bowel Fecal Materials in a Young Dog

2021 ◽  
Vol 8 (5) ◽  
pp. 83
Author(s):  
Jae-Eun Hyun ◽  
Hyun-Jung Han
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Gastrointestinal Symptoms ◽  
Exploratory Laparotomy ◽  
Abdominal Adhesions ◽  
Abdominal Radiography ◽  
Foreign Body Removal ◽  
Small Intestinal

A 7-month-old neutered male poodle dog presented with general deterioration and gastrointestinal symptoms after two separate operations: a jejunotomy for small-intestinal foreign body removal and an exploratory laparotomy for diagnosis and treatment of the gastrointestinal symptoms that occurred 1 month after the first surgery. The dog was diagnosed as having small-bowel obstruction (SBO) due to intra-abdominal adhesions and small-bowel fecal material (SBFM) by using abdominal radiography, ultrasonography, computed tomography, and laparotomy. We removed the obstructive adhesive lesion and SBFM through enterotomies and applied an autologous peritoneal graft to the released jejunum to prevent re-adhesion. After the surgical intervention, the dog recovered quickly and was healthy at 1 year after the surgery without gastrointestinal signs. To our knowledge, this study is the first report of a successful treatment of SBO induced by postoperative intra-abdominal adhesions and SBFM after laparotomies in a dog.

META-ANALYSIS ON ETIOPATHOGENESIS OF SMALL BOWEL OBSTRUCTION IN THE DEPARTMENT OF GEN. SURGERY P.M.C.H. & K.M.C.H., BIHAR

2021 ◽  
pp. 1-3
Author(s):  
Abhishek Chaudhary ◽  
Kanchan Sone Lal Baitha ◽  
Yasir Tajdar
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Abdominal Surgery ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Meta Analysis ◽  
Ileocaecal Valve ◽  
Time Period ◽  
Ligament Of Treitz

Background:The small intestine is the longest and convoluted portion in the digestive tract. It starts from pylorus and ends at ileocaecal valve. The small bowel consists of three parts measuring about 5 to 6 meters. The rst 25cm is the duodenum. Out of the rest part of small gut, jejunum th th. constitute the proximal 2/5 and ileum distal 3/5 The jejunum and ileum extend from the peritoneal fold that supports the duodeno-jejunal junction (Ligament of Treitz) down to ileocaecal valve. Material and Methods:All the patients admitted to PMCH, Patna and KMC, Katihar as intestinal obstruction was included for the study. The time period of study was from October 2014 to November 2016 in PMCH and December 2016 to January 2019 in KMC, Katihar. Out of all Intestinal obstruction 59 cases only of adult small gut obstruction were recorded for comparison and conclusive study.Conclusion: Small bowel obstruction remains a frequently encountered problem in abdominal surgery. Although modern day surgical management continues to focus appropriately on avoiding delayed operation, whatever surgery is indicated, not every patient is always best served by immediate operation

scholarly journals SMALL BOWEL OBSTRUCTION SECONDARY TO OBTURATOR HERNIA: A PRE-OPERATIVE DIAGNOSIS AT COMPUTED TOMOGRAPHY

2021 ◽  
Vol 6 (1) ◽  
pp. 46-49
Author(s):  
Marlina Tanty Ramli ◽  
Mohd Shukry Mohd Khalid ◽  
Kartini Rahmat
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Obturator Hernia ◽  
Uneventful Recovery ◽  
Presenting Symptoms

Obturator hernia is rare, but it must be considered in elderly patients who present with small bowel obstruction. The diagnosis is challenging unless there is a high index of suspicion as the presenting symptoms and signs are usually non-specific. Presence of positive Howship-Romberg sign is considered pathognomonic. Early diagnosis and rapid surgical intervention will reduce the high morbidity and mortality associated with undiagnosed obturator hernia. We report a case of a 93-year-old female patient who was admitted to our surgical department with symptoms of intestinal obstruction of 3-days duration. Howship-Romberg sign was negative. Computed tomography (CT) demonstrated the presence of left obturator hernia with proximal small bowel obstruction and no sign of strangulation. The patient had emergency laparotomy post-CT where the incarcerated bowel loop was released and the obstructed bowel was decompressed without any complication. The hernial defect was close with a mesh and the patient had an uneventful recovery post-surgery. In this case, we highlight that diagnosis of obturator hernia must always be considered in elderly patients who present with intestinal obstruction. Urgent CT could establish a rapid pre-operative diagnosis and aids inappropriate surgical intervention planning which is crucial in optimising the outcome.

scholarly journals Small Bowel Obstruction due to Intestinal Xanthomatosis

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
L. E. Barrera-Herrera ◽  
F. Arias ◽  
P. A. Rodríguez-Urrego ◽  
M. A. Palau-Lázaro
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
English Literature ◽  
Jejunal Loop ◽  
Small Intestinal ◽  
Intestinal Inflammatory Disease ◽  
Foreign Body Obstruction ◽  
Foamy Macrophages ◽  
Inflammatory Changes

Vast majority of bowel obstruction is due to postoperative adhesions, malignancy, intestinal inflammatory disease, and hernias; however, knowledge of other uncommon causes is critical to establish a prompt treatment and decrease mortality. Xanthomatosis is produced by accumulation of cholesterol-rich foamy macrophages. Intestinal xanthomatosis is an uncommon nonneoplastic lesion that may cause small bowel obstruction and several cases have been reported in the English literature as obstruction in the jejunum. We report a case of small intestinal xanthomatosis occurring in a 51-year-old female who presented with one day of copious vomiting and intermittent abdominal pain. Radiologic images revealed jejunal loop thickening and inflammatory changes suggestive of foreign body obstruction, diagnostic laparoscopy found two strictures at the jejunum, and a pathologic examination confirmed a segmental small bowel xanthomatosis. This case illustrates that obstruction even without predisposing factors such as hyperlipidemia or lymphoproliferative disorders.

scholarly journals Acute Small-Bowel Obstruction From Intestinal Anisakiasis After the Ingestion of Raw Clams; Documenting a New Method of Marine-to-Human Parasitic Transmission

2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Ehyal Shweiki ◽  
David W. Rittenhouse ◽  
Joana E. Ochoa ◽  
Viren P. Punja ◽  
Muhammad H. Zubair ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Parasitic Infection ◽  
Human Infection ◽  
New Method ◽  
Acute Small Bowel Obstruction ◽  
Intestinal Anisakiasis

Enteric anisakiasis is a known parasitic infection. To date, human infection has been reported as resulting from the inadvertent ingestion of the anisakis larvae when eating raw/undercooked fish, squid, or eel. We present a first reported case of intestinal obstruction caused by anisakiasis, after the ingestion of raw clams.

scholarly journals Поліорганна дисфункція у хворих на гостру непрохідність тонкої кишки з синдромом ентеральної недостатності в стадії декомпенсації

2015 ◽  
Author(s):  
К. Г. Поляцко
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Organ Dysfunction ◽  
Bowel Obstruction ◽  
Multiple Organ ◽  
Small Intestinal Mucosa ◽  
Multiple Organ Dysfunction ◽  
Acute Small Bowel Obstruction ◽  
Small Intestinal ◽  
Level I

ПОЛІОРГАННА ДИСФУНКЦІЯ У ХВОРИХ НА ГОСТРУ НЕПРОХІДНІСТЬ ТОНКОЇ КИШКИ З СИНДРОМОМ ЕНТЕРАЛЬНОЇ НЕДОСТАТНОСТІ В СТАДІЇ ДЕКОМПЕНСАЦІЇ - Вивчено активність некротичних процесів слизової оболонки тонкої кишки за рівнем I-FABP, особливості розвитку поліорганної дисфункції за модифікованою шкалою G. R. Bernard у хворих на гостру непрохідність тонкої кишки з синдромом ентеральної недостатності в стадії декомпенсації при одномоментній декомпресії тонкої кишки та назоінтестинальній інтубації. Отримані результати дозволяють рекомендувати розширення показання до одномоментної декомпресії через ентеротомний доступ, особливо в осіб похилого та старечого віку.<br />ПОЛИОРГАННАЯ ДИСФУНКЦИЯ В БОЛЬНЫХ ОСТРОЙ НЕПРОХОДИМОСТЬЮ ТОНКОЙ КИШКИ С СИНДРОМОМ ЭНТЕРАЛЬНОЙ НЕДОСТАТОЧНОСТИ В СТАДИИ ДЕКОМПЕНСАЦИИ - Изучена активность некротических процессов слизистой оболочки тонкой кишки по уровню I-FABP, особенности развития полиорганной дисфункции по модифицированной шкале G. R. Bernard у больных острой непроходимостью тонкой кишки с синдромом энтеральной недостаточности в стадии декомпенсации при одномоментной декомпрессии тонкой кишки и назоинтестинальной интубации. Полученные результаты позволяют рекомендовать расширение показания к одномоментной декомпрессии через энтеротомный доступ, особенно у лиц пожилого и старческого возраста.<br />MULTIPLE ORGAN DYSFUNCTION IN PATIENTS WITH ACUTE SMALL BOWEL OBSTRUCTION WITH SYNDROME OF ENTERAL INSUFFICIENCY IN DECOMPENSATED STAGE - Studied the activity of necrotic processes of small intestinal mucosa by level I-FABP, especially the development of multiple organ dysfunction on a modified scale G. R. Bernard in patients with acute small bowel obstruction with syndrome of enteral insufficiency in decompensated at one stage decompression of the small intestine and nazointestynalniy intubation. The results allow us to recommend expanding the indications for decompression-stage through enterotomnyy access, especially in elderly and senile patients.<br />Ключові слова: непрохідність тонкої кишки, енте- ральна недостатність, вибір методу інтубації.<br />Ключевые слова: непроходимость тонкой кишки, энтеральная недостаточность, выбор метода интубации.<br />Key words: small bowel obstruction, enteral failure, choice of method intubation.

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