scholarly journals Cancer of the descending colon, complicated by intestinal obstruction and left post-traumatic hernia of the diaphragm

2020 ◽  
Vol 24 (3) ◽  
pp. 409-412
Author(s):  
V. V. Kernychnyi ◽  
A. I. Sukhodolya
Keyword(s):  
Abdominal Pain ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Diaphragmatic Hernia ◽  
Successful Treatment ◽  
Clinical Case ◽  
Acute Intestinal Obstruction ◽  
Post Traumatic ◽  
Descending Colon

Annotation. The article presented a rare clinical case of a successful treatment of cancer of the descending colon, that is complicated by acute obstructive intestinal obstruction on the background of post-traumatic left diaphragmatic hernia in a 68-year-old patient. The result of surgical treatment indicates some possible unexpected intraoperative difficulties that the surgeon might be facing with during the process of a surgery. It is noticed that in surgery for a cancer of the descending colon, had been complicated by an acute intestinal obstruction, it is still necessary to find the cause of abdominal pain, had been accompanied by bloating, lack of stool and gas, vomiting “feils”, one of which may be postpartum of left hernia of the diaphragm.

scholarly journals SURGICAL TREATMENT OF ACUTE INTESTINAL OBSTACLATION CONDITIONED BY A NEUROENDOKRIN TUMOR OF THE THIN INTESTINE, ON THE BACKGROUND OF THE PATIENT INFECTION OF A NEW CORONOVIRUS INFECTION COVID-19

2020 ◽  
Vol 24 (2) ◽  
pp. 37-45
Author(s):  
Ildar Mugallimovich Sharafutdinov ◽  
◽  
Marat Faritovich Minniakhmetov ◽  
Vladimir Petrovich Ionin ◽  
Keyword(s):  
Small Intestine ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Neuroendocrine Tumor ◽  
Clinical Case ◽  
Acute Intestinal Obstruction ◽  
Patient Infection

A clinical case of successful surgical treatment of acute intestinal obstruction due to a neuroendocrine tumor of the small intestine in a patient against a new coronovirus infection COVID-19 is described.

scholarly journals Experimental substantiation of using a synthetic peptide in the complex surgical treatment of acute intestinal obstruction

2018 ◽  
pp. 138-140
Author(s):  
А.А. Коваленко ◽  
В.К. Хугаева
Keyword(s):  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Intestinal Anastomosis ◽  
Intestinal Wall ◽  
Acute Intestinal Obstruction ◽  
Study Objective ◽  
Doppler Flowmetry ◽  
Study Results ◽  
Small Intestinal

Высокая смертность при хирургическом лечении острой кишечной непроходимости (ОКН) определила поиск новых методов сопутствующей терапии. Обнаруженная ранее высокая эффективность опиоидных пептидов в стимулировании лимфотока в микрососудах брыжейки тонкой кишки у крыс, восстановлении нарушенной микроциркуляцию и снижении смертности при ряде заболеваний, определила цель данного исследования: изучить роль фармакологической стимуляции лимфотока в динамике ОКН. В работе использовали методы: биомикроскопия, лазерная допплеровская флоуметрия брыжейки и стенки тонкой кишки крысы, регистрация сократительной активности лимфатических микрососудов ЛМ методом фотометрии, морфометрия микрососудов, видео- и фотосъемка. Полученные результаты предполагают наличие адаптационной роли у активатора микролимфоциркуляции (опиоидного пептида-171 прямого действия) в комплексном хирургическом лечении ОКН. Однократное орошение пептидом межкишечного анастомоза (после удаления) и поврежденного лигатурой фрагмента кишки (перед зашиванием операционной раны) увеличивало выживаемость животных с ОКН на 23%. У всех выживших животных отмечено восстановление: проходимости кишки, микроциркуляции в кровеносных и лимфатических микрососудах, а также структуры стенки кишки. High mortality in the surgical treatment of acute intestinal obstruction (AIO) has warranted the search for new methods of concomitant therapy. Opioid peptides have proved highly effective in stimulating the lymphatic flow in rat small intestinal mesenteric microvessels, restoring the impaired microcirculation, and reducing mortality in many diseases. This had determined this study objective: to investigate the role of lymphatic stimulation in the dynamics of AIO. The study used methods of biomicroscopy, laser Doppler flowmetry, and histological examination of the mesentery and the small intestinal wall in rats; recording the contractile activity of lymphatic microvessels using photometry; microvessel morphometry; video and photography. The study results suggested an adaptive role of the lymphatic microcirculation activator (direct-action opioid-171) in the complex surgical treatment of AIO. A one-time peptide irrigation of the intestinal anastomosis (after removal) and the intestinal injuried by the ligature (before the surgical wound was sutured) increased the survival of animals with AIO by 23%. In all surviving animals, recovery of the intestinal patency, blood and lymphatic microcirculation, and the intestinal wall structure was observed.

scholarly journals Case of insulinoma detected in a patient after bariatric operation for morbid obesity

2019 ◽  
Vol 16 (1) ◽  
pp. 74-80
Author(s):  
Ekaterina S. Maloletkina ◽  
Olesya Y. Gurova ◽  
Valentin V. Fadeyev ◽  
Vyacheslav I. Egorov ◽  
Roman V. Petrov ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Weight Gain ◽  
Surgical Treatment ◽  
Successful Treatment ◽  
Clinical Case ◽  
Bariatric Operation ◽  
Malignant Insulinoma ◽  
Biliopancreatic Bypass ◽  
Longitudinal Gastrectomy

The prevalence of insulinomas is 13 cases per million population per year of which 414% tumor is malignant. Weight gain is one of the symptoms of the disease, often resulting in morbid obesity with indications for surgical treatment. The presented clinical case demonstrates the successful treatment of malignant insulinoma with the manifestation of hypoglycemic syndrome after carrying out biliopancreatic bypass with longitudinal gastrectomy for morbid obesity.

scholarly journals EXPERIENCE OF STAGED SURGICAL TREATMENT OF ACUTE OBSTRUCTIVE INTESTINAL OBSTRUCTION OF TUMOR ORIGIN

2021 ◽  
pp. 37-41
Author(s):  
M. A. Kashtalyan ◽  
V. Y. Shapovalov ◽  
R. V. Yenin ◽  
M. О. Koshicov ◽  
S. O. Pasternachenko
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Stent Placement ◽  
Colonic Obstruction ◽  
Vital Signs ◽  
Acute Intestinal Obstruction ◽  
Clinical Center ◽  
Tumor Origin ◽  
The Military

Summary. Objective: to improve the results of surgical treatment of patients with acute intestinal obstruction of tumor origin. Materials and methods of research. During the period from 2014 to 2020 in the surgical clinics of the Military Medical Clinical Center of the Southern Region (Odessa) 186 patients were treated with acute obstructive colonic obstruction of tumor origin. Research results and their discussion. In 34 (18.3 %) patients with GOKN during the applied conservative measures positive dynamics was observed, which allowed to examine patients in detail and prepare for surgery. In 6 (3.2 %) elderly patients with severe comorbidities, tumor recanalization and stent placement were performed. In 146 (78.5 %) patients, conservative measures were unsuccessful and were operated on according to vital signs, the first stage of which was intestinal fatigue. Conclusions. Step-by-step tactics of surgical treatment of acute intestinal obstruction of tumor origin with the use of laparoscopic colostomy in the first stage were used in 60.3 % of patients, which allowed final verification of the diagnosis, safe compensation of electrolyte and nutritional disorders in the patient and further treatment and correction.

scholarly journals STUDY OF SURGICAL MANAGEMENT OF INTESTINAL OBSTRUCTION FROM CENTRAL INDIA: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 10 (3) ◽  
pp. 3070-3073
Author(s):  
Samadhan Patil
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Central India ◽  
Signs And Symptoms ◽  
Tertiary Hospital ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Cross Sectional ◽  
Mortality And Morbidity

Intestinal obstruction is a common surgical emergency with high mortality and morbidity rates. About 15% of all emergency room visits for acute abdominal pain are due to intestinal obstruction. Acute intestinal obstruction may manifest in a variety of ways, from a relatively normal appearance with only minor abdominal pain and distension to a condition of hypovolemic or septic shock (or both) that necessitates an emergency procedure. In present study we aimed to evaluate surgical management of intestinal obstruction at our tertiary hospital. The current research included patients aged 21 to 80 who had an acute intestinal obstruction that was surgically treated. After initial resuscitation, patients with strong signs and symptoms of acute obstruction were treated with an appropriate surgical procedure. All of the information was recorded in a preformat and analysed using descriptive statistics. 144 patients had surgery for acute intestinal obstruction during the study period. 51 to 60 years old was the most common age group (26 %), followed by 41 to 50 years old (21 %). In a ratio of 2.8:1, male patients were more frequently affected than female patients. Previous abdominal surgery (56 %), diabetes (31 %), smoking (25 %), hypertension (24 %), and bronchial asthma/ COPD (15 %) were all found to be common comorbidities in this research. Postoperative adhesions (47 %), malignancy (15 %), obstructed hernia (11 %), and Koch's abdomen were the most common causes of intestinal obstruction in this report (8 %). Adhesiolysis (47 %), resection and anastomosis (22 %), diversion colostomy (13 %), and hernioplasty were the most common surgical procedures in this study (11 %). The most common post-operative complications were fever (15%) and wound infection (11%) respectively. The post-operative mortality rate was 13%. (9 patients). Complications such as septicaemia, peritonitis, and respiratory infection account for the majority of deaths. Intestinal obstruction is often caused by postoperative adhesions. Early operative procedures, in combination with clinical diagnosis and radiological findings, may enhance the outcome of acute intestinal obstruction.

Acute intestinal obstruction caused by small bowel intussusception (clinical case)

2020 ◽  
pp. 53-59
Author(s):  
Z. Zaipula ◽  
Magomed Imanaliev ◽  
Abdukamal Huseynov
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Clinical Case ◽  
Acute Intestinal Obstruction ◽  
Small Bowel Intussusception

One of the most difficult to diagnose and rare forms of acute intestinal obstruction is intussusception. This article presents an analysis of a clinical case of acute intestinal obstruction caused by small bowel intussusception in a patient suffering from small-bowel polyposis.

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