3.A Clinical Review of Neonatal Intestinal Obstruction.
Hoe Bong LEE ; Sang Yong CHOI ; Shin Hee PARK ; Chin Seung KIM
Journal of the Korean Surgical Society 1999;56(3):427-433
BACKGROUNDS: Intestinal obstruction is one of the main causes of neonatal operations. It is caused by congenital factors, inherited diseases, and acquired diseases. A study was made to understand the status of neonatal intestinal obstruction cases at our hospital. METHODS: This was a clinical analysis of 53 cases of neonatal intestinal obstruction which had been experienced from March 1992 to February 1998 at the Department of General surgery, Sung-Ae General Hospital. RESULTS: 1) Operations for neonatal intestinal obstructions accounted for 42.4% of all neonatal operations. 2) There were 38 males and 15 females; the male-to-female ratio was 2.5:1. 3) Gestational period of 9 cases (16.9%) was less than 36 weeks and the weight in 10 cases (18.8%) wre below 2,500 gm at birth. 4) The main clinical symptoms on admission were vomiting or abdominal distension. 5) There were 49 cases (92.4%) of mechanical obstruction and 4 cases of a paralytic ileus. 6) Associated anomalies were present in 9 cases (16.9%). 7) The postoperative complication and motality rates were 30.1% and 7.5% respectively. CONCLUSIONS: Our clinical data might provide clinical suspicisions leading to early diagnosis and treatment.
Early Diagnosis
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Female
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Hospitals, General
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Humans
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Intestinal Obstruction*
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Intestinal Pseudo-Obstruction
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Male
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Parturition
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Postoperative Complications
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Vomiting
4.A Case of Colon Obstruction Developed during the Recovery Period of Acute Pancreatitis.
Nak So CHUNG ; Yeon Suk KIM ; Cheul Hee PARK ; Sung Yong KIM ; Mi Ra LEE ; Kwang An KWON ; Moon Gi CHUNG ; Dong Kyun PARK ; Sun Suk KIM ; So Young KWON ; Yang Suh KOO ; Yu Kyung KIM ; Duck Joo CHOI ; Ju Hyun KIM
The Korean Journal of Gastroenterology 2005;45(3):206-209
Complications of acute pancreatitis usually occur in pancreas and its contiguous organs. The prevalence of colonic invasion is rare, however, the consequence is fatal, with mortality above 50%. The initial symptoms and onset times are variable and major affected sites are transverse colon and splenic flexure. The spread of inflammatory exudates into the colon is the main mechanism of colonic invasion. If the colonic stenosis develops, it is necessary to manage it surgically. We report a case who arrived at the hospital with watery diarrhea and abdominal distension in the recovery period of acute alcoholic pancreatitis and was diagnosed as a colonic obstruction in the splenic flexure. The patient underwent loop ileostomy instead of the resection of the lesion because of severe adhesion around the splenic flexure. The patient died due to sepsis 5 days after the operation.
Acute Disease
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Colonic Diseases/*complications
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English Abstract
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Humans
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Intestinal Obstruction/*complications
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Male
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Middle Aged
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Pancreatitis/*complications
5.Segmental Jejunal Lipomatosis: A Rare Cause of Intestinal Obstruction.
Rajgopal SHENOY ; Gabriel RODRIGUES ; Mahesh GOPASHETTY ; Lavanya KANNAIYAN ; Srinivas RAO
Yonsei Medical Journal 2003;44(2):359-361
A rare case of a segmental small intestinal (jejunal) lipomatosis is described. A 33-year-old male was admitted with a clinical diagnosis of an acute intestinal obstruction. A plain erect abdominal x-ray showed multiple air-fluid levels. On an exploratory laparotomy, a jejunojejunal intussusception was found secondary to a segmental submucosal lipomatosis. This was treated by a segmental resection and anastomosis, which resulted in a complete cure. Here we present this case with a review of the relevant literature.
Adult
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Human
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Intestinal Obstruction/*etiology
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Jejunal Neoplasms/*complications/pathology
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Lipomatosis/*complications/pathology
;
Male
6.Treatment Results of Preoperative Radiotherapy Alone vs. Preoperative Radiotherapy and Chemotherapy in Locally Advanced Rectal Cancer.
Jae Sung KIM ; Seoung Ho PARK ; Moon June CHO ; Wan Hee YOON ; Jin Sun BAE ; Hyun Yong JEONG ; Kyu Sang SONG
Journal of the Korean Society for Therapeutic Radiology 1995;13(1):33-40
PURPOSE: To assess the efficacy and toxicity of the preoperative radiotherapy with or without chemotherapy in locally advanced rectal cancer. METHODS: Forty three Patients (clinically diagnosed stages above or equal to Astler-Coller stage B2 without distant metastasis) were assigned to preoperative radiotherapy alone arm (n=16) or combined preoperative radiotherapy and chemotherapy arm (n=27). Preoperative radiotherapy of 4500 cGy to whole pelvis +/- 540 cGy boost to primary site and concurrent chemotherapy of 2 cycles of 5-FU (500 mg/m2) and leucovorin (20 mg/m2) were used. Fifteen patients of preoperative radiotherapy alone arm and 19 of combined arm received surgical resection after preoperative treatment. RESULTS: During the preoperative treatment, no significant complication was developed in both groups. Pathologic results were as follows; complete remission 1, B1 1, B2 6, C1 2, C2 5 in preoperative radiotherapy alone arm and complete remission 2, B1 8, B2 4, C2 3 D2 in combined arm. Postoperative complications were delayed perineal would healing in three patients, intestinal obstruction in three patients (one managed by conservative medical treatment, two by surgical treatment). CONCLUSION: The combined preoperative radiotherapy and chemotherapy arm was more effective in pathological response and lymph node negativity rate that the preoperative radiotherapy alone arm. Both the preoperative radiotherapy alone arm and the combined arm were generally well tolerated and did not result in an increased postoperative morbidity.
Arm
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Drug Therapy*
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Fluorouracil
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Humans
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Intestinal Obstruction
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Leucovorin
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Lymph Nodes
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Pelvis
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Postoperative Complications
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Radiotherapy*
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Rectal Neoplasms*
7.A case of abdominal cocoon.
Young Won YOON ; Jun Pyo CHUNG ; Hyo Jin PARK ; Hyeon Geun CHO ; Chae Yoon CHON ; In Suh PARK ; Ki Whang KIM ; Hee Dae LEE
Journal of Korean Medical Science 1995;10(3):220-225
Abdominal cocoon is a rare disease of the peritoneum and almost invariably presents as an acute or subacute intestinal obstruction with or without a mass. The etiology of this disease is largely unknown and abdominal cocoon of unknown etiology has been limited to the tropical and subtropical zones and primarily affects young adolescent females. In the temperate zone, only one case has been reported from the United Kingdom, but the patient was also born in Pakistan. No case of abdominal cocoon purely developed in the temperate zone has been reported. Recently, we experienced a case of abdominal cocoon in a 34-year-old female patient(Korean) who had never been abroad. The diagnosis was made postoperatively by reviewing the literature. We herein report this rare condition developed in an unusual geographical location with a brief review of the literature.
Adolescent
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Adult
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Case Report
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Female
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Human
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Intestinal Obstruction/*etiology
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Male
;
Peritoneal Diseases/complications/*etiology
9.Meta-analysis of safety and efficacy of self-expending metallic stents as bridge to surgery versus emergency surgery for left-sided malignant colorectal obstruction.
Ri-sheng ZHAO ; Hui WANG ; Lei WANG ; Mei-jin HUANG ; Dian-ke CHEN ; Jian-ping WANG
Chinese Journal of Gastrointestinal Surgery 2012;15(7):697-701
OBJECTIVETo evaluate the safety and efficacy of self-expending metallic stents (SEMS) as bridge to surgery versus emergency surgery for left-sided malignant colorectal obstruction.
METHODSA comprehensive literature search of CENTRAL, PubMed, EMBASE, Medline, Ovid LWW, CMB, CNKI and Wanfang Databases were performed for all randomized controlled trials or retrospective studies comparing self-expending metallic stents as bridge to surgery(SABS group) with emergency surgery (ES group). A meta-analysis was carried out by RevMan5.1 software on the outcomes concerning safety and efficacy of the two groups.
RESULTSFourteen studies matched the criteria including 1083 patients. Five were randomized controlled trials and nine were retrospective analysis. Compared with the ES group, the SABS group had a lower short-term mortality(RR=0.52, 95% CI:0.30-0.93, P<0.05), lower overall complications(RR=0.46, 95% CI:0.31-0.70, P<0.05), higher resection rate(RR=1.90, 95%CI:1.33-2.70, P<0.01), shorter operative time(MD=-59.77, 95%CI:-87.51--32.04, P<0.01), and shorter interval to first flatus(MD=-10.78, 95%CI:-16.67--4.90, P<0.01). There were no statistically significant differences between the two groups in permanent stomy and hospital stay.
CONCLUSIONThe safety and efficacy of self-expending metallic stents as bridge to surgery for left-sided malignant colorectal obstruction is superior to emergency surgery.
Colectomy ; Colorectal Neoplasms ; complications ; surgery ; Emergencies ; Humans ; Intestinal Obstruction ; etiology ; surgery ; Stents ; Treatment Outcome
10.Intestinal Obstruction Due to a Mesenteric Cyst.
Ibrahim BARUT ; Omer Ridvan TARHAN ; Metin CIRIS ; Yusuf AKDENIZ ; Mahmut BULBUL
Yonsei Medical Journal 2004;45(2):356-358
Mesenteric cysts are rarely thought of, may be difficult to diagnose, and are usually asymptomatic except when complicated. Intestinal obstruction is a rarely reported complication of these cysts. A case of mesenteric cyst that was causing obstruction of the large bowel is presented, along with a review of the literature.
Aged
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Human
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Intestinal Obstruction/*etiology/pathology
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Male
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Mesenteric Cyst/*complications/pathology