No abstract available.
Intestine, Small* ; Ulcer*

No abstract available.
Animals ; Intestine, Small* ; Rats*

In the evaluation of the source of occult bleeding, it is mandatory that the small bowel be investigated. But, the small bowel is the area where endoscopic approach is most difficult. The endoscopic evaluation of the small intestine has rapidly evolved over the last 10 years and now includes many of the diagnostic and therapeutic capabilities of standard endoscopic procedures. Various techniques have been developed, including fiberoptic sonde enteroscopy, retrograde ileoscopy, intraoperative enteroscopy, "push" enteroscopy using a pediatric colonoscope, and video enterocopy. Therefore, the small bowel enteroscope has shown great promise in the evaluation of obscure or persistent gastrointestinal bleeding. We have experienced a case of bleeding from jejunal leiomyosarcoma, which diagnosed with small bowel enteroscopy. So we report the case with a brief review of literature.
Colonoscopes ; Hemorrhage* ; Intestine, Small ; Leiomyosarcoma*

Some modern accerelators provide a dual energy for photon beam treatment. The main advantages of dual energy in the treatment of rectosigmoid or rectal cancer are as follows. Dose in the critical organ such as small intestine, bladder and genital organ are reduced. Presacral and perineal area is fully covered. Dose distribution analysis such as calculation of dose in a target volume, isocenter, Dmax and dose spectrum in any region of interest are possible. Examples of plan are given and results are discussed.
Genitalia ; Intestine, Small ; Rectal Neoplasms ; Urinary Bladder

There were 1,360 cases of intestinal obstruction at Cho Ray Hospital in 5 years (from January 1st 1999 to December 30th 2003). Of these, there were 100 cases with small intestine volvulus (7.35%). Diagnosis was mainly based on clinical symptoms and signs. Constant, noncramping abdominal pain with necrosis of the small intestine was most frequently (73%, p < 0.05). Rigidity was found in 53% patients and was correspondent with bowel necrosis (p< 0.05). Abdominal distention was found in 58%, peristaltic waves in 21%, Von Valh’s sign in 17% and shock in 32%. Upright plain radiographs showed air-fluid levels in 63.3% cases. The image of pseudotumor, single or multiple concentrated dilated loops was seen in 11.5%. Thick inter-space between the intestinal loops or blur pelvic area in the plain radiograph was found in 42.5% and the plain radiograph showed unspecific image in 26.4%. Patients with history of abdominal operation accounted for 85%. Causes of small intestine volvulus: adhesion band (post-operative) 80%, small intestinal tumor 4% and 16% of unknown origin. About treatment: de-adhesion and detorsion of the volvulus accounted for 60% of cases; other 40% required excision of the small intestine. Indication of the treatment methods was correspondent to injury of the intestine evaluated intra-operatively (p<0.05). No mortality was recognized in this study
Intestinal Volvulus ; Intestine, Small ; Diagnosis ; Therapeutics ; Surgery

No abstract available.
Adenomyoma* ; Humans ; Infant* ; Intestine, Small* ; Intussusception*

Angiodysplsia of the small bowel is uncommon, but provably remains frequently undiagnosed. In the small intestine, angiodysplasia presents a taxing surgical problem and is uauslly diagnosed for unexplained gastrointestinal bleeding. For the surgeon, the main technical problem is that even when identified by frequently impalpable, and invisible to the naked eye unless they are actively bleeding at the time of surgery. Ensocopy is often unfruitful because the majority of lesions are submucosal and rarely exceed a few milimeters in diameter. We described a simple intraoperative endoscopic transillumination technique used successfully to identify an angiodysplasia in the jejunum prior to the small bowel resection. This report summarized our experience and review of literature.
Angiodysplasia* ; Hemorrhage ; Intestine, Small ; Jejunum* ; Taxes ; Transillumination*

We present the case of young female patient presenting with acute onset abdominal pain. Abdominopelvic CT revealed herniation through the foramen of Winslow. The patient was transferred to our hospital and underwent laparoscopic exploration. Though spontaneous reduction was detected, segmental resection of the impacted small bowel was inevitable due to ischemic change. Our case suggests that reducing the time until surgery is very important to lower the probability of bowel resection in case of small bowel herniation through the foramen of Winslow.
Abdominal Pain ; Female ; Humans ; Intestine, Small

No abstract available.
Intestine, Small ; Ischemia ; Urokinase-Type Plasminogen Activator

Spontaneous intramural intestinal hematoma is a rare complication resulting from over-anticoagulation. We report on three uncommon cases of spontaneous intramural small bowel hematoma due to oral anticoagulation. The patients received conservative treatment with bowel rest, hydration and vitamin K infusion, and transfusion of fresh frozen plasma (FFP). Computed tomography (CT) scan was performed for diagnostic confirmation. Patients recovered within a few days. Because there are no specific symptoms or clinical signs, diagnosis of this condition is difficult. Therefore, clinical suspicion and experience are important. This case report represents an attempt to share information on this rare condition by presentation of the case and literature review.
Hematoma ; Humans ; Intestine, Small ; Plasma ; Vitamin K