Colonic complications following pancreatitis are unusual events ranging from 1% to 15%. In a patient with a hostile abdomen and multiple previous laparotomies, surgical management of a closed-loop large-bowel obstruction risks significant morbidity and mortality for the patient, necessitating other strategies for management. Caecostomy in the management of large bowel obstruction is an often forgotten weapon in the general surgeons' armoury.
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http://dx.doi.org/10.1308/rcsann.2018.0164 | DOI Listing |
Pan Afr Med J
November 2024
President´s Office, Region Authorities and Local Governments, Region Health Management Team, Kigoma, Tanzania.
Neonatal ileal atresia is a form of intestinal obstruction characterized by narrowing, complete closure, or absence of a segment of the ileum. This case involves a 5-day-old female neonate presented with abdominal distension and bilious vomiting. The neonate, delivered via spontaneous vertex birth weighing 2.
View Article and Find Full Text PDFJ Surg Res
November 2024
Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Kansas City, Kansas City, Missouri; Department of Surgery, University of Missouri-Kansas City, Kansas City, Missouri. Electronic address:
Introduction: The antegrade continence enema (ACE) is a surgical technique that establishes a route for colonic irrigation, necessitating a detailed comprehension of the procedural methodology, including the conduit construction, the catheters selection, and the administration of irrigation solutions. It is critical to disseminate comprehensive information regarding ACE procedures to health-care professionals and caregivers to enhance their understanding and support management of patients undergoing this intervention. This study aims to evaluate the efficacy of a novel educational tool designed to augment the knowledge base of physicians and caregivers regarding ACE procedures.
View Article and Find Full Text PDFJ Pediatr Surg
September 2024
Department of Pediatric Surgery, Akron Children's Hospital, Akron, OH, USA. Electronic address:
Cureus
May 2024
General Surgery, Himalayan Institute of Medical Sciences, Dehradun, IND.
Intrauterine appendicular perforation leading to meconium peritonitis is exceptionally rare, with few reported cases in the literature. This case underscores the diagnostic challenges and high mortality associated with neonatal appendicular perforation. Neonatal appendicitis and subsequent perforation are uncommon due to the funnel shape of the fetal appendix, which reduces susceptibility to luminal obstruction.
View Article and Find Full Text PDFJ Pediatr Surg
August 2024
Department of Surgery, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Purpose: Antegrade colonic enemas (ACE) can be an effective management option for defecation disorders and improve quality of life. Best practice regarding channel placement is unclear and variation may exist around preferred initial type of channel, age at placement, and underlying diagnoses. We aimed to describe practice patterns and patient characteristics around ACE channel placement.
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