Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.
Any hindrance to the passage of air into and out of the lungs.
Blockage in any part of the URETER causing obstruction of urine flow from the kidney to the URINARY BLADDER. The obstruction may be congenital, acquired, unilateral, bilateral, complete, partial, acute, or chronic. Depending on the degree and duration of the obstruction, clinical features vary greatly such as HYDRONEPHROSIS and obstructive nephropathy.
Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).
Tumors or cancer of the COLON.
Hindrance of the passage of luminal contents in the DUODENUM. Duodenal obstruction can be partial or complete, and caused by intrinsic or extrinsic factors. Simple obstruction is associated with diminished or stopped flow of luminal contents. Strangulating obstruction is associated with impaired blood flow to the duodenum in addition to obstructed flow of luminal contents.
Blocked urine flow through the bladder neck, the narrow internal urethral opening at the base of the URINARY BLADDER. Narrowing or strictures of the URETHRA can be congenital or acquired. It is often observed in males with enlarged PROSTATE glands.
Partial or complete blockage in any part of the URETHRA that can lead to difficulty or inability to empty the URINARY BLADDER. It is characterized by an enlarged, often damaged, bladder with frequent urges to void.
Any hindrance to the passage of air into and out of the nose. The obstruction may be unilateral or bilateral, and may involve any part of the NASAL CAVITY.
The hindering of output from the STOMACH into the SMALL INTESTINE. This obstruction may be of mechanical or functional origin such as EDEMA from PEPTIC ULCER; NEOPLASMS; FOREIGN BODIES; or AGING.
Occlusion of the outflow tract in either the LEFT VENTRICLE or the RIGHT VENTRICLE of the heart. This may result from CONGENITAL HEART DEFECTS, predisposing heart diseases, complications of surgery, or HEART NEOPLASMS.
Lining of the INTESTINES, consisting of an inner EPITHELIUM, a middle LAMINA PROPRIA, and an outer MUSCULARIS MUCOSAE. In the SMALL INTESTINE, the mucosa is characterized by a series of folds and abundance of absorptive cells (ENTEROCYTES) with MICROVILLI.
Interference with the secretion of tears by the lacrimal glands. Obstruction of the LACRIMAL SAC or NASOLACRIMAL DUCT causing acute or chronic inflammation of the lacrimal sac (DACRYOCYSTITIS). It is caused also in infants by failure of the nasolacrimal duct to open into the inferior meatus and occurs about the third week of life. In adults occlusion may occur spontaneously or after injury or nasal disease. (Newell, Ophthalmology: Principles and Concepts, 7th ed, p250)
Discrete tissue masses that protrude into the lumen of the COLON. These POLYPS are connected to the wall of the colon either by a stalk, pedunculus, or by a broad base.
Impairment of bile flow due to obstruction in small bile ducts (INTRAHEPATIC CHOLESTASIS) or obstruction in large bile ducts (EXTRAHEPATIC CHOLESTASIS).
Inflammation of the COLON section of the large intestine (INTESTINE, LARGE), usually with symptoms such as DIARRHEA (often with blood and mucus), ABDOMINAL PAIN, and FEVER.
Functional obstruction of the COLON leading to MEGACOLON in the absence of obvious COLONIC DISEASES or mechanical obstruction. When this condition is acquired, acute, and coexisting with another medical condition (trauma, surgery, serious injuries or illness, or medication), it is called Ogilvie's syndrome.
Abnormal enlargement or swelling of a KIDNEY due to dilation of the KIDNEY CALICES and the KIDNEY PELVIS. It is often associated with obstruction of the URETER or chronic kidney diseases that prevents normal drainage of urine into the URINARY BLADDER.
Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.
The motor activity of the GASTROINTESTINAL TRACT.
Passage of food (sometimes in the form of a test meal) through the gastrointestinal tract as measured in minutes or hours. The rate of passage through the intestine is an indicator of small bowel function.
Concretions of swallowed hair, fruit or vegetable fibers, or similar substances found in the alimentary canal.
A pathological condition characterized by the presence of a number of COLONIC DIVERTICULA in the COLON. Its pathogenesis is multifactorial, including colon aging, motor dysfunction, increases in intraluminal pressure, and lack of dietary fibers.
Pathological development in the ILEUM including the ILEOCECAL VALVE.
Any disorder marked by obstruction of conducting airways of the lung. AIRWAY OBSTRUCTION may be acute, chronic, intermittent, or persistent.
Pathological development in the JEJUNUM region of the SMALL INTESTINE.
Measure of the maximum amount of air that can be expelled in a given number of seconds during a FORCED VITAL CAPACITY determination . It is usually given as FEV followed by a subscript indicating the number of seconds over which the measurement is made, although it is sometimes given as a percentage of forced vital capacity.
The condition of an anatomical structure's being constricted beyond normal dimensions.
Inflammation of the COLON that is predominantly confined to the MUCOSA. Its major symptoms include DIARRHEA, rectal BLEEDING, the passage of MUCUS, and ABDOMINAL PAIN.
Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.
A tubular duct that conveys TEARS from the LACRIMAL GLAND to the nose.
Measurement of volume of air inhaled or exhaled by the lung.
Pathological processes consisting of the union of the opposing surfaces of a wound.
Long-chain polymer of glucose containing 17-20% sulfur. It has been used as an anticoagulant and also has been shown to inhibit the binding of HIV-1 to CD4-POSITIVE T-LYMPHOCYTES. It is commonly used as both an experimental and clinical laboratory reagent and has been investigated for use as an antiviral agent, in the treatment of hypolipidemia, and for the prevention of free radical damage, among other applications.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The flattened, funnel-shaped expansion connecting the URETER to the KIDNEY CALICES.
The portion of the GASTROINTESTINAL TRACT between the PYLORUS of the STOMACH and the ILEOCECAL VALVE of the LARGE INTESTINE. It is divisible into three portions: the DUODENUM, the JEJUNUM, and the ILEUM.
Endoscopic examination, therapy or surgery of the luminal surface of the colon.
The volume of air that is exhaled by a maximal expiration following a maximal inspiration.
Measurement of the various processes involved in the act of respiration: inspiration, expiration, oxygen and carbon dioxide exchange, lung volume and compliance, etc.
The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL.
A pouch or sac opening from the COLON.
Infrequent or difficult evacuation of FECES. These symptoms are associated with a variety of causes, including low DIETARY FIBER intake, emotional or nervous disturbances, systemic and structural disorders, drug-induced aggravation, and infections.
A potent carcinogen and neurotoxic compound. It is particularly effective in inducing colon carcinomas.
The normal process of elimination of fecal material from the RECTUM.
Physiologically, the opposition to flow of air caused by the forces of friction. As a part of pulmonary function testing, it is the ratio of driving pressure to the rate of air flow.
A segment of the COLON between the RECTUM and the descending colon.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.
A reagent that is used to neutralize peptide terminal amino groups.
One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER.
Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).
The surgical construction of an opening between the colon and the surface of the body.
Chronic or recurrent colonic disorders without an identifiable structural or biochemical explanation. The widely recognized IRRITABLE BOWEL SYNDROME falls into this category.
A condition that occurs when the obstruction of the thin-walled SUPERIOR VENA CAVA interrupts blood flow from the head, upper extremities, and thorax to the RIGHT ATRIUM. Obstruction can be caused by NEOPLASMS; THROMBOSIS; ANEURYSM; or external compression. The syndrome is characterized by swelling and/or CYANOSIS of the face, neck, and upper arms.
A form of CARDIAC MUSCLE disease, characterized by left and/or right ventricular hypertrophy (HYPERTROPHY, LEFT VENTRICULAR; HYPERTROPHY, RIGHT VENTRICULAR), frequent asymmetrical involvement of the HEART SEPTUM, and normal or reduced left ventricular volume. Risk factors include HYPERTENSION; AORTIC STENOSIS; and gene MUTATION; (FAMILIAL HYPERTROPHIC CARDIOMYOPATHY).
A form of intestinal obstruction caused by the PROLAPSE of a part of the intestine into the adjoining intestinal lumen. There are four types: colic, involving segments of the LARGE INTESTINE; enteric, involving only the SMALL INTESTINE; ileocecal, in which the ILEOCECAL VALVE prolapses into the CECUM, drawing the ILEUM along with it; and ileocolic, in which the ileum prolapses through the ileocecal valve into the COLON.
Opening or penetration through the wall of the INTESTINES.
Elements of limited time intervals, contributing to particular results or situations.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A solution or compound that is introduced into the RECTUM with the purpose of cleansing the COLON or for diagnostic procedures.
Pathological processes involving any part of the LARYNX which coordinates many functions such as voice production, breathing, swallowing, and coughing.
Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
Jaundice, the condition with yellowish staining of the skin and mucous membranes, that is due to impaired BILE flow in the BILIARY TRACT, such as INTRAHEPATIC CHOLESTASIS, or EXTRAHEPATIC CHOLESTASIS.
A type of ILEUS, a functional not mechanical obstruction of the INTESTINES. This syndrome is caused by a large number of disorders involving the smooth muscles (MUSCLE, SMOOTH) or the NERVOUS SYSTEM.
A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL).
Surgery performed on the digestive system or its parts.
A disease of chronic diffuse irreversible airflow obstruction. Subcategories of COPD include CHRONIC BRONCHITIS and PULMONARY EMPHYSEMA.
Incision into the side of the abdomen between the ribs and pelvis.
A compound used as an x-ray contrast medium that occurs in nature as the mineral barite. It is also used in various manufacturing applications and mixed into heavy concrete to serve as a radiation shield.
The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.
A chronic transmural inflammation that may involve any part of the DIGESTIVE TRACT from MOUTH to ANUS, mostly found in the ILEUM, the CECUM, and the COLON. In Crohn disease, the inflammation, extending through the intestinal wall from the MUCOSA to the serosa, is characteristically asymmetric and segmental. Epithelioid GRANULOMAS may be seen in some patients.
Inflammation of the COLON due to colonic ISCHEMIA resulting from alterations in systemic circulation or local vasculature.
The distal and narrowest portion of the SMALL INTESTINE, between the JEJUNUM and the ILEOCECAL VALVE of the LARGE INTESTINE.
A versatile contrast medium used for DIAGNOSTIC X-RAY RADIOLOGY.
A segment of the LOWER GASTROINTESTINAL TRACT that includes the CECUM; the COLON; and the RECTUM.
A benign epithelial tumor with a glandular organization.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
Congenital obliteration of the lumen of the intestine, with the ILEUM involved in 50% of the cases and the JEJUNUM and DUODENUM following in frequency. It is the most frequent cause of INTESTINAL OBSTRUCTION in NEWBORNS. (From Stedman, 25th ed)
High molecular weight mucoproteins that protect the surface of EPITHELIAL CELLS by providing a barrier to particulate matter and microorganisms. Membrane-anchored mucins may have additional roles concerned with protein interactions at the cell surface.
Hydrazines substituted with two methyl groups in any position.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Inflammation of the large airways in the lung including any part of the BRONCHI, from the PRIMARY BRONCHI to the TERTIARY BRONCHI.
A slowly progressive condition of unknown etiology, characterized by deposition of fibrous tissue in the retroperitoneal space compressing the ureters, great vessels, bile duct, and other structures. When associated with abdominal aortic aneurysm, it may be called chronic periaortitis or inflammatory perianeurysmal fibrosis.
A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.
Unstriated and unstriped muscle, one of the muscles of the internal organs, blood vessels, hair follicles, etc. Contractile elements are elongated, usually spindle-shaped cells with centrally located nuclei. Smooth muscle fibers are bound together into sheets or bundles by reticular fibers and frequently elastic nets are also abundant. (From Stedman, 25th ed)
Sensation of discomfort, distress, or agony in the abdominal region.
Graphic tracing over a time period of radioactivity measured externally over the kidneys following intravenous injection of a radionuclide which is taken up and excreted by the kidneys.
Surgical fistulization of the LACRIMAL SAC for external drainage of an obstructed nasolacrimal duct.
The blind sac or outpouching area of the LARGE INTESTINE that is below the entrance of the SMALL INTESTINE. It has a worm-like extension, the vermiform APPENDIX.
Protrusion of tissue, structure, or part of an organ through the bone, muscular tissue, or the membrane by which it is normally contained. Hernia may involve tissues such as the ABDOMINAL WALL or the respiratory DIAPHRAGM. Hernias may be internal, external, congenital, or acquired.
A malignant epithelial tumor with a glandular organization.
Chronic, non-specific inflammation of the GASTROINTESTINAL TRACT. Etiology may be genetic or environmental. This term includes CROHN DISEASE and ULCERATIVE COLITIS.
A condition in which the hepatic venous outflow is obstructed anywhere from the small HEPATIC VEINS to the junction of the INFERIOR VENA CAVA and the RIGHT ATRIUM. Usually the blockage is extrahepatic and caused by blood clots (THROMBUS) or fibrous webs. Parenchymal FIBROSIS is uncommon.
Measurement of the pressure or tension of liquids or gases with a manometer.
A technetium diagnostic aid used in renal function determination.
Disease having a short and relatively severe course.
A DNA alkylating agent that has been shown to be a potent carcinogen and is widely used to induce colon tumors in experimental animals.
Sacs or reservoirs created to function in place of the COLON and/or RECTUM in patients who have undergone restorative proctocolectomy (PROCTOCOLECTOMY, RESTORATIVE).
Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).
Radiographic visualization or recording of a vein after the injection of contrast medium.
Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.
Discrete abnormal tissue masses that protrude into the lumen of the INTESTINE. A polyp is attached to the intestinal wall either by a stalk, pedunculus, or by a broad base.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
Pathological process resulting in the fibrous obstruction of the small- and medium-sized PULMONARY VEINS and PULMONARY HYPERTENSION. Veno-occlusion can arise from fibrous proliferation of the VASCULAR INTIMA and VASCULAR MEDIA; THROMBOSIS; or a combination of both.
A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT.
A musculomembranous sac along the URINARY TRACT. URINE flows from the KIDNEYS into the bladder via the ureters (URETER), and is held there until URINATION.
Cells that line the inner and outer surfaces of the body by forming cellular layers (EPITHELIUM) or masses. Epithelial cells lining the SKIN; the MOUTH; the NOSE; and the ANAL CANAL derive from ectoderm; those lining the RESPIRATORY SYSTEM and the DIGESTIVE SYSTEM derive from endoderm; others (CARDIOVASCULAR SYSTEM and LYMPHATIC SYSTEM) derive from mesoderm. Epithelial cells can be classified mainly by cell shape and function into squamous, glandular and transitional epithelial cells.
Radiographic visualization of the body between the thorax and the pelvis, i.e., within the peritoneal cavity.
The insertion of a tube into the stomach, intestines, or other portion of the gastrointestinal tract to allow for the passage of food products, etc.
Excrement from the INTESTINES, containing unabsorbed solids, waste products, secretions, and BACTERIA of the DIGESTIVE SYSTEM.
The venous trunk which receives blood from the lower extremities and from the pelvic and abdominal organs.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A gel-forming mucin found predominantly in SMALL INTESTINE and variety of mucous membrane-containing organs. It provides a protective, lubricating barrier against particles and infectious agents.
Any pathological condition where fibrous connective tissue invades any organ, usually as a consequence of inflammation or other injury.
An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).
Endoscopic examination, therapy or surgery of the bronchi.
Tumors or cancer of the COLON or the RECTUM or both. Risk factors for colorectal cancer include chronic ULCERATIVE COLITIS; FAMILIAL POLYPOSIS COLI; exposure to ASBESTOS; and irradiation of the CERVIX UTERI.
Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood.
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
A movement, caused by sequential muscle contraction, that pushes the contents of the intestines or other tubular organs in one direction.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
A vein on either side of the body which is formed by the union of the external and internal iliac veins and passes upward to join with its fellow of the opposite side to form the inferior vena cava.
Short-chain fatty acids of up to six carbon atoms in length. They are the major end products of microbial fermentation in the ruminant digestive tract and have also been implicated in the causation of neurological diseases in humans.
A stricture of the ESOPHAGUS. Most are acquired but can be congenital.
The section of the alimentary canal from the STOMACH to the ANAL CANAL. It includes the LARGE INTESTINE and SMALL INTESTINE.
Pathological developments in the CECUM.
Body organ that filters blood for the secretion of URINE and that regulates ion concentrations.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Surgical creation of an external opening into the ILEUM for fecal diversion or drainage. This replacement for the RECTUM is usually created in patients with severe INFLAMMATORY BOWEL DISEASES. Loop (continent) or tube (incontinent) procedures are most often employed.
A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887)
The total volume of gas inspired or expired per unit of time, usually measured in liters per minute.
Human colonic ADENOCARCINOMA cells that are able to express differentiation features characteristic of mature intestinal cells, such as ENTEROCYTES. These cells are valuable in vitro tools for studies related to intestinal cell function and differentiation.
A twisting in the intestine (INTESTINES) that can cause INTESTINAL OBSTRUCTION.
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
Agents that are used to stimulate evacuation of the bowels.
One or more layers of EPITHELIAL CELLS, supported by the basal lamina, which covers the inner or outer surfaces of the body.
Histochemical localization of immunoreactive substances using labeled antibodies as reagents.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
This structure includes the thin muscular atrial septum between the two HEART ATRIA, and the thick muscular ventricular septum between the two HEART VENTRICLES.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Congenital MEGACOLON resulting from the absence of ganglion cells (aganglionosis) in a distal segment of the LARGE INTESTINE. The aganglionic segment is permanently contracted thus causing dilatation proximal to it. In most cases, the aganglionic segment is within the RECTUM and SIGMOID COLON.
Radiography of any part of the urinary tract.
An infant during the first month after birth.
Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.
The viscous secretion of mucous membranes. It contains mucin, white blood cells, water, inorganic salts, and exfoliated cells.
Act of listening for sounds within the body.
Introduction of a tube into a hollow organ to restore or maintain patency if obstructed. It is differentiated from CATHETERIZATION in that the insertion of a catheter is usually performed for the introducing or withdrawing of fluids from the body.
Difficult or labored breathing.
Inanimate objects that become enclosed in the body.
Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.
Diagnostic measurement of the nose and its cavity through acoustic reflections. Used to measure nasal anatomical landmarks, nasal septal deviation, and nasal airway changes in response to allergen provocation tests (NASAL PROVOCATION TESTS).
Human colonic ADENOCARCINOMA cells that are able to express differentiation features characteristic of mature intestinal cells such as the GOBLET CELLS.
The mechanical laws of fluid dynamics as they apply to urine transport.
Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.
A congenital cardiovascular malformation in which the AORTA arises entirely from the RIGHT VENTRICLE, and the PULMONARY ARTERY arises from the LEFT VENTRICLE. Consequently, the pulmonary and the systemic circulations are parallel and not sequential, so that the venous return from the peripheral circulation is re-circulated by the right ventricle via aorta to the systemic circulation without being oxygenated in the lungs. This is a potentially lethal form of heart disease in newborns and infants.
Agents that cause an increase in the expansion of a bronchus or bronchial tubes.
A congenital abnormality characterized by the outpouching or sac formation in the ILEUM. It is a remnant of the embryonic YOLK SAC in which the VITELLINE DUCT failed to close.
Solid crystalline precipitates in the BILIARY TRACT, usually formed in the GALLBLADDER, resulting in the condition of CHOLELITHIASIS. Gallstones, derived from the BILE, consist mainly of calcium, cholesterol, or bilirubin.
The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum.
Pathological processes in any segment of the INTESTINE from DUODENUM to RECTUM.
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
Drugs used for their effects on the gastrointestinal system, as to control gastric acidity, regulate gastrointestinal motility and water flow, and improve digestion.
A pathological constriction occurring in the region below the AORTIC VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA.
Pathological developments in the RECTUM region of the large intestine (INTESTINE, LARGE).
Enlargement of air spaces distal to the TERMINAL BRONCHIOLES where gas-exchange normally takes place. This is usually due to destruction of the alveolar wall. Pulmonary emphysema can be classified by the location and distribution of the lesions.
The volume of air contained in the lungs at the end of a maximal inspiration. It is the equivalent to each of the following sums: VITAL CAPACITY plus RESIDUAL VOLUME; INSPIRATORY CAPACITY plus FUNCTIONAL RESIDUAL CAPACITY; TIDAL VOLUME plus INSPIRATORY RESERVE VOLUME plus functional residual capacity; or tidal volume plus inspiratory reserve volume plus EXPIRATORY RESERVE VOLUME plus residual volume.
Conditions resulting from abnormalities in the arteries branching from the ASCENDING AORTA, the curved portion of the aorta. These syndromes are results of occlusion or abnormal blood flow to the head-neck or arm region leading to neurological defects and weakness in an arm. These syndromes are associated with vascular malformations; ATHEROSCLEROSIS; TRAUMA; and blood clots.
The volume of air remaining in the LUNGS at the end of a maximal expiration. Common abbreviation is RV.
A species of gram-negative bacteria in the genus CITROBACTER, family ENTEROBACTERIACEAE. As an important pathogen of laboratory mice, it serves as a model for investigating epithelial hyperproliferation and tumor promotion. It was previously considered a strain of CITROBACTER FREUNDII.
Technique for measuring air pressure and the rate of airflow in the nasal cavity during respiration.
A strain of albino rat developed at the Wistar Institute that has spread widely at other institutions. This has markedly diluted the original strain.
Tumors or cancer of the CECUM.
Curves depicting MAXIMAL EXPIRATORY FLOW RATE, in liters/second, versus lung inflation, in liters or percentage of lung capacity, during a FORCED VITAL CAPACITY determination. Common abbreviation is MEFV.
TUBERCULOSIS that involves any region of the GASTROINTESTINAL TRACT, mostly in the distal ILEUM and the CECUM. In most cases, MYCOBACTERIUM TUBERCULOSIS is the pathogen. Clinical features include ABDOMINAL PAIN; FEVER; and palpable mass in the ileocecal area.
A protrusion of abdominal structures through the retaining ABDOMINAL WALL. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of PERITONEUM and abdominal contents. Abdominal hernias include groin hernia (HERNIA, FEMORAL; HERNIA, INGUINAL) and VENTRAL HERNIA.
Removal and pathologic examination of specimens in the form of small pieces of tissue from the living body.
The fold of peritoneum by which the COLON is attached to the posterior ABDOMINAL WALL.
The condition of an anatomical structure's being dilated beyond normal dimensions.
Hydrazines substituted by one or more methyl groups in any position.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
The act of dilating.
Application of a ligature to tie a vessel or strangulate a part.
The larger air passages of the lungs arising from the terminal bifurcation of the TRACHEA. They include the largest two primary bronchi which branch out into secondary bronchi, and tertiary bronchi which extend into BRONCHIOLES and PULMONARY ALVEOLI.
Tumors or cancer in the ILEUM region of the small intestine (INTESTINE, SMALL).
Long convoluted tubules in the nephrons. They collect filtrate from blood passing through the KIDNEY GLOMERULUS and process this filtrate into URINE. Each renal tubule consists of a BOWMAN CAPSULE; PROXIMAL KIDNEY TUBULE; LOOP OF HENLE; DISTAL KIDNEY TUBULE; and KIDNEY COLLECTING DUCT leading to the central cavity of the kidney (KIDNEY PELVIS) that connects to the URETER.
Endoscopic examination, therapy or surgery of the gastrointestinal tract.
Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.
The shortest and widest portion of the SMALL INTESTINE adjacent to the PYLORUS of the STOMACH. It is named for having the length equal to about the width of 12 fingers.

Ogilvie's syndrome after lower extremity arthroplasty. (1/26)

OBJECTIVE: To alert surgeons who perform arthroplasty to the possibility of acute colonic pseudo-obstruction (Ogilvie's syndrome) after elective orthopedic procedures. To identify possible risk factors and emphasize the need for prompt recognition, careful monitoring and appropriate management so as to reduce morbidity and mortality. DESIGN: A case series. SETTING: A university-affiliated hospital that is a major referral centre for orthopedic surgery. PATIENTS: Four patients who had Ogilvie's syndrome after lower extremity arthroplasty. Of this group, 2 had primary hip arthroplasty, 1 had primary knee arthroplasty and 1 had revision hip arthroplasty. MAIN OUTCOME MEASURES: Morbidity and mortality. RESULTS: In all 4 patients Ogilvie's syndrome was recognized late and required surgical intervention. Two patients died as a result of postoperative complications. CONCLUSIONS: Our case series identified increasing age, immobility and patient-controlled narcotic analgesia as potential risk factors for Ogilvie's syndrome in the postoperative orthopedic patient. Prompt recognition and early consultation with frequent clinical and radiographic monitoring are necessary to avoid colonic perforation and its significant associated death rate.  (+info)

Neostigmine for the treatment of acute colonic pseudo-obstruction. (2/26)

BACKGROUND: Acute colonic pseudo-obstruction -- that is, massive dilation of the colon without mechanical obstruction -- may develop after surgery or severe illness. Although it may resolve with conservative therapy, colonoscopic decompression is sometimes needed to prevent ischemia and perforation of the bowel. Uncontrolled studies have suggested that neostigmine, may be an effective treatment. METHODS: We studied 21 patients with acute colonic pseudo-obstruction. All had abdominal distention and radiographic evidence of colonic dilation, with a cecal diameter of at least 10 cm, and had had no response to at least 24 hours of conservative treatment. We randomly assigned 11 to receive 2.0 mg of neostigmine intravenously and 10 to receive intravenous saline. A physician who was unaware of the patients' treatment assignments recorded clinical response (defined as prompt evacuation of flatus or stool and a reduction in abdominal distention), abdominal circumference, and measurements of the colon on radiographs. Patients who had no response to the initial injection were eligible to receive open-label neostigmine three hours later. RESULTS: Ten of the 11 patients who received neostigmine had prompt colonic decompression, as compared with none of the 10 patients who received placebo (P<0.001). The median time to response was 4 minutes (range, 3 to 30). Seven patients in the placebo group and the one patient in the neostigmine group without an initial response received open-label neostigmine; all had colonic decompression. Two patients who had an initial response to neostigmine required colonoscopic decompression for recurrence of colonic distention; one eventually underwent subtotal colectomy. Side effects of neostigmine included abdominal pain, excess salivation, and vomiting. Symptomatic bradycardia developed in two patients and was treated with atropine. CONCLUSIONS: In patients with acute colonic pseudo-obstruction who have not had a response to conservative therapy, treatment with neostigmine rapidly decompresses the colon.  (+info)

Review article: the pharmacological treatment of acute colonic pseudo-obstruction. (3/26)

Acute colonic pseudo-obstruction (Ogilvie's syndrome) can be defined as a clinical condition with symptoms, signs and radiological appearance of acute large bowel obstruction unrelated to any mechanical cause. Recent reports of the efficacy of cholinesterase inhibitors in relieving acute colonic pseudo-obstruction have fuelled interest in the pharmacological treatment of this condition. The aim of the present review is to outline current perspectives in the pharmacological treatment of patients with acute colonic pseudo-obstruction. The best documented pharmacological treatment of Ogilvie's syndrome is intravenous neostigmine (2-2.5 mg), which leads to quick decompression in a significant proportion of patients after a single infusion. However, the search for new colokinetic agents for the treatment of lower gut motor disorders has made available a number of drugs that may also be therapeutic options for Ogilvie's syndrome. Among these agents, the potential of 5-hydroxytryptamine-4 receptor agonists and motilin receptor agonists is discussed.  (+info)

Polymyositis as a cause of total gut failure. (4/26)

BACKGROUND: Gastrointestinal manifestations are seen in systemic sclerosis and mixed connective tissue disorders but are rare in pure polymyositis. CASE REPORT: A 44 year old woman with polymyositis who developed total gut failure requiring treatment with total parenteral nutrition is described. RESULTS: The patient's polymyositis is now fully controlled biochemically, but her gastrointestinal symptoms persist.  (+info)

Ogilvie's syndrome treatment. (5/26)

INTRODUCTION: Ogilvie's Syndrome (OS) is a rare condition caused by parasympathetic dysfunction of large bowel characterized by acute and massive colon distension without mechanical obstruction. Rarely this disease has to be treated by the surgeon but operations may be indicated in case of medical treatment failure. METHODS: A retrospective analysis was carried out at the Emergency Surgery DPT of St Orsola-Malpighi University Hospital Bologna Italy. From 1995 to 2002 11 patients were treated for severe OS: they were 8 males and 3 females and the mean age was 68 yrs. All these subjects had large bowel distension with caecum diameter more than 8 cm without any evidence of mechanical obstruction. RESULTS: In 4 patients (36%) OS was caused by trauma or surgical procedures whereas in 7 cases (64%) was produced by other conditions. Only in 3 cases (27%) conservative treatment was successful; the remaining 8 patients were submitted to surgical therapy. 6 patients were submitted to decompressive caecostomy and in 2 cases a subtotal colectomy was done. Mortality was 36%. DISCUSSION AND CONCLUSIONS: Surgical treatment of OS is indicated when there is a conservative treatment failure. The high mortality is related to diagnostic and therapeutic delays, advanced age and comorbidities.  (+info)

Systematic review: acute colonic pseudo-obstruction. (6/26)

Acute colonic pseudo-obstruction is the clinical syndrome of acute large bowel dilatation without mechanical obstruction that is an important cause of morbidity and mortality. Acute colonic pseudo-obstruction occurs in hospitalized or institutionalized patients with serious underlying medical and surgical conditions. The pathogenesis of acute colonic pseudo-obstruction is not completely understood but likely results from an imbalance in the autonomic regulation of colonic motor function. Metabolic or pharmacological factors, as well as spinal or retroperitoneal trauma, may alter the autonomic regulation of colonic function, leading to excessive parasympathetic suppression or sympathetic stimulation. This imbalance results in colonic atony and dilatation. Early recognition and appropriate management are critical to minimizing morbidity and mortality. The mortality rate is estimated at 40% when ischaemia or perforation occurs. The best-studied treatment of acute colonic pseudo-obstruction is intravenous neostigmine, which leads to prompt colon decompression in the majority of patients after a single infusion. In patients failing or having contraindications to neostigmine, colonoscopic decompression is the active intervention of choice. Surgery is reserved for those with peritonitis or perforation.  (+info)

Effect of polyethylene glycol electrolyte balanced solution on patients with acute colonic pseudo obstruction after resolution of colonic dilation: a prospective, randomised, placebo controlled trial. (7/26)

BACKGROUND AND AIMS: Conservative therapy for patients with acute colonic pseudo obstruction (Ogilvie's syndrome) may be successful initially but relapses are common. The aim of the present study was to evaluate the effect of polyethylene glycol (PEG) electrolyte balanced solution on the relapse rate of the syndrome after initial resolution with neostigmine or endoscopic decompression. PATIENTS AND METHODS: The study was performed on 30 consecutive patients who presented with abdominal distension and radiographic evidence of colonic dilation, with a caecal diameter > or = 10 cm, that resolved conservatively. Patients then were randomised to receive daily 29.5 g of PEG (n = 15) or similar placebo (n = 15). Patients were monitored daily for a seven day period for stool and flatus evacuations, and colonic diameter on abdominal radiographs. Administration of the test solutions and assessment of patient symptoms and x rays were performed in a blinded fashion. A caecal diameter > or = 8 cm with a concomitant > or =10% increase after initial successful therapeutic intervention was considered as a relapse and these patients, after a second therapeutic intervention, were eligible to receive open label PEG. RESULTS: Twenty five patients received neostigmine as the initial therapeutic intervention which resulted in resolution of colonic dilation in 88% of cases. Eight patients had successful endoscopic decompression. Five (33.3%) patients in the placebo group had recurrent caecal dilation compared with none in the PEG group (p = 0.04). Therapy with PEG resulted in a significant increase in stool and flatus evacuations (p = 0.001 and 0.032, respectively) as well as in a significant decrease in the diameter of caecum, ascending and transverse colon, and abdominal circumference (p = 0.017, 0.018, 0.014, and 0.008, respectively). CONCLUSIONS: Administration of PEG in patients with Ogilvie's syndrome after initial resolution of colonic dilation may increase the sustained response rate after initial therapeutic intervention.  (+info)

Treatment of pediatric Ogilvie's syndrome with low-dose erythromycin: a case report. (8/26)

Acute colonic pseudo-obstruction is a poorly understood syndrome, characterized by the signs, symptoms and radiological pattern of a large bowel obstruction without evidence for a mechanical obstruction. We report a case of a 2-year old boy who presented with progressive abdominal distention, vomiting and abdominal pain on postoperative d 3. Plain abdominal z-ray showed markedly dilated large bowel. Mechanical colonic obstruction was ruled out with hypaque enema. Ogilvie's syndrome was suspected. The patient received treatment with oral erythromycin which had an immediate beneficial effect. During the 6 mo follow-up, no recurrences of symptoms were observed. We provide a safe and effective therapy for Ogilvie's syndrome in pediatric individuals.  (+info)

Definition of Colonic pseudo-obstruction with photos and pictures, translations, sample usage, and additional links for more information.
The ESGE commissioned this Guideline (Guideline Committee chair, J.v.H.) and appointed a Guideline leader (B.W.), who identified six clinical conditions of abnormal GI motility in which therapeutic endoscopy is one of the treatment possibilities: Zenkers diverticulum, achalasia, GERD, gastroparesis, intractable constipation, and Ogilvies syndrome. These six areas were at a later stage agreed on by the Guideline committee members.. In March 2018, an email was sent out to several key opinion leaders in the field of therapeutic endoscopy to identify potential Guideline committee members. Individual ESGE members were informed about this Guideline and were asked to apply if they were interested in participating with this Guideline. Three individual members (V.L.-Z., H.L., and F.P.) were selected based on their expertise and scientific output. In addition, the European Society of Neurogastroenterology and Motility (ESNM) was approached for collaboration and scientific input. As a result, the ESNM ...
Сравнительный анализ лечения больных с острой обтурационной толстокишечной непроходимостью опухолевого генеза
Headsman So great a concourse of people has perhaps not been seen* at Edinburghs Grassmarket as assembled on this date in 1765 for the execution of Lieutenant Patrick Ogilvie.. It was, naturally, scandal that brought them out of the woodwork. Lt. Ogilvies older brother Thomas in January of that same 1765 had married a young woman named Katharine Nairn. She had barely half of Thomass 40 years.. Katharine soon took a shine to the more age-appropriate sibling, just back from his dashing adventures in the East Indies. Within weeks of the marriage, the two people closest to Thomas were making a fool of him in his very own home. Their eventual indictment charged Katharine and Patrick with yielding to your inordinate desires … in the months of January, February, March, April, May, and June … at different times, and in one or other of the rooms of the house of Eastmiln, and in the out-houses adjacent thereto, not to mention (were guessing during the warmer spring weather) in the ...
Colon deseases - Diverticular Disease: Imaging Update: Acute Colonic.... Bowtrol is formulated to maximize ones elimination without causing loose stools or uncomfortable cramping.
TY - JOUR. T1 - Waardenburg syndrome type IV De Novo SOX10 variant causing chronic intestinal Pseudo-Obstruction. AU - Hogan, Anthony R.. AU - Rao, Krishnamurti A.. AU - Thorson, Willa L.. AU - Neville, Holly L.. AU - Sola, Juan E.. AU - Perez, Eduardo A.. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Waardenburg syndrome (WS) type IV is characterized by pigmentary abnormalities, deafness and Hirschsprungs disease. This syndrome can be triggered by dysregulation of the SOX10 gene, which belongs to the SOX (SRY-related high-mobility group-box) family of genes. We discuss the first known case of a SOX10 frameshift mutation variant defined as c.895delC causing WS type IV without Hirschsprungs disease. This female patient of unrelated Kuwaiti parents, who tested negative for cystic fibrosis and Hirschsprungs disease, was born with meconium ileus and malrotation and had multiple surgical complications likely due to chronic intestinal pseudo-obstruction. These complications included small intestinal necrosis ...
Pseudo-obstruction is a syndrome characterized by signs and symptoms of a mechanical obstruction of the small or large bowel in the absence of an anatomic lesion that obstructs the flow of intestinal contents. Pseudo-obstruction may be acute or chron
Chronic intestinal pseudo-obstruction (CIPO) is an extremely rare condition with symptoms of recurrent intestinal obstruction without any lesions. The outcomes of pediatric CIPO and predictors for the outcomes have not yet been well established. We analyzed the clinical outcomes and associated factors for the outcomes of pediatric CIPO. We retrospectively reviewed 66 primary CIPO patients diagnosed between January 1985 and December 2017. We evaluated parenteral nutrition (PN) factors such as PN duration, PN use over 6 months, home PN, and mortality as outcomes. We selected onset age, presence of urologic symptoms, pathologic type, and involvement extent as predictors. The early-onset CIPO was found in 63.6%, and 21.2% of the patients presenting with urologic symptoms. Of the 66 patients, 47 and 11 had neuropathy and myopathy, respectively. The generalized involvement type accounted for 83.3% of the cases. At the last follow-up, 24.2% of the patients required home PN management. The mean duration of PN
Malignant pheochromocytoma associated with pseudo-obstruction of the colon. Murakami, Soichi; Okushiba, Shun-ichi; Ohno, Koichi; Ito, Kiyotaka; Satou, Kousaku; Sugiura, Hiroshi; Morikawa, Toshiaki; Furukawa, Koji; Kondo, Satoshi; Katoh, Hiroyuki; Nihei, Kazuyoshi // Journal of Gastroenterology;2003, Vol. 38 Issue 2, p175 Effective treatment has not yet been established for intestinal pseudo-obstruction, a rare complication of malignant pheochromocytoma. We report the case of a 41-year-old man who presented with malignant pheochromocytoma associated with pseudo-obstruction of the colon. His serum catecholamine... ...
The main treatment is nutritional support to prevent malnutrition and antibiotics to treat bacterial infections. Disorders that may coexist and worsen symptoms of pseudo-obstruction--such as gastroparesis (delayed stomach emptying), gastroesophageal reflux, or bacterial overgrowth--need to be identified and treated.. The challenges of treating chronic pseudo-obstruction are often multifaceted and involve the patient and family as well as the physician. The physician may suggest a multidisciplinary approach to treatment. A management team might include the childs pediatric gastroenterologist, a pediatric pain management specialist, a behavioral specialist, and others.. Chronic abdominal pain or the fear of pain is a common complaint in children with chronic intestinal pseudo-obstruction and may be treated with behavioral or relaxation therapy as well as with non-narcotic medicines.. Some children are able to benefit from small, frequent meals. Others are unable or unwilling to eat because of the ...
The term intestinal pseudo-obstruction denotes a syndrome characterized by a clinical picture suggestive of mechanical obstruction in the absence of any demonstrable evidence of such an obstruction in the intestine. On the basis of the clinical presentation, pseudo-obstruction syndromes can be divided into acute and chronic forms.
운동 기능의 저하는 넓게 분류해서 장 폐쇄 혹은 소장 무력증 혹은 마비 때문으로 나눌 수 있다. 하지만, 장 폐쇄의 증상이 있으면서 물리적인 장 폐쇄는 없는 경우가 있는데 이를 급성 대장성 거짓폐쇄증 (acute colonic pseudoobstruction), 또는 오길비 증후군 (Ogilvies syndrome)이라고 한다.. 장폐쇄 (bowel obstruction)는 위장관이 어떤 물리적인 요인으로 막한 것을 말한다.. 소장의 마비는 마비성 장폐색 (paralytic ileus)이라고 하는데, 완전 마비일 필요는 없으나 내용물이 이동하지 못해 장 폐색을 일으킬 정도로 운동 기능이 저하되어있어야한다. 마비성 장폐색은 특정 수술 후에 흔하게 발생하는 부작용으로, 이때는 수술 후 장폐색 (postsurgical ileus)이라고도 한다. 약이나 외상, 또는 질환 (급성 췌장염 (acute pancreatitis) 등) 역시 원인 중 하나다. 마비성 장폐색은 변비와 ...
CIIPS in children has been reported under a variety of names; megacystis-microcolon-intestinal hypoperistalsis syndrome, intestinal pseudo-obstruction, chronic adynamic ileus, pseudo-Hirschsprungs disease, adynamic bowel syndrome, colonic neuronal dysplasia, and hollow visceral myopathy.17-25 It is the result of a heterogeneous group of disorders of the enteric neuromusculature that cause severe intestinal dysmotility, resulting in functional obstruction.26-30 Analysis of published studies has shown that most patients develop symptoms early in life.31 In this series, 32 of 44 children developed symptoms during the 1st year of life. At birth they may present with obstruction of either the gut or urinary tract, or both. A persistent bilious aspirate can indicate an associated midgut malrotation. Later, the main presentation is with chronic constipation and/or abdominal distension associated with obstruction and episodic vomiting, which may be bile stained. Previous studies have either been of ...
Discussion Chronic intestinal pseudo-obstruction (CIPO) is a rare, severe syndrome with impaired gastro-intestinal motility leading to functional obstruction resembling mechanical obstruction. It usually affects elderly people with underlying co-morbidities, and early recognition and appropriate management are essential to reduce life-threatening complications.1 The condition may be idiopathic or secondary to other conditions. Most cases are sporadic. Familial forms with either dominant or recessive autosomal inheritance have been described. Histologically, it is classified into neuropathies, mesenchymopathies and myopathies, according to the predominant involvement of enteric neurons, interstitial cells of Cajal or smooth-muscle cells, respectively.2 Hollow visceral myopathy (HVM) is a myopathic cause of CIPO. HVM is a rare clinical entity characterised by impaired intestinal function and motility secondary to a smooth-muscle defect.3,4 Familial visceral myopathy is the most common type, with ...
O:13:\PanistOpenUrl\:36:{s:10:\\u0000*\u0000openUrl\;N;s:6:\\u0000*\u0000idc\;N;s:6:\\u0000*\u0000fmt\;s:7:\journal\;s:6:\\u0000*\u0000doi\;s:0:\\;s:6:\\u0000*\u0000pii\;s:0:\\;s:7:\\u0000*\u0000pmid\;s:0:\\;s:9:\\u0000*\u0000atitle\;s:148:\CHRONIC IDIOPATHIC INTESTINAL PSEUDO-OBSTRUCTION SYNDROME: RADIOLOGIC SIGNS IN CHILDREN WITH EMPHASIS ON DIFFERENTIATION FROM MECHANICAL OBSTRUCTION\;s:9:\\u0000*\u0000jtitle\;s:0:\\;s:9:\\u0000*\u0000stitle\;s:0:\\;s:7:\\u0000*\u0000date\;s:4:\1981\;s:9:\\u0000*\u0000volume\;s:0:\\;s:8:\\u0000*\u0000issue\;s:0:\\;s:8:\\u0000*\u0000spage\;s:0:\\;s:8:\\u0000*\u0000epage\;s:0:\\;s:8:\\u0000*\u0000pages\;s:0:\\;s:7:\\u0000*\u0000issn\;s:0:\\;s:8:\\u0000*\u0000eissn\;s:0:\\;s:9:\\u0000*\u0000aulast\;s:5:\BYRNE\;s:10:\\u0000*\u0000aufirst\;s:2:\WJ\;s:9:\\u0000*\u0000auinit\;N;s:10:\\u0000*\u0000auinitm\;N;s:5:\\u0000*\u0000au\;a:4:{i:0;s:8:\BYRNE WJ\;i:1;s:7:\CIPEL ...
Learn more about Intestinal Pseudo-obstruction at Atlanta Outpatient Surgery Center DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
A clinicopathologic study was made of 16 patients with amyloidosis and with clinical signs of intestinal pseudo-obstruction. amyloid deposits in the small intestine were proved in all cases by endoscopic or intra-operative biopsies, and immunohistochemical study identified the chemical types of amyloid protein: amyloid A protein (AA) in 13 cases, light chain protein (AL) in two, and beta 2-microglobulin (AH) in one. Clinically, an acute self limiting obstructive condition was evident in 13 cases with AA, and 12 of them returned to normal bowel function after receiving total parenteral nutrition. Two cases with AL and one with AH presented chronic, intermittent, obstructive symptoms, and medical treatment, including total parenteral nutrition, was ineffective with no recovery of intestinal propulsion. Pathological examination of the necropsy specimens in seven cases showed considerable differences in the preferential sites of gastrointestinal deposits between the chemical types of amyloid; ...
Discusses chronic and acute forms of intestinal pseudo-obstruction and briefly describes symptoms, diagnosis, and treatment of this rare condition.
A collection of disease information resources and questions answered by our Genetic and Rare Diseases Information Specialists for Intestinal pseudo-obstruction
Ogilvie syndrome is the acute dilation of the colon in the absence of any mechanical obstruction in severely ill patients. Colonic pseudo-obstruction is characterized by massive dilatation of the cecum (diameter > 10 cm) and right colon on abdominal X-ray. It is a type of megacolon, sometimes referred to as acute megacolon, to distinguish it from toxic megacolon. The condition carries the name of the British surgeon Sir William Heneage Ogilvie (pl) (1887-1971), who first reported it in 1948. Usually the patient has abdominal distention, pain and altered bowel movements. There may also be nausea and vomiting. Ogilvie syndrome may occur after surgery, especially following coronary artery bypass surgery and total joint replacement. Drugs that disturb colonic motility (e.g., anticholinergics or opioid analgesics) contribute to the development of this condition. The exact mechanism is not known. The probable explanation is imbalance in the regulation of colonic motor activity by the autonomic ...
Dr. Contreras responded: Labs and X-rays. First you have to make sure there arent any other causes of true obstruction. This is done with a combination of x-rays or scans, physical examination, review of the medical history, and laboratory tests. After other causes have been eliminated, then the patient is treated for pseudo-obstruction, also called ogilves syndrome.
Treatment. There is no specific treatment for individuals with CIP. Treatment is directed toward the specific symptoms that are apparent in each individual, and to support adequate nutritional needs. Treatment may require the coordinated efforts of a team of specialists. Pediatricians, pediatric gastroenterologists, surgeons, pain management specialists, psychologists, dietitians, and other healthcare professionals may need to systematically and comprehensively plan an affect individual's treatment.. The specific therapeutic procedures and interventions for individuals with CIP will vary, depending upon numerous factors including the specific symptoms present, the site and extent of the affected portion of the GI tract, an individual's age and overall health, tolerance of certain medications or procedures, personal preference and other factors. Decisions concerning the use of particular therapeutic interventions should be made by physicians and other members of the healthcare team in ...
Authors: G Ravenscroft, S Pannell, G OGrady, R Ong, HC Ee, F Faiz, L Marns, H Goel, P Kumarasinghe, E Sollis, P Sivadorai, M Wilson, A Magoffin, S Nightingale, M-L Freckmann, EP Kirk, R Sachdev, DA Lemberg, MB Delatycki, MA Kamm, C Basnayake, PJ Lamont, DJ Amor, K Jones, J Schilperoort, MR Davis, NG Laing
This cross sectional study has characterised the spectrum of clinical, pathological, and prognostic features of the syndrome of CIIP in adults attending a tertiary referral hospital. It was designed to give an overview of the condition which case reports cannot do, because of their focus on individual patients and their inherent bias in reporting unusual features. It demonstrates that in a specialised centre, using our diagnostic criteria, most patients have a visceral myopathy, with a prolonged but disabling course.. The condition of CIIP is rare. We do not believe that our patients are completely typical of affected patients in the community. However only a limited number of tertiary referral centres are likely to manage enough patients with this condition to enable a report such as this to be composed. Some patients will have a relatively benign course with limited symptoms and no need for nutritional supplementation, as occurred in some of the relatives of patient 14. Although this family ...
Andrews JM, Brierley SM, Blackshaw LA. Small intestinal motor and sensory function and dysfunction. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtrans Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 96.. Camilleri M. Disorders of gastrointestinal motility. In: Goldman L, Schafer AI, eds. Goldmans Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 136.. Fry RD, Mahmoud NN, Maron DJ, Bleier JIS. Colon and rectum. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 52. ...
Degenerative leiomyopathy (DL) is a distinctive form of acquired degenerative visceral myopathy of uncertain etiology that occurs largely in Africa and results in intestinal pseudo-obstruction (IP). In this review of 39 patients from the Western Cape region of South Africa, the mean age at presentation was 9.5 years (range 6 months to 16 years). Characteristic clinical features included a chronic, insidious history of repeated attacks of abdominal distension, abdominal pain, and vomiting. Marked gaseous distension with atony and IP, especially of the colon, was noted on X-ray films. Megacolon was the most common radiologic feature, but pseudo-obstruction extended proximally into the small intestine in some patients with advanced disease. In the majority of cases the condition was progressive and eventually affected the entire gastrointestinal (GI) tract. Histologic features included smooth-muscule degeneration with vacuolated cytoplasm, extracellular edema, and increased fibrosis of both ...
Approval date: Aug. 30,2012. 851199-59-2 CAS NO. L-Cysteinyl-L-cysteinyl-L-glutamyl-L-tyrosyl-L-cysteinyl-L-cysteinyl-L-asparaginyl-L-prolyl-L-alanyl-L-cysteinyl-L-threonylglycyl-L-cysteinyl-L-tyrosine cyclo(1-6),(2-10),(5-13)-tris(disulfide). Linaclotide is a peptide consisting of 14 amino acids. The sequence is. H-Cys1-Cys2-Glu3-Tyr4-Cys5-Cys6-Asn7-Pro8-Ala9-Cys10-Thr11-Gly12-Cys13-Tyr14-OH. There are three disulfide bonds: Between Cys1 and Cys6, between Cys2 and Cys10, and between Cys5 and Cys13.[8]. Linaclotide (marketed under the trade name Linzess) is an experimentalpeptide agonist of guanylate cyclase 2C that is undergoing clinical trials for use in treating abdominal pain in patients with irritable bowel syndrome (IBS) accompanied by constipation. The drug also looks promising in the treatment of gastroparesis, chronic intestinal pseudo-obstruction (CIPO), andinertia coli as well.[1] The drug was developed by Ironwood Pharmaceuticals, based in Cambridge, Massachusetts.. Linaclotide was ...
Temperatures on dry land hovered near 50 degrees this weekend, but according the National Weather Service Weather Forecast Office, Lake Michigans water temperature was a chilly 32 degrees. So if you thought the 15th annual Lakeview Polar Bear Club polar plunge was made easier by a relatively balmy day, youd be wrong. There was still plenty of shrinkage going on.. Organizers say Saturdays polar plunge drew over 300 participants and has raised over $24,000 so far for two local families.. All of the donations will go toward the Garcia family, whose son Dominic has Chronic Intestinal Pseudo-Obstruction (CIPO), and the Linblad family, whose son Nicholas is battling a congenital heart disease. Both families are burdened with mounting medical expenses, and the Lakeview Polar Club hopes to raise $32,000 to help ease some of the financial pressures both families are under.. The organization is still short of their hoped for goal and will be updating their website with news of further donations over ...
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Intestinal pseudo-obstruction is a clinical syndrome caused by severe impairment in the ability of the intestines to push food through. It is characterized by the signs and symptoms of intestinal obstruction without any lesion in the intestinal lumen. Clinical features can include abdominal pain, nausea, severe distension, vomiting, dysphagia, diarrhea and constipation, depending upon the part Specialty: Gastroenterology ...
Causes of secondary intestinal pseudo-obstruction include abdominal or pelvic surgery, infections, medications such as opiates and antidepressants that affect muscles and nerves.
Oxidative Phosphorylation, Phosphorylation, Genes, DNA, Mitochondrial DNA, Mutations, Intestinal Pseudo-obstruction, Mitochondrial Disorders, Patients, Acidosis, Arrhythmia, ATP, Birth, Cardiomyopathies, Cardiomyopathy, Counseling, Dependency, Diagnosis, Disease, Genetic Counseling
Poly(ADP-ribose) polymerases (PARP) comprise a family of enzymes which catalyse poly(ADP-ribosyl)ation of DNA-binding proteins. Multiple researches indicate the importance of PARP in promoting cell recruitment and thereby inducing organ injury in various forms of inflammation, such as colitis. We have evaluated the effects of two PARP inhibitors, nicotinamide and 1,5-dihydroxyisoquinoline, in acute colitis induced by trinitrobenzensulfonic acid (TNBS) in rats. Nicotinamide (20-40 mg/kg) and 1,5-dihydroxyisoquinoline (4-8 mg/kg) were administered 48, 24 and 1 h prior to the induction of colitis as well as 24 h later. 48 h after colitis induction the lesions were blindly scored and quantified as ulcer index. Histological study and colonic inflammation were assessed by gross appearance and myeloperoxidase (MPO) activity. Prostaglandin E2 (PGE2) synthesis and, cyclooxygenase-1 and cyclooxygenase-2 expressions by Western blotting and immunohistochemistry were also performed. Inflammation following TNBS
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One of his best-known accomplishments was to include vulgar slang for copulation and female genitalia. But he also frequently bragged of being far less opposed than previous editors to including foreign words. According to Dr. Ogilvies book, he once told Newsweek, It seemed obvious to me that the vocabulary of all English-speaking countries abroad should receive proper attention ...
A wise woman with the name of Christy Beam and her family seem to have the answer. She told us all about it, in riveting details, in her book titled Miracles from Heaven: A Little Girl, Her Journey to Heaven, and Her Amazing Story of Healing.. The book is a memoir of how her daughter Annabel, then 10 years of age, recovered from a rare intestinal disease called pseudo-obstruction motility disorder. For a layman like me, it means the disability to digest food. After many months of medical treatment, and continual pain and suffering on that little body, she was basically sent home to die. While playing in her backyard with her older sister, they climbed up a huge but dead cottonwood tree that measured almost 3 stories high. She fell head-down into the hollow of the trunk. It took rescuers 3 hours before they could hoist her out of that narrow pit and flew her to a nearby hospital. She woke up shortly with no serious injuries: no broken bones, no neurological damage, none whatsoever.. After she was ...
In terms of CIPO, sequencing patients genomes it could mean that we can find the underlying causes of CIPO - it could be that CIPO has more than one causative gene, which would mean we could even find different subtypes of pseudo-obstruction based on the different underlying gene mutation. However, this would have huge implications for CIPO. If we know the underlying gene mutation/mutations, we will find out the underlying basis of CIPO and the underlying mechanism of how it causes the condition. This could then lead to treatments that rectify the problem with the function relating to the gene, or actually treating the gene mutation itself with gene therapy. This could lead to treatments, or even a cure, for the condition.. The first CIPO patient has already been recruited by Professor Knowles. P.O.R.T. hopes to support the recruitment of patients with CIPO onto the 100,000 Genomes Project and to progress the understanding of and development of treatments for CIPO.. You can find out more about ...
A slowing of gastrointestinal motility that is not associated with mechanical obstruction. Most commonly presents following surgery and usually lasts 2 to 4 days. Prolonged postoperative ileus contributes significantly to longer hospitalisation and increased healthcare costs. Treatment includes b...
Auscultation makes it possible to examine the motor function of the intestine. In a healthy child, 5-7 hours after eating, rhythmic noises are heard in the projection zone of the cecum. Enhanced intestinal motility can be observed with mechanical obstruction; with enterocolitis, it can be combined with loud rumbling. The accumulated clinical experience and scientific research suggest that a well-collected history and a thorough clinical examination of the child (which, in addition to visual examination and palpation, must necessarily be accompanied by a rectal digital examination and examination of the perianal region) is usually sufficient to exclude an organic cause of constipation [12 , fifteen].In this situation, there is no need to carry out a complex set of examinations and laboratory tests before starting treatment. Only in the absence of improvement against the background of traditional therapy or in atypical cases with alarming clinical symptoms (the presence of pathological impurities ...
Bowel obstruction occurs when the normal flow of intraluminal contents is interrupted. Obstruction can be functional (due to abnormal intestinal physiology) or due to a mechanical obstruction, which can be acute or chronic. Advanced small bowel obstr
Gastroparesis is a long-standing disorder of the stomach characterized by delayed emptying of the stomach in the absence of mechanical obstruction. Simply put, the stomach takes too long to empty its contents. Gastroparesis may present with a variety of symptoms, which include early satiety, nausea, vomiting, bloating, and upper abdominal discomfort. Related terms:hyperglycemia and gastroparesisprokinetic […]. ...
Yes. Gastroparesis is defined by delayed gastric emptying in the absence of any mechanical obstruction. To put it more simply, food stays in the stomach lo...
In some individuals with primary intestinal pseudo-obstruction, the condition is caused by mutations in the FLNA gene. This gene provides instructions for producing the protein filamin A, which helps build the network of protein filaments (cytoskeleton) that gives structure to cells and allows them to change shape and move. Filamin A attaches (binds) to another protein called actin and helps it form the branching network of filaments that make up the cytoskeleton.. Some individuals with primary intestinal pseudo-obstruction have FLNA gene mutations that result in an abnormally short filamin A protein. Others have duplications or deletions of genetic material in the FLNA gene. Researchers believe that these genetic changes may impair the function of the filamin A protein, causing abnormalities in the cytoskeleton of nerve cells (neurons) in the gastrointestinal tract. These abnormalities interfere with the nerves ability to produce the coordinated waves of muscle contractions (peristalsis) that ...
TY - JOUR. T1 - Can intestinal pseudo-obstruction drive recurrent stroke-like episodes in late-onset MELAS syndrome? A case report and review of the literature. AU - Gagliardi, Delia. AU - Mauri, Eleonora. AU - Magri, Francesca. AU - Velardo, Daniele. AU - Meneri, Megi. AU - Abati, Elena. AU - Brusa, Roberta. AU - Faravelli, Irene. AU - Piga, Daniela. AU - Ronchi, Dario. AU - Triulzi, Fabio. AU - Peverelli, Lorenzo. AU - Sciacco, Monica. AU - Bresolin, Nereo. AU - Comi, Giacomo Pietro. AU - Corti, Stefania. AU - Govoni, Alessandra. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is a maternally inherited mitochondrial disorder that is most commonly caused by the m. 3243A,G mutation in the MT-TL1 mitochondrial DNA gene, resulting in impairment of mitochondrial energy metabolism. Although childhood is the typical age of onset, a small fraction (1-6%) of individuals manifest the disease after 40 years of age and usually ...
A 2-year-old boy presented to our childrens hospital with a 5-day history of fever and 2 days prior to admission he progressively developed a maculopapular rash in thorax and genitals, had erythema and edema in palms and soles, bilateral conjunctival injection, swollen red lips, and a strawberry tongue. On the day of admission he developed a distended and painful abdomen, diarrhea, and vomiting. On examination he was febrile (39.8 C), heart rate was 180 beats/minute, met 5 major clinical diagnostic criteria for KD, and also presented a diffusely distended tender but soft abdomen, with no rebound sign. He received 1 dose of IVIG [2 g/Kg] and was started on acetylsalicylic acid (ASA) [100 mg/Kg/day]. Because of persistent abdominal distention and vomiting, a plain abdominal radiograph was performed which showed air fluid levels with diffuse small bowel loops distention, all of these consistent with an intestinal pseudoobstruction. An abdominal ultrasound revealed gallbladder hydrops, fluid-filled ...
ABSTRACT. African degenerative leiomyopathy (ADL) is a rare incurable disorder seen in African children, predominantly in southern and south-eastern Africa. ADL presents as chronic intestinal pseudo-obstruction. Management is traditionally conservative, with surgery restricted to the management of complications. We have placed Malone antegrade continence enema (MACE) stomas in the grossly dilated colon to vent accumulated gas and administer antegrade bowel enemas. This is done mainly for relief of gaseous distension and constipation in an attempt to provide symptomatic relief and improve quality of life. In this article, we present our preliminary results of laparoscopically assisted technique to insert a Mic-Key gastrostomy device as a button colostomy in 8 patients over the past 6½ years.. ...
Chronic Intestinal Pseudo-obstruction Pediatric and Adolescent Gastrointestinal Motility & Pain Program Department of Pediatrics, Louisiana State University Health Sciences Center, New Orleans, Louisiana
Before more settlements could be established, The Quebec - Ontario boundary north of Lake Timiskaming had to be accurately surveyed. Earlier surveys by Quebec and Ontario resulted in a boundary dispute, so the Canadian government sent a survey team to resolve the issue in 1890. William Ogilvie, who had recently distinguished himself by accurately surveying the Canada - Alaska boundary, led the expedition. A benchmark near Mattawa was used to establish an accurate benchmark north of Lake Timiskaming, using astronomical methods. From the head of Lake Timiskaming, they proceeded north to James Bay, fixing accurate positions of the provincial boundary at regular intervals using geodesy data derived from star transits. Ogilvies journal describe conditions in this area and the early settlers he met. His report on this expedition describes the details of this expedition.[9]. William Murray (1840-1906) and Irvin Heard (1871-1956) were the first European settlers in the New Liskeard area, arriving in ...
Understanding how dietary components alter the healthy baseline colonic microenvironment is important in determining their roles in influencing gut health and gut-associated diseases. Dietary flaxseed (FS) has demonstrated anti-colon cancer effects in numerous rodent models, however, exacerbated acute colonic mucosal injury and inflammation in a colitis model. This study investigates whether FS alters critical aspects of gut health in healthy unchallenged mice, which may help explain some of the divergent effects observed following different gut-associated disease challenges. Four-week-old C57Bl/6 male mice were fed an AIN-93G basal diet (BD) or an isocaloric BD+10% ground FS diet for 3 weeks. FS enhanced colon goblet cell density, mucus production, MUC2 mRNA expression, and cecal short chain fatty acid levels, indicative of beneficial intestinal barrier integrity responses. Additionally, FS enhanced colonic regenerating islet-derived protein 3 gamma (RegIIIγ) and reduced MUC1 and resistin-like ...
The diagnosis of this condition is not always straightforward due to sometimes unspecific and subtle initial symptoms and having a high level of suspicion in patients with a history of cholelithiasis is key. Beside the clinical symptoms of obstructive gastric ileus, the diagnosis nowadays is mainly made by endoscopy, abdominal ultrasound, and/or x-ray and/or CT-scan. While upper endoscopy has a very high success rate in diagnosing the mechanical obstruction, it fails to correctly identify an impacted gallstone as the cause in almost one-third of patients (as the stone can be deeply embedded within the mucosa and blood and clots may obstruct the view). A diagnostic aid is the presence of Riglers triad on plain abdominal x-ray films, consisting of a dilated stomach, pneumobilia (air in the biliary tree) and a radio-opaque shadow in the region of the duodenum representing the migrated gallstone. If further migration of the gallstone can be detected on follow up x-ray films, then this completes ...
Product Constituents. URINALYSIS, URIC ACID, BUN, CREATININE, BUN/CREATININE RATIO, TOTAL PROTEIN, ALBUMIN, GLOBULIN, ELECTROLYTES. Category. KIDNEY RELATED DISORDERS. Prerequisite. No special preparation required. Report Availability. Same Day. Info. Creatinine and electrolyte levels help to detect kidney disorders. increased BUN level indicates kidney disease, heart failure, gout, and pregnancy diseases. urea is the principle waste product of protein catabolism. BUN is most commonly measured in the diagnosis and treatment of certain renal and metabolic diseases. increased BUN concentration may result from increased production of urea due to (1) diet or excessive destruction of cellular proteins as occurs in massive infection and fevers, (2) reduced renal perfusion resulting from dehydration or heart failure, (3) nearly all types of kidney disease, and (4) mechanical obstruction to urine excretion such as is caused by stones, tumors, infection, or stricture. decreased urea levels are less ...
The patient with congenital heart disease who presents for noncardiac surgery requires careful evaluation and planning to avoid adverse perioperative events. This chapter presents a physiological approach to the management of anesthesia for the most common congenital heart lesions. The various congenital heart defects are categorized into lesions resulting in: (1) left-to-right shunting; (2) right-to-left shunting; (3) complete mixing of pulmonary and systemic circulation; (4) complete separation of the pulmonary and systemic circulations; (5) increased myocardial work; and (6) mechanical obstruction of the airway.
In patients with MS, several studies have demonstrated that LA enlargement is a marker of increased thromboembolic risk (4,6,7,9,11,25,26). However, the great majority of studies considered LA size or volume as an indicator of risk. This study aimed to look specifically at LA shape and not just LAVs and LA function in predicting stroke. As LA dilation may not occur in a uniform fashion, LA shape might be a better measure of the pattern of LA remodeling and a better predictor of embolic risk than absolute LAV.. The results of this study show that the atrial shape adds incremental value in predicting embolic events. Additionally, in agreement with a recently published study (27), we found that LA reservoir function was also associated with an increased risk for ECE. Although the LA has 3 major roles that affect LV filling, its reservoir function represents the most important component of the LA function in MS. LA contractile force cannot overcome the mechanical obstruction across the valve and ...
Now, some details about venous or passive hyperaemia. Passive hyperaemia or venous congestion is increased blood supply to an organ or tissue due to reduced blood outflow through the veins. In venous congestion, blood velocity always decreases, decelerates. The etiology of venous congestion is related either to mechanical obstruction of blood flow in the veins. It can be thrombi or emboli, or it is resulted from external compression of the veins by ligation, by tumor, sometimes by pregnant uterus, if we speak about veins or abdominal cavity in pregnant women. It can be also some adhesions prevailing from normal venous outflow. And, here, you can see an illustration of the situation of total venous congestion in many vascular areas. It can occur in heart failure because of increase of venous pressure due to disorder of pumping functions, and it may occur simultaneously in many vascular beds, for example, with right heart failure or cor pulmonale. It may be observed in the greater circulation ...
The complex model of the lower part of the urinary consists of the detrusor smooth muscle cell model and the detailed 1D model of the urethra flow. In future this model will allow to simulate the influence of different drugs and mechanical obstructions in the bladder neck and urethra. A general muscle model involving the calcium dynamics in the smooth muscle cell and the growth and remodelling theory will be shortly introduced. The main part is devoted to the development of a simple bladder model and the detrusor contraction during voiding together with the detailed model of the urethra flow ...
Is the invagination or telescoping of a portion of the intestine into a adjacent, more distal section of the intestine causing mechanical obstruction. The cause may be idiopathic (unknown but.... ...
Background. the genetic diversity of human immunodeficiency virus type 1 (HIV-1) raises the question of whether vaccines that include a component to elicit antiviral T cell immunity based on a single viral genetic clade could provide cellular immune protection against divergent HIV-1 clades. Therefore, we quantified the cross-clade reactivity, among unvaccinated individuals, of anti-HIV-1 T cell responses to the infecting HIV-1 clade relative to other major circulating clades.Methods. Cellular immune responses to HIV-1 clades A, B, and C were compared by standardized interferon-gamma enzyme-linked immunospot assays among 250 unvaccinated individuals, infected with diverse HIV-1 clades, from Brazil, Malawi, South Africa, Thailand, and the United States. Cross-clade reactivity was evaluated by use of the ratio of responses to heterologous versus homologous ( infecting) clades of HIV-1.Results. Cellular immune responses were predominantly focused on viral Gag and Nef proteins. Cross-clade ...
Saunders MD (October 2004). "Acute colonic pseudoobstruction". Current Gastroenterology Reports. 6 (5): 410-6. doi:10.1007/ ... Mechanical causes of intestinal obstruction must be excluded to reach a diagnosis of pseudo-obstruction. Attempts must also be ... Intestinal pseudo-obstruction (IPO) is a clinical syndrome caused by severe impairment in the ability of the intestines to push ... Secondary chronic intestinal pseudo-obstruction can occur as a consequence of a number of other conditions including: ...
Acute colonic pseudo-obstruction is characterized by massive dilatation of the cecum (diameter > 10 cm) and right colon on ... "Neostigmine for the treatment of acute colonic pseudo-obstruction". N. Engl. J. Med. 341 (3): 137-41. doi:10.1056/ ... Drugs that disturb colonic motility (such as anticholinergics or opioid analgesics) contribute to the development of this ... Normal colonic motility requires integration of myogenic, neural, and hormonal influences. The enteric nervous system is ...
"Favorable surgical treatment outcomes for chronic constipation with features of colonic pseudo-obstruction". World Journal of ... Maladie d'Arbuthnot Lane)" [Colonic inertia and rectal obstruction (Arbuthnot Lane disease)]. Annales de Gastroentérologie et ... Retrograde colonic irrigation has limited value". Lane, W. A. (1908). "Remarks on the results of the operative treatment of ... Sometimes, colonic inertia develops shortly after childbirth or hysterectomy. All patients with this syndrome have a colon of ...
Another indication for use is the conservative management of acute colonic pseudo-obstruction, or Ogilvie's syndrome, in which ... Maloney N, Vargas HD (May 2005). "Acute intestinal pseudo-obstruction (Ogilvie's syndrome)". Clinics in Colon and Rectal ... patients get massive colonic dilatation in the absence of a true mechanical obstruction. Hospitals sometimes administer a ...
... intestinal pseudo-obstruction MeSH C06.405.469.531.492.500.217 - colonic pseudo-obstruction MeSH C06.405.469.531.568 - ... colonic diseases, functional MeSH C06.405.469.158.272.217 - colonic pseudo-obstruction MeSH C06.405.469.158.272.608 - irritable ... intestinal obstruction MeSH C06.405.469.531.099 - afferent loop syndrome MeSH C06.405.469.531.311 - duodenal obstruction MeSH ... colonic MeSH C06.405.469.158.587.500 - diverticulitis, colonic MeSH C06.405.469.158.701 - megacolon MeSH C06.405.469.158. ...
... colonic pseudo-obstruction, bypass enteropathy, volvulus with mechanical small bowel obstruction Extra-intestinal ... The colonic absorption of oxalate has been attributed to: Exposure of colonic mucosa to excessive bile salts and possibly bile ... Calcium oxalate renal stones occur commonly following JIB, along with increased colonic absorption of oxalate. ... acids, increasing colonic permeability to oxalate, or Excessive quantities of fatty acids in the gut form soaps with calcium, ...
... mainly in acute colonic pseudo-obstruction, Ogilvie's syndrome.[citation needed] A bowel obstruction is generally a mechanical ... However, instances with symptoms and signs of a bowel obstruction occur, but with the absence of a mechanical obstruction, ... MedlinePlus Encyclopedia: Intestinal Obstruction Patient UK: Intestinal Obstruction and Ileus PubMed Health: Intestinal ... "Ileus Intestinal Obstruction". Retrieved 2019-10-05. Kitabchi AE, Umpierrez GE, Murphy MB, et al. (January 2001 ...
Surgery may also be used to treat some causes of bowel obstruction.: 850-862 The normal thickness of the small intestinal wall ... Functional colonic diseases refer to disorders without a known cause, including irritable bowel syndrome and intestinal ... Other causes of illness include intestinal pseudoobstruction, and necrotizing enterocolitis.: 850-862, 895-903 Diseases of the ... "Small-Bowel Obstruction Imaging". Medscape. Retrieved 2017-03-07. Updated: Sep 22, 2016 Fernandes, Teresa; Oliveira, Maria I.; ...
Ileus Pseudo-obstruction or Ogilvie's syndrome Intra-abdominal sepsis Pneumonia or other systemic illness Some causes of bowel ... Diverticulosis Hernias Inflammatory bowel disease Colonic volvulus (sigmoid, caecal, transverse colon) Adhesions Constipation ... Proximal obstruction of the large bowel may present as small bowel obstruction. Causes of small bowel obstruction include: ... Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which ...
Obstructing disorders Gastric outlet obstruction Small bowel obstruction Colonic obstruction Superior mesenteric artery ... disease Cholecystitis Pancreatitis Appendicitis Hepatitis Sensorimotor dysfunction Gastroparesis Intestinal pseudo-obstruction ... An obstruction further down in the intestine or colon will cause delayed vomiting. An infectious cause of nausea and vomiting ... Bits of fecal matter in the emesis indicate obstruction in the distal intestine or the colon. Emesis that is of a bilious ...
In approximately 80 percent of colonic obstructions, invasive carcinoma is found to be the cause of the obstruction. This is ... Other rare syndromes, including Ogilvie's syndrome, chronic constipation and impaction may cause a pseudo obstruction. ... Ulcerative colitis or Crohn's disease may cause colonic obstruction. The obstruction may be acute or chronic after years of ... Although diverticulitis may be the source of a colonic obstruction, it more commonly causes an ileus, which appears to be a ...
The drug has also been tested for the treatment of chronic intestinal pseudo-obstruction. The primary measure of efficacy in ... Prucalopride alters colonic motility patterns via serotonin 5-HT4 receptor stimulation: it stimulates colonic mass movements, ... Clinical trial number NCT00793247 for "Efficacy Study of Prucalopride to Treat Chronic Intestinal Pseudo-Obstruction (CIP)" at ... Smart CJ, Ramesh AN (August 2012). "The successful treatment of acute refractory pseudo-obstruction with prucalopride". ...
... intestinal obstruction, colon swelling, intestinal ischemia, intestinal pseudo-obstruction, and acute abdomen. Eye changes ... Kim MY, Noh JH (August 2008). "A case of Kawasaki disease with colonic edema". Journal of Korean Medical Science. 23 (4): 723-6 ... Akikusa JD, Laxer RM, Friedman JN (May 2004). "Intestinal pseudoobstruction in Kawasaki disease". Pediatrics. 113 (5): e504-6. ... and ocular artery obstruction. It can also be found as necrotizing vasculitis, progressing into peripheral gangrene. The ...
MMC impairment may be a result of post-infectious irritable bowel syndrome, drug use, or intestinal pseudo-obstruction among ... This can cause diarrhea by the osmotic drive of these molecules, but can also stimulate the secretory mechanisms of colonic ... consider aspiration of more than 103 positive if the flora is predominately colonic type bacteria as these types of bacteria ...
1997). Colonic irrigation and the theory of autointoxication: a triumph of ignorance over science. Journal of Clinical ... The AMA criticized it as a "fad magazine" which advertised "pseudo-medical" products. Tyrrell's Institute published similar ... theory-that there is only one cause for disease and that cause is autointoxication resulting from intestinal obstruction - is " ...
Cancer - Histopathologic image of colonic carcinoid Precancer - Tubular adenoma (left of image), a type of colonic polyp and a ... This very rarely causes obstruction of feces, and presents with symptoms such as anemia. Left-sided tumors tend to be ... prominent nucleoli and trabecular and pseudo-acinar growth pattern similar to hepatocarcinoma. H&E stained sections (A) ...
Intestinal pseudo-obstruction is a syndrome caused by a malformation of the digestive system, characterized by a severe ... Ghoshal, U. C.; Sengar, V.; Srivastava, D. (2012). "Colonic Transit Study Technique and Interpretation: Can These be Uniform ... There is no cure for intestinal pseudo-obstruction. Different types of surgery and treatment managing life-threatening ... ISBN 978-0-323-01639-1. Sarna, S.K. (2010). "Introduction". Colonic Motility: From Bench Side to Bedside. San Rafael, ...
Large-bowel obstruction (LBO) is an emergency condition that requires early identification and intervention. The etiology of ... Acute Colonic Pseudo-Obstruction. If no perforation is present, acute colonic pseudo-obstruction (ACPO; Ogilvie syndrome) is ... Systematic review: acute colonic pseudo-obstruction. Aliment Pharmacol Ther. 2005 Nov 15. 22(10):917-25. [QxMD MEDLINE Link]. ... Acute colonic pseudo-obstruction. Br J Surg. 2009 Mar. 96(3):229-39. [QxMD MEDLINE Link]. ...
Acute colonic pseudo-obstruction. Together they form a unique fingerprint. * Colonic Pseudo-Obstruction Medicine & Life ... Acute colonic pseudo-obstruction. Glenn M. Eisen, Todd H. Baron, Jason A. Dominitz, Douglas O. Faigel, Jay L. Goldstein, John F ... title = "Acute colonic pseudo-obstruction",. abstract = "This is one of a series of statements discussing the utilization of GI ... Acute colonic pseudo-obstruction. Gastrointestinal endoscopy. 2002 Dec;56(6):789-792. doi: 10.1016/S0016-5107(02)70348-9 ...
Ogilivies syndrome of colonic pseudo-obstruction: A complication of radical hysterectomy with pelvic and paraaortic ... Singh, P.,Ilancheran, A.,Ti, T.K.,Ratnam, S.S. (1989). Ogilivies syndrome of colonic pseudo-obstruction: A complication of ...
Intestinal pseudo-obstruction is a condition in which there are symptoms of blockage of the intestine (bowels) without any ... Primary intestinal pseudo-obstruction; Acute colonic ileus; Colonic pseudo-obstruction; Idiopathic intestinal pseudo- ... In intestinal pseudo-obstruction, the intestine is unable to contract and push food, stool, and air through the digestive tract ... Intestinal pseudo-obstruction is a condition in which there are symptoms of blockage of the intestine (bowels) without any ...
Acute colonic pseudo-obstruction (Ogilvies syndrome) is characterized by massive dilatation of cecum and right colon and can ... Imipramine induced acute colonic pseudo-obstruction (Ogilvies syndrome): a report of two cases. ... Sood A, Kumar R. Imipramine induced acute colonic pseudo-obstruction (Ogilvies syndrome): a report of two cases. Indian ...
Acute Colonic Pseudo-Obstruction in Severe Falciparum Malaria: A Case Report ... Soon, symptoms of colonic obstruction mitigated. And the patient was cured and discharged. Acute colonic pseudo-obstruction ... Colonic decompression reduces proximal acute colonic pseudo-obstruction and related symptoms. Dis Colon Rectum. 2020;63(1):60- ... Acute Colonic Pseudo-Obstruction in Severe Falciparum Malaria: A Case Report. Peng Fei Yaoa, Peng Jiang Zhanga, He Donga, Yang ...
williamson, sigrid and Ong, Adrian, "Acute Colonic Pseudo-obstruction: Colonoscopy or Neostigmine First ?" (2022). Tower Health ...
Large-bowel obstruction (LBO) is an emergency condition that requires early identification and intervention. The etiology of ... Systematic review: acute colonic pseudo-obstruction. Aliment Pharmacol Ther. 2005 Nov 15. 22(10):917-25. [QxMD MEDLINE Link]. ... Acute colonic pseudo-obstruction. Br J Surg. 2009 Mar. 96(3):229-39. [QxMD MEDLINE Link]. ... Adynamic ileus and acute colonic pseudo-obstruction. Med Clin North Am. 2008 May. 92(3):649-70, ix. [QxMD MEDLINE Link]. ...
Ogilvie Syndrome (Acute Colonic Pseudo-obstruction): Early Recognition and Treatment Are Key ...
Ogilvie Syndrome (Acute Colonic Pseudo-obstruction): Early Recognition and Treatment Are Key ... Colonic motility in children with repaired imperforate anus. Dig Dis Sci. 1999 Jul. 44(7):1288-92. [QxMD MEDLINE Link]. ...
Ileus, bowel obstruction, and colonic pseudo-obstruction; risk of constipation; institute a prophylactic bowel regimen to ... mitigate potential constipation, bowel obstruction, and paralytic ileus; consider adequate dietary fiber intake, hydration, and ...
Massive acute colonic pseudo-obstruction successfully managed with conservative therapy in a patient with cerebral palsy. Int J ...
Topics: Brochure, Colonic inertia, Pseudo-obstruction, Constipation, difficult to pass stools, Fact Sheet, Motility ... Your child has been diagnosed as having intestinal pseudo-obstruction or some other form of chronic gastrointestinal motility ... Topics: Brochure, Colonic inertia, Pseudo-obstruction, Constipation, difficult to pass stools, Fact Sheet, Motility ... Your child has been diagnosed as having intestinal pseudo-obstruction or some other form of chronic gastrointestinal motility ...
Management of acute colonic pseudo-obstruction in a neutropenic patient Suzanne Xu, Shreyak Sharma, Farid Jadbabaie ... Endoscopic electrohydraulic lithotripsy treatment of sigmoid bowel obstruction caused by gallstones Amanda Brunchmann, Flemming ...
The test records and helps diagnose conditions including intestinal pseudo-obstruction, gastroparesis, colonic inertia, rapid ...
Colonic pseudo-obstruction due to herpes zoster.. Rodrigues, G., Kannaiyan, L., Gopasetty, M., Rao, S. & Shenoy, R., 09-2002, ... Duodenojejunal obstruction by a hemangioma. Chattopadhyay, A., Kumar, V., Maruliah, M. & Rao, P. L. N. G., 01-09-2002, In: ... Bladder outlet obstruction due to congenital bladder diverticulum: Case report and review of literature. Sadashiva Rao, P., ...
... pseudo-obstruction (including colonic pseudo-obstruction), salivary gland pain, and vomiting. Genitourinary: Decreased sexual ...
A Classic Case of Acute Colonic Pseudo-Obstruction (Olgilvies Syndrome) Author: Spencer R. Adams, MD, Roger M. Lee, MD, M. ... Acute Colonic Pseudo-Obstruction, Adams, Cho, Lee, Smith Wallenberg Syndrome Author: Roger M. Lee, MD, Spencer R. Adams, MD, ...
Myotonic dystrophy as a cause of colonic pseudoobstruction: not just another constipated child. Clin Case Rep. 2015 Jun; 3(6): ...
Q: Give some of the side effects of using neostigmine in acute colonic pseudo-obstruction (Ogilvies syndrome)? ... Answer: Neostigmine is an acetylcholinesterase inhibitor used in acute colonic pseudo-obstruction (Ogilvies syndrome) when ... Efficacy and Safety of Subcutaneous Neostigmine for Ileus, Acute Colonic Pseudo-obstruction, or Refractory Constipation. Ann ... Effect of polyethylene glycol electrolyte balanced solution on patients with acute colonic pseudo obstruction after resolution ...
Colonic Pseudo-Obstruction Entry term(s). Colonic Pseudo Obstruction Colonic Pseudoobstruction Pseudo-Obstruction, Colonic ... Pseudo-obstruction colique Entry term(s):. Colonic Pseudo Obstruction. Colonic Pseudoobstruction. Ogilvie Disease. Ogilvie ... Pseudo-Obstruction, Colonic. Pseudoobstruction, Colonic. Syndrome, Ogilvie. Tree number(s):. C06.405.469.158.272.217. C06.405. ... Colonic Pseudo-Obstruction - Preferred Concept UI. M0004819. Scope note. Functional obstruction of the COLON leading to ...
On the basis of the clinical presentation, pseudo-obstruction syndromes can be divided into acute and chronic forms. ... by a clinical picture suggestive of mechanical obstruction in the absence of any demonstrable evidence of such an obstruction ... The term intestinal pseudo-obstruction denotes a syndrome characterized ... pseudo-obstruction syndromes can be divided into acute and chronic forms. In acute colonic pseudo-obstruction (ACPO [2] ; also ...
Acute Colonic Pseudo-obstruction): Early Recognition and Treatment Are Key Ogilvie syndrome (acute colonic pseudo-obstruction [ ... ACPO]) involves significant dilatation of the colon in the absence of mechanical obstruction. Do you know what the risk factors ...
Colonic pseudo-obstruction. (Gastroenterology and Hepatology) - Pass rate 59.2%; highest mark 7.3 . ...
Learn about Intestinal Obstruction and Ileus and treatment of Intestinal Obstruction. ... The term ileus is now most often used to imply non-mechanical intestinal obstruction. ... Jeong SJ, Park J; Endoscopic Management of Benign Colonic Obstruction and Pseudo-Obstruction. Clin Endosc. 2020 Jan53(1):18-28 ... Pseudo-obstruction. In intestinal pseudo-obstruction the cautious use of neostigmine may aid recovery but most important is the ...
Acute colonic pseudo-obstruction. Michael D Saunders Best Practice & Research. Clinical Gastroenterology 2007, 21 (4): 671-87 ...
  • In cases where the stent is deployed before surgery, this procedure permits relief of the acute obstruction and resuscitation of the patient, and it allows for mechanical bowel preparation before colonic resection and reanastomosis, thus avoiding temporary or permanent colostomy. (
  • Most cases of acute pseudo-obstruction get better in a few days with treatment. (
  • IMSEAR at SEARO: Imipramine induced acute colonic pseudo-obstruction (Ogilvie's syndrome): a report of two cases. (
  • Acute colonic pseudo-obstruction (Ogilvie's syndrome) is characterized by massive dilatation of cecum and right colon and can occur in association with many medical and surgical conditions. (
  • Acute colonic pseudo-obstruction is extremely rare. (
  • Investigations suggested a diagnosis of acute colonic pseudo-obstruction. (
  • Acute colonic pseudo-obstruction should be considered for severe malaria patients with abdominal distention and pain. (
  • The early diagnosis and proper management of the patient with severe malaria complicated with acute colonic pseudo-obstruction are the keys to a good prognosis. (
  • The acute colonic pseudo-obstruction (ACPO) is a rare condition in the patient with severe malaria. (
  • [ 1 ] On the basis of the clinical presentation, pseudo-obstruction syndromes can be divided into acute and chronic forms. (
  • Ogilvie Syndrome (Acute Colonic Pseudo-obstruction): Early Recognition and Treatment Are Key Ogilvie syndrome (acute colonic pseudo-obstruction [ACPO]) involves significant dilatation of the colon in the absence of mechanical obstruction. (
  • Acute pseudo-obstruction of the intestine, also ICD-10-CM Diagnosis Code K56.609. (
  • Intestinal obstruction due to bilateral recurrent inguinal References in the ICD-10-CM Index to Diseases and Injuries applicable to the clinical term "pseudo-obstruction intestine (acute) (chronic) (idiopathic) (intermittent secondary) (primary)" Pseudo-obstruction intestine (acute) (chronic) (idiopathic) (intermittent secondary) (primary) - K59.89 Other specified functional intestinal disorders AHA Coding Clinic ® for ICD-9 - 1988 First Quarter Intestinal Pseudo-Obstruction. (
  • This report covers an ARDS case occurring post left pneumonectomy, with a favorable outcome, despite association with an acute colonic pseudo-obstruction syndrome (Ogilvie syndrome) that required abdominal surgery for decompression. (
  • With an acute colonic pseudo-obstruction diagnosis, the decision was to perform laparotomy and a temporary cecostomy. (
  • This condition is known as acute colonic pseudo-obstruction (ACPO), also called Ogilvie syndrome or acute colonic ileus. (
  • Pseudo-obstruction can be acute or chronic. (
  • Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie syndrome, most commonly affects the large intestine from the cecum to the splenic flexure. (
  • Apart from these symptoms, people with severe COVID-19 can develop gastrointestinal complications, such as acute cholecystitis, acute pancreatitis, ileus and feeding tolerance, acute colonic pseudo-obstruction, and mesenteric ischemia. (
  • Chronic colonic pseudo-obstruction (CCPO) also exists and should be distinguished from patients with ACPO. (
  • Intestinal pseudo-obstruction is a condition in which there are symptoms of blockage of the intestine (bowels) without any physical blockage. (
  • In intestinal pseudo-obstruction, the intestine is unable to contract and push food, stool, and air through the digestive tract. (
  • Neostigmine may be used to treat intestinal pseudo-obstruction that is only in the large bowel (Ogilvie syndrome). (
  • Your child has been diagnosed as having intestinal pseudo-obstruction or some other form of chronic gastrointestinal motility disorder. (
  • The test records and helps diagnose conditions including intestinal pseudo-obstruction, gastroparesis, colonic inertia, rapid gastric emptying and constipation. (
  • The term intestinal pseudo-obstruction denotes a syndrome characterized by a clinical picture suggestive of mechanical obstruction in the absence of any demonstrable evidence of such an obstruction in the intestine. (
  • The exact pathophysiology of intestinal pseudo-obstruction remains to be elucidated. (
  • These theories focus on the increased sympathetic tone, the decreased parasympathetic tone, or a combination of both as the cause of intestinal pseudo-obstruction. (
  • Another theory regarding the etiology of intestinal pseudo-obstruction focuses on parasympathetic tone. (
  • Intestinal Obstruction and Ileus. (
  • The term ileus is now most often used to imply non-mechanical intestinal obstruction. (
  • Of all patients admitted to hospital with intestinal obstruction, most have small intestinal obstruction. (
  • It is the most common cause of intestinal obstruction in Africa and Asia, where the incidence is 10 times higher than in Europe or North America [ 4 ] . (
  • Intestinal pseudo-obstruction is also called Ogilvie's syndrome. (
  • Congenital gastrointestinal malformations can cause neonatal intestinal obstruction. (
  • Although the signs and symptoms mimic those of an intestinal blockage, there is no physical obstruction. (
  • Chronic intestinal pseudo-obstruction (CIP) is a rare disorder in which intestinal nerve or muscle problems prevent food, fluid, and air from moving through the stomach and intestines. (
  • What are the symptoms of chronic intestinal pseudo-obstruction? (
  • Chronic intestinal pseudo-obstruction prevents fluids and food from moving though the stomach and intestines. (
  • Chronic intestinal pseudo-obstruction is caused by nerve or muscle problems that prevent the intestines from contracting normally to move food, fluid, and air through the intestines. (
  • Because the symptoms of chronic intestinal pseudo-obstruction (CIP) are similar to those of other gastrointestinal conditions , your child's doctor may need to order several tests before making a formal diagnosis. (
  • Imaging studies , such as x-rays , can rule out an intestinal obstruction. (
  • How is intestinal pseudo-obstruction treated? (
  • Search results for "Pseudo-obstruction intestine" About 1 items found relating to Pseudo-obstruction intestine Other specified functional intestinal disorders Pseudo Obstruction Intestine ICD-10-CM Alphabetical Index The ICD-10-CM Alphabetical Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. (
  • av H Pendleton · 2013 - CIPO Chronic intestinal pseudo-obstruction IBS Irritable bowel syndrome However, over the past 10-15 years, the impact of PL on HRQOL has begun to be for the following ICD codes: GORD with/without oesophagitis (K210, K219), fallopian tube cancer, primary chest wall cancer, large-bowel obstruction, Provides current ICD-10 insurance billing codes to help expedite insurance OBS! (
  • Chronic Idiopathic Intestinal Pseudo Obstruction (CIIPO) is a rare gastrointestinal motility (movement) disorder characterized by impairment of the muscle contractions that move food, fluid, stool or air through ICD-10: K59.8 PROGRESSION. (
  • Intestinal pseudo-obstruction is a rare condition with symptoms like those caused by a bowel obstruction, or blockage. (
  • In intestinal pseudo-obstruction, nerve or muscle problems prevent normal contractions. (
  • Intestinal pseudo-obstruction can occur in people of any age, but it occurs more often in children and older adults. (
  • Children can have a long-lasting form of the condition called chronic intestinal pseudo-obstruction (CIP). (
  • In another form of intestinal pseudo-obstruction that mostly affects older adults, the colon becomes enlarged after surgery or illness. (
  • When the cause of the nerve or muscle problems leading to intestinal pseudo-obstruction is not known, the condition is called primary or idiopathic intestinal pseudo-obstruction. (
  • If the cause is known, the condition is called secondary intestinal pseudo-obstruction. (
  • People with intestinal pseudo-obstruction often need nutritional support to prevent malnutrition and weight loss. (
  • If intestinal pseudo-obstruction is caused by an illness or medication, the doctor will treat the underlying illness or stop the medication. (
  • In severe cases of intestinal pseudo-obstruction, surgery to remove part of the intestine or other intestinal surgery might be necessary. (
  • Ahmed S, and Sharman T. Intestinal Pseudo-Obstruction. (
  • Intestinal pseudo-obstruction is characterized by the dilation of bowel in the absence of an anatomical obstruction. (
  • Chronic intestinal pseudo-obstruction (CIPO) is a more rare form of pseudo-obstruction, usually causing early satiety, nausea, bloating, and distension. (
  • A personal note, I had the diagnosis of idiopathic gastroparesis, colonic inertia, chronic intestinal pseudo-obstruction syndrome, chronic migraines (1999) for many many years. (
  • Abdominopelvic adhesions account for 60%-70% of intestinal obstructions in pregnancy. (
  • It also allowed the opportunity to incorporate other digestive paralytic conditions such as Colonic Inertia (CI), Gastroparesis (GP), and Chronic Intestinal Pseudo-Obstruction (CIPO) to the platform. (
  • Initial therapy in patients with suspected large-bowel obstruction (LBO) includes volume resuscitation, appropriate preoperative broad-spectrum antibiotics, and timely surgical consultation. (
  • Closed loop obstructions, bowel ischemia, and volvulus are surgical emergencies. (
  • Large-bowel obstruction (LBO) is an emergency condition that requires early identification and intervention. (
  • Furthermore, prevention of colonic distention through more aggressive use of bowel regimens for the prevention of obstipation is critically important in hospitalized patients, who are particularly susceptible to this clinical condition. (
  • Criteria for CCPO include symptoms of recurrent bowel obstruction in the last 6 months, abdominal bloating and/or pain in the previous 3 months, evidence of bowel obstruction on radiographic imaging, and no evidence of anatomic/structural abnormality. (
  • The majority (75%) of small bowel obstructions are attributed to intra-abdominal adhesions from prior operations [ 1 ] . (
  • The risk of obstruction increases the further down the bowel the lesion is sited, as the contents become more solid. (
  • The sigmoid colon is the most common site of volvulus and accounts for 5% of large bowel obstruction. (
  • Attempt to distinguish complete bowel obstruction from partial obstruction, which is associated with passage of some gas or stool. (
  • Major complaints in patients with large-bowel obstruction (LBO) include abdominal distention, nausea, vomiting, and crampy abdominal pain. (
  • Abdominal distention may be significant in patients with a large-bowel obstruction (LBO). (
  • Antroduodenal and colonic manometry measure pressure in the bowel and can help diagnose CIP without more invasive testing. (
  • Fy, vad jag Så jag ska gå och konsultera bowel obstruction avsnittet per omgående. (
  • Anonymous - Atkinson NE air conditioning repairsSaturday, January 10, 2015 Irritable Bowel Syndrome IBS and Inammatory Bowel Disease IBD While IBS is a For example chronic airways obstruction ICD represents one of the largest Allergology 10 Andrology Li prostata adenorm su uomo 13 Malattie su occhi 13 Malattie Does mechanical bowel preparation adenom de prostata nursing system prostata prostatectomia operazione di dolore allinguine icd 9 2021 prostatite. (
  • ICD 8 563.98, av B Vidarsson · 2020 - Early complications, such as bowel obstruction, bleeding, leakage and deep infections are Classification of Diseases and Related Health- problems (ICD-10). (
  • På onsdag den 3/10 klockan 12.00 blir det tydligare vad som kommer its primary author of lower the medics here again or icd placement what i ve as bowel obstruction, gastrointestinal haemorrhage or bowel perforation. (
  • Two days later, as the multiple organ dysfunction worsened, a bowel obstruction occurred. (
  • Patients present with the signs and symptoms of bowel obstruction, including nausea, vomiting, abdominal distension, and obstipation with bowel dilation on x-ray or CT imaging. (
  • After a mechanical obstruction is ruled out, initial management includes bowel rest, nasogastric decompression, intravenous fluid resuscitation, and treatment of the underlying cause. (
  • A 24-year-old pregnant woman had a bowel obstruction secondary to a gravid uterus. (
  • In approximately 1:3,000 to 1:1,500 pregnancies, 1 , 2 patients may experience a bowel obstruction. (
  • Cecal volvulus is the cause of 25%-44% of obstructions during pregnancy, while only 9% of cases are attributable to small bowel volvulus. (
  • A 24-year-old primigravida was referred to our institution at 34.7 weeks' gestational age secondary to a small bowel obstruction. (
  • After this procedure, she developed recurrent partial small bowel obstructions that required 2 surgical lyses of adhesions procedures (in 2003 and 2006). (
  • Her care was complicated by progressive intolerance of oral intake and continued partial small bowel obstructions. (
  • At 34.3 weeks, she was admitted to an outside facility after an examination consistent with a bowel obstruction. (
  • The team hypothesized that the obstruction was caused by the gravid uterus, adhesive small bowel disease, or Crohn disease (from fibrotic strictures or fistulas). (
  • This elderly woman presented with large bowel obstruction. (
  • Medications that slow colonic motility should be stopped, if possible. (
  • One theory, examined in a 1988 study by Lee et al, is that increased sympathetic tone to the colon results in the inhibition of colonic motility. (
  • Pseudo-obstruction of the intestine described as chronic or intermittent secondary, idiopathic or primary, and not otherwise specified (NOS) is assigned to code 564.8, Other specified functional disorders of intestine. (
  • Primary chronic pseudo-obstruction of gastrointestinal tract. (
  • For a colonic manometry, the doctor does the same thing but feeds a tube into the intestine through the colon. (
  • There are 0 terms under the parent term 'Pseudo Obstruction Intestine' in the ICD-10-CM Alphabetical Index. (
  • Pseudo Obstruction Intestine ICD-10-CM Alphabetical Index. (
  • Nausea and vomiting are not predominant complaints, but fever may be present in the setting of colonic ischemia or perforation. (
  • Soon, symptoms of colonic obstruction mitigated. (
  • They should be educated regarding the signs and symptoms of recurrent pseudo-obstruction and should be informed that recurrent abdominal distention warrants prompt medical attention. (
  • Functional obstruction of the COLON leading to MEGACOLON in the absence of obvious COLONIC DISEASES or mechanical obstruction. (
  • if the diagnosis is coded with only one ICD-10 code (as usual) these are to be pseudo-Cushing's syndrome, Add CC - E249 has CC - Pseudo is not real? (
  • These problems are considered secondary causes of pseudo-obstruction. (
  • pancreas och det periampullära området - Diagnosgrupp ICD-O/2 förefaller ha en lång latent fas (10-15 år) innan diagnos (5), Gastric outlet obstruction secondary to pancreatic cancer: surgical vs endoscopic palliation. (
  • Obstrucción funcional del COLON que conduce a MEGACOLON en ausencia de ENFERMEDADES DEL COLON u obstrucción mecánica obvias. (
  • According to this theory, the nature of the parasympathetic distribution (see Etiology) suggests that disruption of the sacral innervation may leave the distal colon atonic, thus resulting in a functional obstruction. (
  • Right-side colonic lesions can grow quite large before obstruction occurs because of the large capacity of the right colon and soft stool consistency. (
  • Sigmoid colon and rectal tumors cause colonic obstruction much earlier in their development, because the colon is narrower and the stool is harder in that area. (
  • he spent all night one night doing colonoscopy, exploration, gastrostomy and cecostomy on a patient with colonic pseudo-obstruction, and he routinely spends all day (7:30-5) on colon resections, even right colon resections. (
  • Complete obstruction is characterized by the failure to pass either stool or flatus with an empty rectal vault (unless the obstruction is in the rectum). (
  • Endoscopic dilation and stenting of colonic obstruction is helpful in selected cases and may be an alternative to multistage surgery. (
  • Schizophrenia has an increased risk for megacolon and constipation whilst major depression is associated only with constipation but with none of the other colonic diseases. (
  • A nasogastric tube should be considered for patients with severe colonic distention and vomiting. (
  • Surgical intervention is frequently indicated, depending on the cause of the obstruction. (
  • The CD-associated CRC group included a higher proportion of patients with a history of perianal disease (73.7% vs. 50.2%, P = 0.035) and colonic location (47.4% vs. 6.5%, P = 0.001). (
  • If the patient has a partial obstruction, the patient appears obstipated but continues to pass some gas or stools. (
  • Partial obstructions are a less urgent condition. (
  • obstruction to free passage of contents can occur at any level of the gut but only obstruction beyond the duodenum will be considered here. (
  • It is common for doctors to suspect and diagnose this condition soon after birth or before a child's first birthday in the cases of primary pseudo-obstruction. (
  • While there is no known cure for pseudo-obstruction, proper medical treatment can stabilize the condition, prevent complications, and improve your child's quality of life so they can participate in typical childhood activities. (
  • Initial therapy in patients with suspected large-bowel obstruction (LBO) includes volume resuscitation, appropriate preoperative broad-spectrum antibiotics, and timely surgical consultation. (
  • Sigmoid volvulus is a cause of large bowel obstruction and occurs when the sigmoid colon twists on its mesentery, the sigmoid mesocolon . (
  • Symptoms are that of large bowel obstruction: constipation, abdominal bloating, nausea and/or vomiting. (
  • Sigmoid volvulus is differentiated from a cecal volvulus by its ahaustral wall, the lower end pointing to the pelvis and large bowel obstruction. (
  • When there is too much air in the colon, this may be a large bowel obstruction (e.g.., sigmoid volvulus) with a competent ileocecal valve. (
  • If, however, there is too much air in both parts of the bowel, you may have a paralytic ileus, or a large bowel obstruction with an incompetent ileocecal valve, or a small bowel obstruction which is early or intermittent. (
  • Institute a prophylactic bowel regimen to prevent potential constipation, bowel obstruction, and/or paralytic ileus. (
  • Pregnancy - it has been shown that progesterone reduces colonic muscle tone, thus leading to constipation. (
  • The two disorders limited to the colon that cause constipation are colonic inertia and pelvic floor dysfunction. (
  • At the extreme end of the constipation spectrum is fecal impaction, a condition in which stool hardens in the rectum and prevents the passage of any stool (although occasionally diarrhea may occur even with the obstruction). (
  • Fewer ganglia and Cajal cells resemble levels found in slow transit constipation and pseudo obstruction (8). (
  • These can include the latest and most advanced treatments for gastrointestinal conditions ranging from gastroesophageal reflux disease (GERD) and constipation to Hirschsprung's disease, pseudo-obstruction, achalasia , and functional abdominal pain . (
  • Closed loop obstructions, bowel ischemia, and volvulus are surgical emergencies. (
  • Diagnosis of colonic volvulus: findings on multidetector CT with three-dimensional reconstructions. (
  • 8. Clinical Practice Guidelines for Colon Volvulus and Acute Colonic Pseudo-Obstruction. (
  • Other names for this condition include Ogilvie syndrome and colonic ileus. (
  • Ileus is a nonmechanical type of obstruction, which may also be referred to as pseudo-obstruction. (
  • Ileus pain is often less severe than mechanical small bowel obstruction. (
  • The pain associated with ileus is constant but not severe or colicky icd 9 code for erectile dysfunction due to diabetes purchase cialis cheap online, as it is with mechanical obstruction. (
  • A mechanical obstruction is often difficult to differentiate from an adynamic ileus. (
  • The goal of this case discussion is to help one to have a better understanding of a mechanical obstruction versus an adynamic (paralytic) ileus, and be able to make a distinction between these two conditions. (
  • Sixteen abdominal radiographs will be displayed to test your skill in distinguishing a bowel obstruction from an ileus. (
  • There are different criteria that one must look at when trying to distinguish an ileus from an obstruction on an abdominal radiograph. (
  • It should be noted that none of these criteria are necessarily definitive in always distinguishing an ileus from an obstruction. (
  • I have been diagnosed with esophageal dysmotility, gastroparesis, and colonic inertia and all have greatly effected my health and lifestyle. (
  • In the pediatric population, rapid colonic transit is usually unrelated to an inherent dysmotility. (
  • Genetic background dramatically affected the phenotypes of Hox11L1-null animals, with complete penetrance of severe proximal colonic distention on a predominantly C57BL/6J (B6) background and very low penetrance of dysmotility on a 129SvJ (129) background. (
  • Colonic dysmotility in postsurgical patients with Hirschsprung's disease. (
  • 2] Camilleri M. Acute colonic pseudo-obstruction (Ogilvie's syndrome). (
  • 1. Acute colonic pseudoobstruction (Ogilvie's syndrome) in gynecologic and obstetric patients: case report and systematic review of the literature. (
  • 2. Postpartum Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome): A systematic review of case reports and case series. (
  • 3. Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome) Following Total Laparoscopic Hysterectomy. (
  • 5. Ogilvie's syndrome (acute colonic pseudo-obstruction) after caesarean section. (
  • 9. Successful management of post-cesarean-section acute pseudoobstruction of the colon (Ogilvie's syndrome) with colonoscopic decompression. (
  • 12. Ogilvie's syndrome (acute colonic pseudo-obstruction): review of the literature and report of 6 additional cases. (
  • 13. [Treatment of acute colonic pseudo-obstruction (Ogilvie's Syndrome). (
  • 15. Ogilvie's syndrome--acute colonic pseudo-obstruction. (
  • 18. Ogilvie's syndrome-acute colonic pseudo-obstruction. (
  • 20. Acute colonic pseudo obstruction (Ogilvie's syndrome): case report. (
  • This report covers an ARDS case occurring post left pneumonectomy, with a favorable outcome, despite association with an acute colonic pseudo-obstruction syndrome (Ogilvie syndrome) that required abdominal surgery for decompression. (
  • Normal colonic transit time is 8-24 hours, with on average 250g of stool production each day. (
  • 3) and/or physiologic evidence of prolonged whole gut or colonic transit. (
  • The specificity is compromised when hydrogen is produced by colonic bacteria, especially when transit times are accelerated by the osmotic load of the substrate dose. (
  • Our diagnostic algorithm of defecation disorders using a colonic transit study. (
  • 9 Cisapride also has a prokinetic action on the small and large intestine 10 and has been used in idiopathic pseudo-obstruction, 11 and in dysmotile neonatal small bowel. (
  • Colonoscopy showed no evidence of distal obstruction, but colonic distension persisted, and he subsequently underwent cecal decompression with an open "blow-hole" cecostomy fully matured at skin level via a small right lower quadrant incision. (
  • After confirmation of the colonic dilation on a plain abdominal roentgenogram, distal obstruction was ruled out by contrast enema. (
  • In a mechanical obstruction, there is preferentially more air proximal to the obstruction than distal to it. (
  • Taourel PGFabre JMPradel JASeneterre EJMegibow AJBruel JM Value of CT in the diagnosis and management of patients with suspected acute small-bowel obstruction. (
  • Quiroga SAlvarez-Castells ASebastia MCPallisa EBarluenga E Small bowel obstruction secondary to bezoar: CT diagnosis. (
  • With an acute colonic pseudo-obstruction diagnosis, the decision was to perform laparotomy and a temporary cecostomy. (
  • Endoscopic dilation and stenting of colonic obstruction is helpful in selected cases and may be an alternative to multistage surgery. (
  • Abdominal x-ray image on postoperative day 5 demonstrated no colonic dilation. (
  • Proportions of patients with bowel ischaemia and colonic pseudo-obstruction were higher in the enteral group than in the parenteral group. (
  • Discuss colonic ischaemia? (
  • Functional obstruction of the COLON leading to MEGACOLON in the absence of obvious COLONIC DISEASES or mechanical obstruction. (
  • Obstrucción funcional del COLON que conduce a MEGACOLON en ausencia de ENFERMEDADES DEL COLON u obstrucción mecánica obvias. (
  • Sigmoid Colon Endometriosis Mimics Acute colonic Obstruction - A Rare entity Rajendran Vellaisamy, Prabhakaran Raju ,Kannan Devy Gounder Volume 38 No. 2 ( April - June, 2017) of Tropical Gastroenterology. (
  • Five (1 per cent) of 529 thermally injured patients experienced pseudo-obstruction of the colon over a two-year period. (
  • When there is too much air in the small bowel, this may be a small bowel obstruction which has been present long enough to have allowed the colon gas to clear. (
  • Swift RIWood CBHershman MJ Small bowel obstruction due to phytobezoars in the intact gastrointestinal tract. (
  • Radiographic changes after colonoscopic decompression for acute pseudo-obstruction. (
  • Most cases of acute pseudo-obstruction get better in a few days with treatment. (
  • Rectal motility differs from colonic motility in that it remains stationary and allows the stool to remain there until a socially acceptable time, when a massive contraction (mass peristalsis) pushes the stool out and completely empties the rectum. (
  • Everything about pediatric colonic motility disorders remains controversial. (
  • Wullstein CGross E Laparoscopic compared with conventional treatment of acute adhesive small bowel obstruction. (
  • Diagnostic laparoscopy and laparoscopic cecostomy for colonic pseudo-obstruction. (
  • Patients were removed if they developed mechanical obstruction, necrotising enterocolitis (NEC), or serious cardiovascular, renal, or neurological disorders. (
  • He had 3 additional hospital admissions for abdominal pain and distension, each of which improved after nasogastric and colonic decompression. (
  • A nasogastric tube should be considered for patients with severe colonic distention and vomiting. (
  • Instead, it is often related to short colonic length (either congenital or after surgery) or to an intra-abdominal inflammatory process, such as appendicitis with rupture or inflammatory bowel disease. (
  • It is also stimulated by release of serotonin (5-HT) by local neurones in response to colonic distension. (
  • In cases where the stent is deployed before surgery, this procedure permits relief of the acute obstruction and resuscitation of the patient, and it allows for mechanical bowel preparation before colonic resection and reanastomosis, thus avoiding temporary or permanent colostomy. (
  • Visceral neuropathy with herpes zoster infection can present with urinary retention, cystitis, and colonic pseudo- obstruction [2]. (
  • Very high pitched bowel sounds heard through a stethoscope suggest mechanical bowel obstruction. (
  • To be suspected colonic mucosa can authenticate our patients, and similar qualities to assist you. (
  • Agresta FPiazza AMichelet IBedin NSartori CA Small bowel obstruction: laparoscopic approach. (
  • Suter MZermatten PHalkic NMartinet OBettschart V Laparoscopic management of mechanical small bowel obstruction: are there predictors of success or failure? (
  • Adams SWilson TBrown AR Laparoscopic management of acute small bowel obstruction. (
  • 4 They defined this as "the inability of the bowel to pass stool due to impaired peristalsis" and suggested that clinical signs would include absence of stool for three or more consecutive days without mechanical obstruction regardless of bowel sounds. (
  • When they are missing the stool stops and an obstruction occurs. (
  • Acute colonic pseudo-obstruction occurs suddenly and lasts a short time. (
  • Although a gasless abdomen is highly suggestive of a high obstruction, this can also be seen with excessive vomiting, and/or diarrhea. (
  • During the early years of World War II, Ogilvie, a leading surgeon in the British Army, recommended colostomy for management of all colonic injuries. (
  • He reported a mortality rate of 53% for colonic injuries treated with colostomy, a rate similar to that observed during World War I. (
  • Several reports clearly indicated that surgeons used colostomy during the Korean and Vietnam wars, particularly in the management of left colonic injuries. (