Small bowel obstruction: an unusual cause.

2007 ◽  
Vol 52 (3) ◽  
pp. 53-53
Author(s):  
MJ Steven ◽  
A Jabaar
Keyword(s):  
Risk Factors ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Clinical Features ◽  
Bowel Obstruction ◽  
Gastric Surgery

A bezoar is a tightly packed collection of partially digested or undigested material. When this material is vegetable matter it is known as a phytobezoar, when it is hair it is a trichobezoar and when it is medication a pharmacobezoar. Phytobezoars are a known cause of small bowel obstruction in patients who have had previous gastric surgery. Two cases of small bowel obstruction caused by phytobezoars are discussed in patients with no risk factors. The cause, clinical features and management of phytobezoars is reviewed in an attempt to increase awareness of this unusual cause of small bowel obstruction.

Prevalence and risk factors of mortality and morbidity after operation for adhesive postoperative small bowel obstruction

2008 ◽  
Vol 195 (6) ◽  
pp. 726-734 ◽  
Author(s):  
Jean-Jacques Duron ◽  
Sophie Tezenas du Montcel ◽  
Anne Berger ◽  
Fabrice Muscari ◽  
Henri Hennet ◽  
...  
Keyword(s):  
Risk Factors ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Mortality And Morbidity ◽  
Postoperative Small Bowel Obstruction

Diaphragm disease in emergency surgery

2020 ◽  
Vol 81 (3) ◽  
pp. 1-6
Author(s):  
Diwakar R Sarma ◽  
Pratik Bhattacharya
Keyword(s):  
Risk Factors ◽  
Small Intestine ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Emergency Laparotomy ◽  
Diaphragm Disease ◽  
Inflammatory Drugs ◽  
Acute Small Bowel Obstruction ◽  
Anti Inflammatory

Background/Aims Diaphragm disease of the small bowel has been described in the literature over the last three decades. The pathognomonic characteristic of multiple circumferential stenosis is noted on gross examination of the bowel. It is a severe form of non-steroidal anti-inflammatory drug-induced enteropathy, often presenting as acute small bowel obstruction. A systematic review was performed to identify risk factors and patient outcomes in histologically-proven diaphragm disease of the small intestine in patients undergoing emergency operation for small bowel obstruction. Methods A comprehensive search was performed between January 1975 and March 2019 using relevant MeSH terms. Studies were chosen based on predefined inclusion criteria. Diaphragm disease of the small intestine was defined as macroscopically detected thin diaphragm-like mucosal folding inside the lumen of the bowel. The parameters assessed included patient characteristics, duration of use of non-steroidal anti-inflammatory drugs, type of emergency surgery performed, complications, recurrence, presentation and diagnosis of diaphragm disease. Results A total of 21 studies were analysed which included 17 case reports, one case series, and three retrospective comparative studies. Overall 29 patients with diaphragm disease of the small bowel were reported following emergency laparotomy for small bowel obstruction. Use of non-steroidal anti-inflammatory drugs was noted in all cases with an average duration of 3–5 years. All patients presented acutely with features of small bowel obstruction and had emergency laparotomy, except one who underwent laparoscopic resection. In the comparative studies patients were more likely to be female and to have been taking non-steroidal anti-inflammatory drugs for more than 7 years. Conclusions This is a rare disease, difficult to diagnose and often confirmed by the intra-operative macroscopic appearance of circumferential stenosis of the bowel. Risk factors for developing small bowel diaphragm disease include long-term use of non-steroidal anti-inflammatory drugs, and female gender. Patients with this disease are at increased risk of developing acute small bowel obstruction, so early identification is important.

Small Bowel Obstruction Following Radical Hysterectomy: Risk Factors, Incidence, and Operative Findings

1994 ◽  
Vol 53 (1) ◽  
pp. 114-120 ◽  
Author(s):  
F.J. Montz ◽  
C.H. Holschneider ◽  
Saad Solh ◽  
Lisa C. Schuricht ◽  
Bradley J. Monk
Keyword(s):  
Risk Factors ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Radical Hysterectomy ◽  
Operative Findings
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