Abstract
Comparative analysis of treatment of 78 patients, suffering an acute peritonitis, was conducted for studying of practical significance of hypertonic peritoneal-enteric sanation (PES). In 40 patients (control group) the conventional methods of treatment were used and in 38 (the main group)--the treatm...
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PMID: 21702093
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Abstract
We report a 10-year-old boy with solitary rectal ulcer diagnosed two years after onset of the symptoms who responded well to the conservative therapy, including high-fiber diet, laxatives, defecation training, and sucralfate enema....
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PMID: 21644097
PDF is available here.
Abstract
We report two cases of Nigerian adults with longstanding, recurrent constipation, getting relieved by laxatives and herbal enemata, and then presented to our Emergency Department with a history of progressive abdominal distention, colicky pain, occasional vomiting, and weight loss. Per rectal examin...
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PMID: 21860150
PDF is available here.
Abstract
We aimed to describe this relationship and create a predictive model for pelvic floor dyssynergia on defecography.
From March 2008 to April 2010 consecutive patients with symptoms suggestive of functional constipation were evaluated at our Pelvic Floor Disorders Center 125 and the results of their w...
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PMID: 21160315
PDF is available here.
Abstract
We sought to appraise and synthesize the available evidence regarding preoperative bowel preparation in patients undergoing elective colorectal surgery.
We searched MEDLINE, EMBASE and Cochrane Databases to identify randomized controlled trials (RCTs) comparing patients who received a bowel preparat...
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PMID: 21092431
PDF is available here.
Abstract
The specific purpose of this study was to evaluate the significant effects of medium-chain triglycerides (MCTs) and N-3 fatty acids on chemically induced experimental colitis induced by 2,4,6-trinitrobenzene sulphonic acid (TNBS) in rats. Male Wistar rats were fed liquid diets enrich...
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PMID: 20970751
PDF is available here.
Abstract
Acute phosphate nephropathy is a rare, but serious adverse event associated with the use of sodium phosphate for bowel cleansing. It may lead to permanent renal impairment and a need for dialysis. The aetiology is hyperphosphataemia caused by intestinal absorption of the cleanser. Risk factors inclu...
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PMID: 21040660
PDF is available here.
Abstract
The butyrate intervention did not significantly modulate the expression of MUC2 (fold change: 1.04 and 1.05 in healthy volunteers and ulcerative colitis patients, respectively) or TFF3 (fold change: 0.91 and 0.94 in healthy volunteers and UC patients, respectively). Furthermore, the percentage of si...
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PMID: 20461009
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Abstract
We experienced a case of the complications following glycerin enema which suggested malignant hyperthermia. A 73-year-old man with knee osteoarthritis was scheduled for total knee arthroplasty under general and epidural anesthesia. The patient received glycerin enema before surgery. After epidural c...
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PMID: 20662298
PDF is available here.
Abstract
As a consequence of anastomotic leakage, 3 rats (16.6%) in group I, 1 rat (5.6%) in group II, and 2 rats (11.2%) in group III died. Mean anastomotic bursting pressures at day 3 were not significantly different between groups (53, 64, and 68 mm Hg for group I, II, and III, respectively, P = .777). At...
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PMID: 20551761
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Abstract
Of the total 429 patients, 59% were male and 75% were white. There was only slight agreement between the patients' description of effluent and the endoscopists' description of preparation (Cohen kappa statistic, 0.067). However, patients reporting brown liquid or solid had a 54% chance of having fai...
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PMID: 20362286
PDF is available here.
Abstract
Tubular-type colonic duplications are rare congenital malformations that are usually diagnosed during childhood. We report the first case of a Y-shaped tubular sigmoid colonic duplication in an adult who was successfully treated by laparoscopic resection.
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PMID: 20485011
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Abstract
We describe the rationale and key aspects for success of a bowel management program for the treatment of pediatric fecal incontinence. A retrospective review was done of the medical strategies used for the treatment of over a 1000 patients with fecal incontinent, combining the experience of the auth...
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PMID: 20307852
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Abstract
This article provides an overview of faecal continence with a focus on the house-bound patient. To understand incontinence it is essential to understand how continence is achieved. Causes of faecal incontinence are discussed, including anal sphincter damage. Finally the nursing, medical and surgical...
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PMID: 20453822
PDF is available here.
Abstract
Screening for cancer is performed in order to detect unsuspected cancers in an asymptomatic population. Screening is justified for the detection of precancer and cancer when the screening test is safe and the disease has a prevalence that justifies the cost and also when testing has low rates of fal...
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PMID: 20462062
PDF is available here.
Abstract
Patients with CF presenting with MI had similar pulmonary function and nutritional status, as well as survival rates as did the control patients without MI. The distinct genetic mutation found in our population may explain in part the favorable results compared with other studies. In addition, it se...
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PMID: 19668004
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Abstract
According to ITT analysis the number of responders was not significantly higher in the EcN group than in the placebo group (p = 0.4430, 2-sided). However, the Jonckheere-Terpstra rank correlation for dose-dependent efficacy indicated a significant correlation of per-protocol responder rates (p = 0.0...
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PMID: 20398311
PDF is available here.
Abstract
US, BE and CR may be essential as pre-treatment imaging examinations because they occasionally detect findings which affect treatment indication and strategy, although abdominal contrast-enhanced CT rarely provide additional information....
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PMID: 20534137
PDF is available here.
Abstract
We describe the outcome of deep intestinal enema administered either through a flatus tube or a Foley catheter. Deep enemas are useful in constipation, pseudo intestinal obstruction, ileus and colonic volvulus either as an adjunct or an alternative to other procedures such as endoscopic decompressio...
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PMID: 20514838
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Abstract
Functional bowel disorders encompass a number of symptoms including abdominal, pelvic and/or anal pain, bloating, nausea, disturbed bowel function, faecal urgency or incontinence, straining to evacuate bowels, incomplete emptying and constipation. This article examines the causes and effects of func...
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PMID: 20373612
PDF is available here.
Abstract
Barium enema in Hirschsprung's disease is valuable to decide the best surgical technique in each singular case but not to determine the exact length of affected segments. In case of a aganglionic long-segment suspicion, biopsies may be necessary to determinate preoperative length of affected segment...
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PMID: 20578579
PDF is available here.
Abstract
Abdominal free air upon X-ray examination implies a medical emergency, but there is an extensive differential diagnosis that should be considered. Fecaloma is one of the possible imitators of free abdominal air. Fecaloma is a complication of chronic constipation, in which a large fecal mass impacts...
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PMID: 20088432
PDF is available here.
Abstract
We retrospectively reviewed the operative database for a county teaching hospital from 1998 to 2008. All patients with low pelvic anastomosis (ultralow colorectal, coloanal, and ileoanal pouch anastomosis) with diverting ileostomy who underwent subsequent takedown were identified. Fifty patients met...
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PMID: 19886140
PDF is available here.
Abstract
Chronic constipation is a common problem in the elderly, with a variety of causes, including pelvic floor dysfunction, medication effects, and numerous age-specific conditions. A stepwise diagnostic and therapeutic approach to patients with chronic constipation based on historical and physical exami...
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PMID: 19699408
PDF is available here.
Abstract
Colonic diverticulosis is a common, usually asymptomatic, entity of Western countries, with an incidence that increases with age. When these diverticula become infected and inflamed, patients can present with a wide variety of clinical manifestations. Management of acute, uncomplicated diverticuliti...
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PMID: 19699411
PDF is available here.
Abstract
Calcium channel blockers continue to be used for the management of a wide variety of adult and pediatric conditions including hypertension, angina pectoris, atrial arrhythmias, Raynaud phenomenon, and migraine headaches. With increased use comes increased potential for misuse and abuse. This article...
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PMID: 19687715
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Abstract
The markedly cured rate was 50.0% in the observation group, better than that of 26.7% in the control group (P < 0.05). The score of syndromes, NIH-CPSI and EPS-WBC in the observation group were lower than the control group (P < 0.05, P < 0.01). CONCLUSION: The therapeutic effect of suspended moxibus...
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PMID: 19835121
PDF is available here.
Abstract
We describe a 6-month-old girl who had an apparent life-threatening event after a vomiting episode resulting in activation of emergency medical services for transport to the emergency department. The differential diagnosis for this presentation is broad but easily narrowed down given the additional...
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PMID: 19528765
PDF is available here.
Abstract
All patients were followed-up for a mean (range) of 19.1 (14-33) months. Urinary continence improved significantly after the first injection, and remained constant after repeat injections. The maximum detrusor pressure, bladder compliance and capacity improved significantly (P < 0.001) compared with...
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PMID: 19154454
PDF is available here.
Abstract
(i) In equimolar doses, sulfate produced 42% more diarrheal stool weight than phosphate. (ii) Phosphate increased the propensity for calcium salt precipitation in urine at pH 6.4, whereas sulfate did not. (iii) These results suggest that a hypertonic low-volume sulfate solution would be an effective...
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PMID: 19240703
PDF is available here.
Abstract
Gastric malrotation is defined as a torsion of stomach around its short or long axis. It is a rare disease in childhood. Gastric malrotation may present either as a surgical emergency or as chronic abdominal symptoms. There is limited data about the respiratory symptoms associated with gastric malro...
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PMID: 18604557
PDF is available here.
Abstract
We report here a case of severe iatrogenic hypothyroidism with goiter and cholestasis, discovered six weeks after a contrast enema using sodium ioxitalamate, an iodinated contrast agent. Prematurity, intrauterine growth retardation, and enteral feeding intolerance could explain why this complication...
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PMID: 18618140
PDF is available here.
Abstract
Early detection of precancerous tissue has significantly improved survival of most cancers including colorectal cancer (CRC). Animal models designed to study the early stages of cancer are valuable for identifying molecular events and response indicators that correlate with the onset of disease. The...
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PMID: 19242605
PDF is available here.
Abstract
Hospitalized children with enema-reduced intussusception required minimal interventions, had a low rate of signs and symptoms requiring further radiographic studies, and had no enema-reduced serious complications during hospitalization. These results support outpatient management as an acceptable al...
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PMID: 19194346
PDF is available here.
Abstract
Both preparations revealed no difference in patients' satisfaction (p = 0.882) and efficacy of colon cleanness (p = 0.130). Sodium phosphate preparation was more expensive (79 vs. 10 Baht) and caused higher number of bowel frequency (p < 0.001). CONCLUSION: With a cheaper price, castor oil was compa...
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PMID: 19253801
PDF is available here.
Abstract
2520 DCBEs and 604 CTCs were included. Twenty-one of 33 patients with CRC were detected using DCBE (incidence 1.31%, sensitivity 63.7%). Thirty-two of 33 patients with CRC were -detected using CTC (incidence 5.46%, sensitivity 97.7%). CONCLUSION: CTC is more sensitive for the detection of CRC, and i...
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PMID: 19103343
PDF is available here.
Abstract
Meckel's diverticulum is the most common congenital abnormality of the small bowel. The majority of patients with this anomaly will remain asymptomatic; however, several complications may occur, including obstruction, intussusception, perforation, diverticulitis, and gastrointestinal haemorrhage. Th...
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PMID: 19103339
PDF is available here.
Abstract
Of 413 participants in the survey, 131 (31.7%) responded; 87% of surgeons used cathartics (70%), enemas (2%) or both (28%) for MBP. MBP was used 60% in right colon surgery, 90% in left colon and 99% in rectal surgery. Surgeons with more case load or those who specialized in colorectal surgery used s...
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PMID: 18462218
PDF is available here.
Abstract
We report a case of a 55-year-old man who presented with a two-month history of abdominal discomfort, postprandial diarrhea, nausea and faecal vomiting. Upper gastrointestinal endoscopy showed an ulcer in the greater curvature of the stomach. Barium enema examination revealed an obvious gastrocolic...
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PMID: 19341208
PDF is available here.
Abstract
In accordance with the recent literature, the present experience does not show any benefit of mechanical bowel preparation in elective colorectal resection. This suggests that bowel preparation could be omitted before this type of surgery....
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PMID: 19341196
PDF is available here.
Abstract
We demonstrated that butyrate stimulated the gene expression of both secreted (Muc2) and membrane-linked (Muc1, Muc3, Muc4) mucins. Butyrate especially induced a 6-fold increase in Muc2 gene expression in proximal colon. However, butyrate enemas did not modify the number of epithelial cells containi...
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PMID: 18198997
PDF is available here.
Abstract
Computed tomography (CT) has become the imaging modality of choice for the investigation of patients with clinico-radiological suspicion of obstruction. Appropriate CT technique is discussed, with recommendations on how to improve diagnostic confidence and to reduce radiation dose. The performance o...
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PMID: 19966879
PDF is available here.
Abstract
One hundred sixty-eight patients were treated for intussusception during the study period. Median age was 9.9 months (59 days to 16.7 years). One hundred thirty-seven (81.5%) patients underwent contrast enema as the initial diagnostic/therapeutic modality. On contrast enema, 15 (10.9%) patients demo...
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PMID: 19159751
PDF is available here.
Abstract
An antegrade continence enema stopper inserted into the catheterizable channel for 3 to 6 months postoperatively effectively eliminates the incidence of stomal stenosis....
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PMID: 19013592
PDF is available here.
Abstract
This study supports the use of colo noscopy as the gold standard test for the evaluation of positive FOBT and was preferred over DCBE b the patients. Diagnostic accuracy of DCBE was inferior to colonoscopy, for all size polyps and larg adenomas. Compared to colonoscopy, DCBE is a substandard test fo...
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PMID: 19954097
PDF is available here.