conclusions in our study, we treated this rare fracture successfully using a modified swashbuckler approach and found it to be a good approach for such fractures as compared to the conventional approach. case presentation a 32-year-old male sustained a bicondylar hoffa fracture of the right femur which was treated by open reduction and internal fixation using a modified swashbuckler approach. a...

Introduction Mesenteric ischemia is an acute disease, with fatal outcome in about 70% of the cases (1). Since the interval between the onset of symptoms and irreversible damage of the bowel is app. 120-180 min. (2), there is need for an effective and reliable diagnostic procedure which can detect early changes in the mesenteric perfusion. An early detection of acute mesenteric ischemia (AMI) re...

CONTEXT Postoperative ileus is a major complication of abdominal surgical procedures OBJECTIVE To evaluate the incidence of ileus and gastrointestinal morbidity in patients who received immediate postoperative feeding and bowel stimulation after undergoing major gynecologic surgical procedures. METHODS During a 5-year period, the authors tracked demographic, surgical outcome, and follow-up ...

Patellar fracture is a relatively uncommon fracture especially the vertical sagittal type. In cases of high energy trauma injury, it is usually associated with fracture of ipsilateral distal femur or proximal tibia. However, the combination of vertical sagittal fracture patella and ipsilateral fracture lateral condyle is very rare. This necessitates judicious diagnosis and appropriate managemen...

OBJECTIVE To retrospectively analyse the outcome of patients who underwent investigation by small bowel enema in a local centre. DESIGN Case series. SETTING Regional hospital, Hong Kong. PATIENTS All patients referred for small bowel enema in a local hospital from 1 January 1999 to 31 December 2009 were identified; respective findings from imaging and clinical records were reviewed. RES...

introduction: functional gastrointestinal disorders (fgid) are non-fatal, unknown etiology disorders with absence of a structural or biochemical explanation and accounting for up to 50% of gastroenterology referrals. infant regurgitation, rumination and cyclic vomiting constitute the vomiting disorders. abdominal pain disorders are classified as: functional dyspepsia, irritable bowel syndrome (...

Inflammatory Bowel Diseases - ulcerative colitis and Crohn's disease- are chronic gastrointestinal inflammatory diseases of unknown etiology. Decreased oral intake, malabsorption, accelerated nutrient losses, increased requirements, and drug-nutrient interactions cause nutritional and functional deficiencies that require proper correction by nutritional therapy. The goals of the different forms...

BACKGROUND Polyethylene glycol is commonly used to manage constipation and is available with or without electrolytes. The addition of electrolytes dates back to its initial development as lavage solutions in preparation for gastrointestinal interventions. The clinical utility of the addition of electrolytes to polyethylene glycol for the management of constipation is not established. The object...